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Use of beta blockers in the perioperative period as an opioid-sparing technique can have positive short- and long-term effects, a study has concluded. A study examining the use of esmolol for sympathetic blockade, as part of a multimodal approach to pain management in patients undergoing arthroscopic shoulder procedures with continuous brachial plexus blockade, has shown […]
Read MoreEpidural analgesia does not prolong the second stage of labor relative to placebo, according to a trial in Obstetrics & Gynecology. Researchers in China enrolled 400 nulliparous women who requested analgesia during labor. In the first stage of labor, patients received standard epidurals (ropivacaine, 0.8%; with sufentanil). But when the cervix was fully dilated, i.e., the […]
Read MoreThe Official Journal of the Anesthesia Patient Safety Foundation Oct 2017 by Maria van Pelt, PhD, CRNA, and Matthew B. Weinger, MD Reprinted with permission from Anesthesia & Analgesia 2017;125:347–350. DOI: Copyright © 2017 International Anesthesia Research Society. All rights reserved. Distractions in the perioperative work environment can adversely affect vigilance, situation awareness, and the ability to […]
Read MoreThe Official Journal of the Anesthesia Patient Safety Foundation Oct 2017 By Steven Greenberg, MD, FCCP, FCCM The substantial number of preventable deaths and other adverse events associated with health care are now widely recognized.1,2 Handoffs (also called handovers), or transfers in care responsibilities of various types, are among the most important contributors to these outcomes […]
Read MorePublished in The Joint Commission By Gerard M. Castro, PhD, MPH Out of approximately 65 million surgical cases annually, there are 200 to 240 surgical fires, a frequency comparable to that of other surgical safety events such as wrong site surgery and unintended retention of a foreign object.1 While relatively rare, surgical fires can be catastrophic, […]
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