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Authors: Jessica L. Booth, M.D. et al Anesthesiology 7 2017, Vol.127, 50-57. Background: The addition of opioids to epidural local anesthetic reduces local anesthetic consumption by 20% but at the expense of side effects and time spent for regulatory compliance paperwork. Epidural neostigmine also reduces local anesthetic use. The authors hypothesized that epidural bupivacaine with neostigmine would […]
Read MoreAuthors: Juan C. Gómez-Izquierdo, M.D. et al Anesthesiology 7 2017, Vol.127, 36-49. Background: Inadequate perioperative fluid therapy impairs gastrointestinal function. Studies primarily evaluating the impact of goal-directed fluid therapy on primary postoperative ileus are missing. The objective of this study was to determine whether goal-directed fluid therapy reduces the incidence of primary postoperative ileus after laparoscopic colorectal […]
Read MoreTo the Editor: Dr. Geralemou and colleagues make an excellent argument for capnography monitoring in the postoperative period for evidence of hypoventilation in their October 2016 APSF Newsletter article entitled “The Role of Capnography to Prevent Postoperative Respiratory Adverse Events.” However, that doesn’t necessarily mean capnography should be recommended as a standard outside the operating […]
Read MoreTo the Editor: Introduction Central line-associated bloodstream infections (CLABSI) have been associated with thousands of preventable deaths and billions of dollars of additional costs to the US health care system.1 Many institutions in recent years have prioritized preventing such infections. However, a substantial number of CLABSIs continue to occur, especially in high-risk areas of the hospital. […]
Read MoreAuthors: Medhat S. Hannallah, MD, Raj Parekh, MD, and Shahine Baghai, MD To the Editor: Cryoablation is increasingly used to treat unresectable malignant tumors. During cryotherapy it may not be possible to immediately remove the freezing element from an organ in an emergency without active thawing. We recently cared for a patient that illustrated the […]
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