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Second-line uterotonic use is high in women experiencing severe postpartum hemorrhage, and B-Lynch brace suture placement is the most common surgical intervention. These were among the findings of a retrospective study conducted at Stanford University School of Medicine, in California, that has shed light on women who experience severe postpartum hemorrhage during intrapartum cesarean delivery. […]
Read MoreWhen it comes to mitigating against postoperative cognitive decline and preserving functional brain connectivity after circulatory arrest for aortic arch surgery, deep hypothermia is superior to high-moderate hypothermia, a pilot study has concluded. A larger prospective trial is underway to confirm these results. “Deep hypothermia—which constitutes cooling the body to a temperature of less than […]
Read MoreThe Nociception Level Index Israeli researchers have devised a multivariable index that appears to accurately reflect patients’ experience of pain during surgery. “The primary significance of our findings is that we have proved that it is possible to accurately and objectively assess patients’ nociceptive state—or “pain”—based on an algorithmic combination of multiple physiological parameters, creating […]
Read MoreAuthors: Chamaidi Sarakatsianou et al The American Journal of Surgery April 2017 Background General anesthesia has been used as standard for laparoscopic hernia repair by the transabdominal preperitoneal (TAPP) approach. Regional anesthesia has been occasionally applied in high risk patients where general anesthesia is contraindicated. This randomized clinical trial compares spinal anesthesia with general anesthesia […]
Read MoreAuthors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology 2 2017, Vol.126, 312-320. Background: Although peripheral nerve blocks decrease pain after total knee arthroplasty, the population-level impact of nerve blocks on arthroplasty resource utilization is unknown. Methods: We conducted a population-based cohort study using linked administrative data from Ontario, Canada. We identified all adults having their first […]
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