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Authors: Robert D. Sanders, M.B.B.S., Ph.D., F.R.C.A. et al Anesthesiology 2 2017, Vol.126, 214-222. Background: The isolated forearm technique allows assessment of consciousness of the external world (connected consciousness) through a verbal command to move the hand (of a tourniquet-isolated arm) during intended general anesthesia. Previous isolated forearm technique data suggest that the incidence of connected consciousness […]
Read MoreAuthors: Glenn S. Murphy, M.D. et al Anesthesiology 10 2016, Vol.125, 611-614 BY the late 1980s, it was well recognized that undetected postoperative residual neuromuscular block (PRNB) was a common occurrence in most postanesthesia care units (PACUs).1–4 However, an editorial in 1989 noted that there was little, if any, objective evidence to validate the hypothesis that PRNB […]
Read MoreAuthors: Motov S et al., Ann Emerg Med 2016 Dec 16; Limiting the assessment of pain relief with ketorolac to 30–120 minutes after administration limits the conclusions we can draw from this study. To determine the optimal dose of ketorolac, investigators at a single U.S. emergency department conducted a randomized double-blind trial in 240 patients with moderate-to-severe […]
Read MoreAuthors: Upchurch CP et al., Ann Emerg Med 2017 Jan 69:24 An observational study suggests that these two agents are similarly safe but sends a possibly worrisome signal. Several studies have sought — and failed to find — evidence that etomidate is bad for patients due to the adrenal suppression it is known to cause (NEJM JW […]
Read MoreAuthors: Driver BE et al., Ann Emerg Med 2017 Jan 69:1 High-flow oxygen through a nonrebreather mask is noninferior to bag-valve-mask for preoxygenation. Preoxygenation is a key step in rapid sequence intubation and involves allowing the patient to breath spontaneously with supplemental oxygen. The classic method, thought to achieve the highest alveolar oxygen concentration, is to use […]
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