Due to an aging population, higher rates of obesity and an increase in the overall number of surgical procedures, more surgical patients are likely to present with obstructive sleep apnea (OSA). To address the challenges that anesthesiologists face perioperatively while managing patients with OSA, the Society of Anesthesia and Sleep Medicine (SASM) released new practice […]
Read MoreAnesthesia & Analgesia: December 2016 – Volume 123 – Issue 6 – p 1527–1534 AUTHORS: Ngaka, T.C. FCA (SA et al BACKGROUND: It has been suggested that the dose requirement for spinal anesthesia (SA) is lower in obese patients for cesarean delivery (CD). In this prospective, observational, noninferiority study, we tested the hypothesis that obesity […]
Read MoreA single anesthesia exposure of inhaled anesthetic agents in healthy children before 36 months of age is not associated with impaired neurocognitive development and abnormal behavior in later childhood, a sibling-matched cohort study has found (JAMA 2016;315:2312-2320). The impetus for the study was an earlier paper by Mellon et al (Anesth Analg 2007;104:509-520), “which summarized the neurotoxicity effects […]
Read MoreAuthor: M. R. Pinsky Br J Anaesth. 2016;116(6):736-738. Cardiovascular homeostasis is a complex and beautiful interplay between the functional differences between various vascular circuits in the body and their tissue’s metabolic demand, the physical nature of the endothelial barrier to fluid flux, the circulating blood volume, and reflex-mediated autonomic tone. When at rest, as occurs during […]
Read MoreAuthors: N. Rahe-Meyer et al Br J Anaesth. 2016;117(1):41-51. Background: Single-dose human fibrinogen concentrate (FCH) might have haemostatic benefits in complex cardiovascular surgery. Methods: Patients undergoing elective aortic surgery requiring cardiopulmonary bypass were randomly assigned to receive FCH or placebo. Study medication was administered to patients with a 5 min bleeding mass of 60–250 g after separation from […]
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