Authors: Pauline Dureau, M.D. et al Commentary: Lipid Emulsion in Local Anesthetic Toxicity: Long-winded, Rude, and Right Anesthesiology 9 2016, Vol.125, 474-483. Background: Rapid intravenous administration of lipid emulsion has become the standard treatment of severe local anesthetic systemic toxicity. This experiment in volunteers aimed at determining the effect of Intralipid® administration on the time to neurologic symptoms. […]
Read MoreAuthors: J. Lance Lichtor, M.D. et al Anesthesiology 6 2016, Vol.124, 1404-1407. Due to the potentially unforgiving nature of epiglottitis and supraglottitis, the clinician should have a firm understanding of the presentation, work up, and management of a patient presenting with worrisome symptoms. George Washington, the United States’ first president, 2 yr after leaving office on […]
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Read MoreAuthors: Shay P. McGuinness, M.B.Ch.B. et al Commentary: Oxygen Therapy: When Is Too Much Too Much? Anesthesiology 9 2016, Vol.125, 465-473. doi:10.1097/ALN.0000000000001226 Background: Cardiac surgery utilizing cardiopulmonary bypass (CPB) is one of the most common forms of major surgery. Cardiac surgery–associated multiorgan dysfunction (CSA-MOD) is well recognized and includes acute kidney injury (AKI), hepatic impairment, myocardial damage, […]
Read MoreAuthors: Daniel S. Rubin, M.D. et al Commentary: Good News: But Why Is the Incidence of Postoperative Ischemic Optic Neuropathy Falling? Anesthesiology 9 2016, Vol.125, 457-464. Background: Perioperative ischemic optic neuropathy (ION) causes visual loss in spinal fusion. Previous case–control studies are limited by study size and lack of a random sample. The purpose of this study was […]
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