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A new handoff protocol boosted communication while slashing errors among nurses, anesthesiologists and surgeons during the transfer of patients from the operating room (OR) to the PACU. There was a dramatic decrease in lapses in the surgery and anesthesia reports after the rollout of the new handoff process at The Johns Hopkins Hospital, in Baltimore, […]
Read MoreEnd-tidal carbon dioxide (ETCO2) monitoring could aid resuscitation of trauma patients presenting with hypovolemic shock undergoing emergency surgery, a retrospective study suggests. ETCO2 of less than 20 mm Hg was a 95% predictor of intraoperative cardiac arrest or death. “Our results suggest that end-tidal carbon dioxide is a valuable short-term prognostic indicator in trauma patients underdoing […]
Read MoreAuthors: Hourmozdi JJ et al., Crit Care Med 2016 Mar 31; Very few complications were picked up by routine chest x-ray at a large academic hospital system. For decades, dogma has been that chest x-ray should be performed to confirm placement of all internal jugular (IJ) central lines, despite evidence that ultrasound can significantly reduce complication rates. […]
Read MoreAnesthesiology published on 4 2016. Authors: Admir Hadzic, M.D. et al Background: The authors evaluated the efficacy of liposome bupivacaine in a femoral nerve block (FNB) after total knee arthroplasty. Methods: Part 1: subjects received FNB with 20 ml liposome bupivacaine (67, 133, or 266 mg) or placebo. Part 2: subjects were randomized to FNB with liposome bupivacaine […]
Read MoreAnesthesiology 4 2016, Vol.124, 815-825 Authors: Sunghye Kim, M.D., M.M.Sc. et al Background: Specific geriatric assessment tools may complement traditional perioperative risk stratification. The aim of this study was to evaluate whether self-reported mobility is predictive of postoperative outcomes in older patients undergoing elective noncardiac surgery. Methods: Patients aged 69 yr or older (n = 197) underwent (1) […]
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