Anesthesia & Analgesia: December 2015 Anastasian, Zirka H. MD et al BACKGROUND: Factors including ASA physical status, blood loss, and case length have been described as correlating with the decision to delay tracheal extubation after specific surgical procedures. In this retrospective study, we investigated whether handoffs by anesthesia attendings were associated with delayed extubation […]
Read MoreEur J Anaesthesiol. 2015 Nov;32(11):764-70 Sauter AR et al BACKGROUND: The Shamrock technique is a new method for ultrasound-guided lumbar plexus blockade. Data on the optimal local anaesthetic dose are not available. OBJECTIVE: The objective of this study is to estimate the effective dose of ropivacaine 0.5% for a Shamrock lumbar plexus block. DESIGN: A prospective […]
Read MoreEur J Anaesthesiol. 2015 Nov;32(11):797-804 Authors: Ganapathy S et al BACKGROUND: We recently described a lateral-to-medial approach for transversus abdominis plane (LM-TAP) block, which may permit preoperative initiation of the block. OBJECTIVE: Our objective was to evaluate the feasibility of continuous LM-TAP blocks in clinical practice in comparison with thoracic epidural analgesia (TEA). DESIGN: A randomised, […]
Read MorePoint-of-care viscoelastic testing with rotational thromboelastography (ROTEM) is associated with significant reductions in transfusion requirements and better outcomes in patients with severe postpartum hemorrhage. “Contrary to our success in other areas in medicine, maternal mortality in the U.S. continues to grow, slowly but steadily,” said Denis Snegovskikh, MD, assistant professor of anesthesiology and associate chief […]
Read MoreEur J Anaesthesiol. 2015 Nov;32(11):805-11. Roelants F et al BACKGROUND: Adjuvants to local anaesthetics for epidural labour analgesia are useful if they reduce side-effects or personnel requirements. Epidural clonidine improves analgesia and provides a significant local anaesthetic-sparing effect. OBJECTIVE: To compare the number of rescue doses administered by the anaesthesiologist when clonidine or sufentanil is added […]
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