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Eur J Anaesthesiol. 2015 Nov;32(11):759-63 AUTHORS: Szucs S et al BACKGROUND: Femoral neck fractures usually require operative fixation. Spinal anaesthesia is the preferred technique for many anaesthetists, although single-shot spinal anaesthesia may have severe haemodynamic side-effects. OBJECTIVE: To determine the initial minimum intrathecal dose of 0.5% isobaric bupivacaine required in order to achieve surgical anaesthesia within […]
Read MoreCan J Anaesth. 2015 Oct AUTHORS: Mikuni I et al PURPOSE: Desflurane has the lowest solubility of currently available volatile anesthetics and may allow for more rapid emergence and recovery compared with sevoflurane. Nevertheless, after volatile induction with sevoflurane, it has not been determined whether the use of desflurane provides faster emergence and recovery. The present […]
Read MoreAnesthesiologists should place greater emphasis on blood pressure control during the perioperative period, because success or failure in achieving postoperative blood pressure targets can have significant effects on short- and long-term outcomes. Recent studies have linked acute alterations in perioperative blood pressure to adverse outcomes in cardiac surgery, including acute kidney injury, higher mortality rate […]
Read MoreDelirium may be a troubling consequence of high-risk cardiac surgery in elderly patients, but that can be avoided with the administration of intraoperative dexmedetomidine, according to a team of Toronto researchers. This benefit, they added, does not come with the burden of negative hemodynamic changes. “Delirium affects as many as one in five elderly patients […]
Read MoreStaff breaks are associated with improved surgical outcomes, a study has concluded. However, the study failed to find an association between handoffs and outcomes. Elucidating the relationship between transitions of care and outcomes is critical for determining best practices for safe patient care. “We read with great interest the Cleveland Clinic study, which demonstrated that […]
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