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Competent airway management is essential in the performance of safe anesthesia. All anesthetics should be preceded by a focused history of previous airway management and physical examination of the airway.1 The objective of airway assessment is not to determine the presence or absence of various clinical signs; instead, the information gained should be used to identify […]
Read MoreThis is for our providers who treat pain patients. Authors: Friedman BW et al., Ann Emerg Med 2015 Aug 27; Adding a large dose of diphenhydramine to metoclopramide therapy did not improve outcomes. Acute migraine is best treated with sumatriptan, prochlorperazine, caffeine, ibuprofen, or a combination, and opioids should be avoided assiduously. Metoclopramide is often used instead […]
Read MoreAnaesth Intensive Care 2015 Jul;43(4):449-53. Authors: Fredrickson MJ et al Abstract Following elective total hip replacement, both continuous lumbar plexus blockade and spinal anaesthesia (with adjunctive intrathecal morphine) have shown early outcome benefits over opioid analgesia and single-injection nerve block. However, the two techniques have not been compared in a prospective randomised manner. Our study examined 50 […]
Read MoreAuthors: Mark D Willingham MD, M.C.S.I. et al Anesthesiology Published on 8 2015 Background: An intraoperative concurrence of mean arterial pressure less than 75 mmHg, minimum alveolar concentration less than 0.8, and bispectral index less than 45 has been termed a “triple low” state. An association between triple low and postoperative mortality has been reported but was not […]
Read MorePatients who listen to music around the time of surgery — even while under general anesthesia — reap substantial postoperative benefits, a Lancet systematic review finds. The analysis included over 70 randomized trials in which music before, during, or after surgery was compared with usual care or non-pharmacologic interventions (e.g., white noise, bed rest). Roughly […]
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