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Published in Anesthesiology 7 2015, Vol.123, 18-28 Authors: David O. Warner, MD et al Background: Decision aids can increase patient involvement in decision-making about health care. The study goal was to develop and test a decision aid for use by clinicians in discussion options for changing smoking behavior before and after elective surgery. Methods: In formative work, a […]
Read MorePublished in Anesthesiology 6/2015 Authors: Andra E. Duncan, MD Background: Glucose–insulin–potassium (GIK) administration during cardiac surgery inconsistently improves myocardial function, perhaps because hyperglycemia negates the beneficial effects of GIK. The hyperinsulinemic normoglycemic clamp (HNC) technique may better enhance the myocardial benefits of GIK. The authors extended previous GIK investigations by (1) targeting normoglycemia while administering a GIK […]
Read MorePublished in Anesthesiology 5 2015 Authors: Susan M. Lee MD FRCPC et al Background: Despite widespread use, there is limited information to guide perioperative management of angiotensin receptor blockers (ARBs). Methods: In this retrospective cohort study, the authors evaluated the patterns of postoperative ARB use in veterans regularly prescribed ARBs admitted for noncardiac surgery at the Veterans Affairs […]
Read MoreThe transition from extensive use of intravenous (IV) sedation for interventional pain procedures to almost exclusive use of oral anxiolysis at an outpatient pain center led to significant improvements in patient satisfaction and recovery times, a new study shows. But not all practitioners are on board with such a policy, citing potential safety issues. “The […]
Read MoreIt may be time to rethink the widespread practice of routinely giving a sedative before anesthesia to patients undergoing elective surgery, suggest findings of the randomized multicenter PremedX trial. Results published in the March 3 issue of JAMA show that compared with no premedication or a placebo, lorazepam premedication failed to improve patients’ overall satisfaction with the perioperative […]
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