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Authors: Jonne Doorduin, Ph.D. et al Anesthesiology 9 2018, Vol.129, 490-501. What We Already Know about This Topic: Inspiratory muscle weakness delays weaning from mechanical ventilation, but the contributions of expiratory muscles activity are less well understood. What This Article Tells Us That Is New: Twenty adult patients receiving mechanical ventilation (more than 72 h) performed […]
Read MoreAuthors: Alexander J. Butwick, M.B.B.S., F.R.C.A., M.S. et al Anesthesiology 9 2018, Vol.129, 448-458. What We Already Know about This Topic: Neuraxial labor analgesia for parturients is often recommended to avoid airway instrumentation in case of urgent surgical delivery The extent to which neuraxial use varies by maternal body mass index using modern, national data remains […]
Read MoreI thought this was interesting so I wanted to share it with our readers. Fathers are nearly as likely as mothers to screen positive for depression in the postpartum period, according to findings reported in JAMA Pediatrics. The American Academy of Pediatrics currently recommends that clinicians screen both mothers and fathers for perinatal depression. Researchers studied […]
Read MoreAuthors: Louise Y. Sun, M.D., S.M. et al Anesthesiology 9 2018, Vol.129, 440-447. What We Already Know about This Topic: Ischemic stroke after cardiac surgery is a devastating complication affecting approximately 2% of patients The relationship between hypotension occurring before, during, and after cardiopulmonary bypass and stroke remains unclear What This Article Tells Us That Is […]
Read MoreAuthors: Stavros G. Memtsoudis, M.D., Ph.D., F.C.C.P. et al Anesthesiology 9 2018, Vol.129, 428-439. What We Already Know about This Topic: Neuraxial anesthesia is being used more frequently for elective hip and knee replacements It is unclear whether increasing rates of hospital-level use of neuraxial anesthesia are associated with beneficial medical or economic outcomes What This […]
Read MoreAuthors: Kristen K. MacKenzie, M.D. et al Anesthesiology 9 2018, Vol.129, 417-427. What We Already Know about This Topic: Up to 20% of patients undergoing major surgery experience postoperative delirium or cognitive dysfunction Intraoperative management strategies to reduce the risk of postoperative delirium remain unclear What This Article Tells Us That Is New: The heterogeneity of […]
Read MoreThis is very important to know if you do OB anesthesia. Ultrasound in Obstetrics & Gynecology April 2018 Author: D. Jurkovic MD Cesarean scar pregnancy is still considered a novel clinical entity, although the first reports describing its clinical presentation appeared nearly a quarter of a century ago1. It was recognized from the outset that […]
Read MoreThis is obviously very important to our specialty since most of us work in a hospital. Fitch Ratings said its “Rating Watch” for U.S. nonprofit hospitals and health systems is over after the organizations showed improved or stable results this year. During a six-month review of 125 existing issuers, Fitch affirmed 52% of the graded facilities […]
Read MoreA blood test administered within 12 hours of a suspected traumatic brain injury (TBI) could help clinicians identify injuries like hemorrhage and contusion before having to resort to CT imaging, according to the preliminary results of a study published this week in the Lancet Neurology. Jeffrey Bazarian, MD, MPH, a co-leader of the paper and a professor at […]
Read MoreASA Monitor 8 2018, Vol.82, 48-49. Review of unusual patient care experiences is a cornerstone of medical education. Each month, the AQI-AIRS Steering Committee abstracts a patient history submitted to the Anesthesia Incident Reporting System (AIRS) and authors a discussion of the safety and human factors challenges involved. Real-life case histories often include multiple clinical decisions, […]
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