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Authors: Hain E et al Colorectal Disease (Jan 2018) AIM Transversus abdominis plane (TAP) block is a locoregional anesthesia technique of growing interest in abdominal surgery. However, its efficacy following laparoscopic colorectal surgery is still debated. This meta-analysis aimed to assess the efficacy of TAP-block after laparoscopic colorectal surgery. METHOD All comparative studies focusing on […]
Read MoreThis is another interesting article that relates to anesthesia even with it not involving it. Hackshaw A et al. BMJ 2018 Jan 24. Smoking one cigarette daily accounted for one third to one half of excess risk associated with smoking 20 cigarettes daily. Evidence suggests that light smoking (i.e., 1−5 cigarettes daily) increases risk for cardiovascular disease. […]
Read MoreResults of a recent study suggest that the use of supraglottic jet oxygenation and ventilation (SJOV) during upper gastrointestinal endoscopy can lower the risk for hypoxia in propofol-sedated patients. Compared with administration of oxygen through a nasal cannula, SJOV through a nasal tube placed above the glottis significantly reduced the rate of hypoxia from 8.93% […]
Read MoreWhen is the best time to resume beta blockade in chronic users after noncardiac surgery to most effectively prevent postoperative atrial fibrillation? Although this question has been in flux for years, a retrospective cohort analysis concluded that resuming beta blockers before the end of postoperative day 1 is optimal for decreasing the incidence of atrial fibrillation after […]
Read MoreReducing unnecessary variation in clinical practice and medical device use is a key strategy in optimizing the value of enhanced recovery and perioperative surgical home (PSH) programs, and providers are being encouraged to take an active role in identifying opportunities where value can be created. “Each step in a value chain should add value,” said […]
Read MoreAnesthesiology practitioners in a multispecialty setting used a deep neuromuscular block (NMB) on average 64% of the time, according to a retrospective study. “The goal was to understand what clinicians do in real clinical practice,” said co-author Richard D. Urman, MD, associate professor of anesthesia at Brigham and Women’s Hospital, in Boston. “We examined the […]
Read MoreAUTHORS: Pourfakhr, Pejman, MD et al Anesthesia & Analgesia: May 2018 – Volume 126 – Issue 5 – p 1641–1645 BACKGROUND: Nasotracheal intubation is commonly performed to provide a secure airway for the maintenance of general anesthesia in maxillofacial surgeries. Routine nasotracheal intubation is performed under general anesthesia by direct laryngoscopy, frequently with the aid of Magill […]
Read MoreBoden I et al. BMJ 2018 Jan 24. A single 30-minute session with a physical therapist yielded significant benefit. As many as 50% of patients who undergo upper abdominal surgery experience postoperative pulmonary complications (PPCs). In this multicenter randomized trial, researchers determined the effectiveness of a single preoperative physical therapy session in lowering risk for PPCs after […]
Read MoreAs the director of the perioperative surgical home (PSH) at Henry Ford Health System, in Detroit, Gary Loyd, MD, has helped to build a comprehensive PSH program that guides patients through the entire surgical experience, from the decision to undergo surgery to discharge and beyond. What started at ground level with a group of 30 […]
Read MoreAnother interesting article I wanted to share with our readers. By Karen WeintraubJuly 3, 2018 In his spare time, when he feels up to it, Ronnie Roberts walks through hospital parking lots slipping informational flyers onto every windshield. Roberts wants people to know the signs of sepsis, the body’s overwhelming response to a blood infection, which […]
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