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AUTHORS: Kawano-Dourado, Leticia, MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 513–521 BACKGROUND: To assess whether use of low-chloride solutions in unselected critically ill or perioperative adult patients for maintenance or resuscitation reduces mortality and renal replacement therapy (RRT) use when compared to high-chloride fluids. METHODS: Systematic review and meta-analysis […]
Read MoreAUTHORS: Ladha, Karim, S., MD, MSc et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 503–512 BACKGROUND: The purpose of this study was to determine whether significant variation exists in the use of protective ventilation across individual anesthesia providers and whether this difference can be explained by patient, procedure, and provider-related […]
Read MoreAUTHORS: Colquhoun, Douglas, A., MB ChB, MSc, MPH et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 495–502 BACKGROUND: Lung-protective ventilation (LPV) has been demonstrated to improve clinical outcomes in surgical patients. There are very limited data on the current use of LPV for patients undergoing 1-lung ventilation (1LV) despite evidence […]
Read MoreAUTHORS: Ray, Juliet, J., MD, MSPH et at Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 489–494 BACKGROUND: Mechanical ventilation after general surgery is associated with worse outcomes, prolonged hospital stay, and increased health care cost. Postoperatively, patients admitted to the intensive care unit (ICU) may be categorized into 1 of 3 […]
Read MoreAUTHORS: Epstein, Richard, H., MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 478–486 BACKGROUND: Perioperative hypothermia may increase the incidences of wound infection, blood loss, transfusion, and cardiac morbidity. US national quality programs for perioperative normothermia specify the presence of at least 1 “body temperature” ≥35.5°C during the interval […]
Read MoreAUTHORS: Neily, Julia, RN, MS, MPH et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 471–477 BACKGROUND: Anesthesia providers have long been pioneers in patient safety. Despite remarkable efforts, anesthesia errors still occur, resulting in complications, injuries, and even death. The Veterans Health Administration (VHA) National Center of Patient Safety uses […]
Read MoreAUTHORS: Rogge, Dorothea, E., MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 454–463 BACKGROUND: Increasing rates of obesity create new challenges for hemodynamic monitoring in the perioperative phase. Continuous monitoring of arterial pressure (AP) is important in severely obese patients who are at particular risk for cardiovascular complications. Innovative […]
Read MoreAuthor: Rich Haridy A new study has uncovered how a general anesthetic disrupts connectivity between parts of the brain resulting in a strange form of unconsciousness Despite the widespread use of anesthetics, we still don’t know exactly how they work. The reason we don’t fully understand the mechanism behind them is that we don’t truly […]
Read MorePatients undergoing major abdominal procedures have an independent risk for mortality when at least 6 L of IV fluid are administered on the day of surgery. The retrospective study, which used a large administrative database of roughly 36,000 patient discharges from 393 hospitals across the United States, found that patients receiving at least 6 L […]
Read MoreAuthors: Behrens A et al. Gut 2018 Jan 3. Major complications occurred in 1 out of 10,000 procedures in a large prospective study. Most adverse events during endoscopy are due to sedation. To prospectively assess risk for complications during endoscopy, researchers analyzed data from more than 350,000 endoscopies conducted across dozens of centers in Germany. Sedation was […]
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