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AUTHORS: Kim, Myoung, Hwa, MD, PhD et al Anesthesia & Analgesia: January 9, 2018 BACKGROUND: Although systemic lidocaine and magnesium have been widely studied as perioperative analgesic adjuvants, they have been rarely evaluated with respect to recovery quality under the same conditions. We compared the quality of recovery 40 (QoR-40) scores of female patients who received intravenous […]
Read MoreAUTHORS: Kim, Do-Hyeong, MD et al Anesthesia & Analgesia: April 2018 – Volume 126 – Issue 4 – p 1353–1361 BACKGROUND: The optimal regional technique for analgesia and improved quality of recovery after video-assisted thoracic surgery (a procedure associated with considerable postoperative pain) has not been established. The main objective in this study was to compare quality […]
Read MoreAUTHORS: Ellenberger, Christoph, MD, MSc et al Anesthesia & Analgesia: April 2018 – Volume 126 – Issue 4 – p 1133–1141 BACKGROUND: Low cardiac output syndrome is a main cause of death after cardiac surgery. We sought to assess the impact of glucose–insulin–potassium (GIK) to enhance myocardial protection in moderate- to high-risk patients undergoing on-pump heart surgery. […]
Read MoreAUTHORS: Sherman, Jodi, D., MD et al Anesthesia & Analgesia: January 9, 2018 BACKGROUND: Traditional medical device procurement criteria include efficacy and safety, ease of use and handling, and procurement costs. However, little information is available about life cycle environmental impacts of the production, use, and disposal of medical devices, or about costs incurred after purchase. Reusable […]
Read MoreAUTHORS: Jerath, Angela, FRCPC, FANZCA, MBBS, BSc et al Anesthesia & Analgesia: January 5, 2018 BACKGROUND: Tranexamic acid (TXA) is a common antifibrinolytic agent used to minimize bleeding in cardiac surgery. Up to 50% cardiac surgical patients have chronic renal dysfunction (CRD). Optimal dosing of TXA in CRD remains poorly investigated. This is important as TXA is […]
Read MoreAUTHORS: Nakamura, Sayaka, MD et al Anesthesia & Analgesia: May 2018 – Volume 126 – Issue 5 – p 1617–1623 BACKGROUND: Inadequate or excess administration of unfractionated heparin for cardiopulmonary bypass (CPB) can cause significant harm. Age-dependent differences in the pharmacodynamics and pharmacokinetics of heparin contribute to increased variability of heparin responsiveness in children. The aims of […]
Read MoreMax Baker would have been 24 years old on his next birthday, and likely a budding medical school student with aspirations of helping young people with opioid addiction. But Max never lived to see that day. Instead, Max was the victim of a long-time opioid addiction that, while under control, proved deadly following preoperative administration […]
Read MoreIn what might be the first study of its kind, a team of French researchers has found that an individualized tight approach to blood pressure management reduces the risk for postoperative organ dysfunction compared with standard hemodynamic management. These results, they noted, have far-reaching implications given how common hemodynamic instability and arterial hypotension are during […]
Read MoreAnother article I wanted to share with our readers. Millions of Americans may book an extra doctor’s appointment this year, thanks to updated guidelines from the American Cancer Society (ACS). The ACS is now recommending that adults at average risk of colorectal cancer begin regular screenings at age 45, rather than the previous standard of age 50. […]
Read MoreAUTHORS: Warner, Matthew, A., MD et al Anesthesia & Analgesia: December 29, 2017 BACKGROUND: Thrombocytopenia is frequently encountered in critically ill patients, often resulting in prophylactic transfusion of platelets for the prevention of bleeding complications. However, the efficacy of this practice remains unclear. The objective of this study was to determine the relationship between prophylactic platelet transfusion […]
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