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Authors: Oulego-Erroz I et al. Intensive Care Med 2017 Dec 1. In this respect, maybe children are just small adults (with smaller, harder-to-cannulate veins). Ultrasound has definitively been shown to facilitate central line placement in adults, and single-center and operating room studies also support its use in children (NEJM JW Emerg Med Nov 2014 and Acad Emerg Med 2014; 21:981). However, […]
Read MoreAUTHORS: Odonkor, Charles, A., MD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 280–288 BACKGROUND: Low back pain is the leading cause of years lost to disability with approximately 15%–25% of the chronic back pain population suffering from lumbar facet arthropathy. No large-scale study has sought to systematically identify inciting […]
Read MoreBy Pauline W. Chen, M.D. New York Times May 31, 2018 Perched atop a hill overlooking a major thoroughfare, the massive brick tower was a holdout from decades earlier. With green tiles lining the walls, black and white linoleum flooring, and hallways redolent of an antiseptic whose recipe hadn’t changed since the 1950s, the hospital had […]
Read MoreAuthors: Klavas, Derek, M., MD et al JAAOS – Journal of the American Academy of Orthopaedic Surgeons: May 15, 2018 – Volume 26 – Issue 10 – p e221–e229 Introduction: Our study assessed the effect of total intravenous anesthesia (TIVA) with short-acting spinal anesthesia and aggressive day-of-surgery postoperative day 0 physical therapy (POD#0 PT) on hospital length […]
Read MoreAUTHORS: Kirkham, Kyle, Robert, MD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 270–279 BACKGROUND: Perineural dexamethasone has gained popularity in regional anesthesia to prolong analgesia duration. However, uncertainty remains regarding the optimal perineural dose. Clarification of this characteristic is of significant importance as the administration of dexamethasone may lead […]
Read MoreAUTHORS: Hu, Sally, MSc et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 233–246 BACKGROUND: Narcolepsy is a rare sleep disorder characterized by excessive daytime sleepiness, sleep paralysis, and/or hypnagogic/hypnopompic hallucinations, and in some cases cataplexy. The response to anesthetic medications and possible interactions in narcolepsy patients is unclear in the […]
Read MoreAUTHORS: Munday, Judy, PhD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 183–189 BACKGROUND: Rates of hypothermia for women undergoing spinal anesthesia for cesarean delivery are high and prevention is desirable. This trial compared the effectiveness of preoperative warming versus usual care among women receiving intrathecal morphine, which is thought […]
Read MoreAUTHORS: Bonnet, Marie-Pierre, MD, PhD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 175–182 BACKGROUND: A structured definition of amniotic fluid embolism (AFE) based on 4 criteria was recently proposed for use in research by the Society for Maternal-Fetal Medicine (SMFM) and the Amniotic Fluid Embolism Foundation. The main objective […]
Read MoreAUTHORS: Hanouz, Jean-Luc, MD, PhD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 161–169 BACKGROUND: The Mallampati classification (MLPT) is normally evaluated in the sitting position. However, many patients cannot be evaluated in the sitting position for medical reasons. Thus, we compared the MLPT in sitting and supine positions in […]
Read MoreAUTHORS: Gali, Bhargavi, MD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 127–133 BACKGROUND: Increasing numbers of robotic hysterectomies (RH) are being performed. To provide ventilation (with pneumoperitoneum and steep Trendelenburg position) for these procedures, utilization of lung protective strategies with limiting airway pressures and tidal volumes is difficult. Little […]
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