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AUTHORS: Stein, Philipp, MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 522–529 BACKGROUND: There is limited data on prehospital administration of tranexamic acid (TXA) in civilian trauma. The aim of this study was to evaluate changes in coagulation after severe trauma from on-scene to the hospital after TXA application […]
Read MoreAUTHORS: Lim, Grace, MD, MS et al Anesthesia & Analgesia: May 2018 – Volume 126 – Issue 5 – p 1598–1605 BACKGROUND: Using labor, epidural analgesia has been linked to a reduced risk of postpartum depression, but the role of labor pain relief in this association remains unclear. The goal of this study was to test […]
Read MoreAlthough frailty obviously is an important perioperative risk factor, interventional research on the subject has been sparse. A systematic review from the University of Ottawa found a marked shortage of studies on frailty, but it also found that exercise therapy is consistently associated with improved outcomes in this at-risk patient population. “Frailty is a key […]
Read MoreI thought this was interesting so I wanted to share. A visual test might help clinicians flag patients at higher dementia risk, suggests a study in the Annals of Family Medicine. Researchers followed nearly 2700 patients aged 70 to 78 who didn’t have baseline dementia. At baseline and at 2 years, patients were administered the Mini-Mental […]
Read MoreGong, Xun, MD, PhD*; Poterack, Karl, A., MD† Anesthesia & Analgesia: December 11, 2017 Unrecognized pregnancy in patients presenting for elective surgery is of particular concern due to the potential for significant complications. Accurate and inexpensive urine pregnancy tests are widely available in the developed world. As a result, universal preoperative pregnancy screening is commonly implemented. […]
Read MoreAUTHORS: Turbitt, Lloyd, R., MBBCh, BAO, FRCA et al Anesthesia & Analgesia: December 11, 2017 Continuous femoral nerve block (cFNB) is thought to increase the risk of falls after total knee arthroplasty (TKA). Previous studies have failed to consider the timing of cFNB removal in relation to inpatient falls. We investigated all inpatient falls after TKA […]
Read MoreAUTHORS: Cavus, Erol, MD et al Anesthesia & Analgesia: May 2018 – Volume 126 – Issue 5 – p 1565–1574 BACKGROUND: Videolaryngoscopy is a valuable technique for endotracheal intubation. When used in the perioperative period, different videolaryngoscopes vary both in terms of technical use and intubation success rates. However, in the prehospital environment, the relative performance […]
Read MoreArticle I thought was interesting so I wanted to share By Kirstie Brewer Fergus Walsh People might think battling obesity is down to sheer willpower, but medical research says otherwise. Here are five potentially surprising factors that can affect your weight, as unearthed by . Gillian and Jackie are twins – but one weighs over […]
Read MoreAlthough pain and trouble sleeping are often intertwined in the perioperative period, problems with sleep are infrequently evaluated. According to researchers at Walter Reed National Military Medical Center (WRNMMC), in Bethesda, Md., however, a single item from the Defense and Veterans Pain Rating Scale (DVPRS) may make it easier for clinicians to screen for sleep […]
Read MoreAUTHORS: Rwei, Alina, Y., PhD et al Anesthesia & Analgesia: April 2018 – Volume 126 – Issue 4 – p 1170–1175 BACKGROUND: The relatively short duration of effect of local anesthetics has been addressed by encapsulation in drug delivery systems. Codelivery with a single compound that produces an adjuvant effect on nerve block but without intrinsic […]
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