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Synthesizing data from several small randomized controlled trials, a new meta-analysis illustrates the importance of noninvasive monitoring of regional cerebral oxygen saturation with near-infrared spectroscopy (NIRS) for patients undergoing high-risk surgical procedures. The researchers concluded that NIRS can help identify cerebral desaturation events, thereby reducing the incidence of postoperative cognitive dysfunction in these individuals, leading […]
Read MoreFYI wanted to share this since endoscopies are the most frequent procedure that uses anesthesia services. Tuesday, the U.S. Food and Drug Administration permitted marketing of Hemospray, a new device used to help control certain types of bleeding in the gastrointestinal (GI) tract. “The device provides an additional, non-surgical option for treating upper and lower […]
Read MoreFor elbow surgery, the supraclavicular and infraclavicular brachial plexus blocks are similar on several parameters, including block effectiveness, onset and secondary outcomes. According to study researcher Brigid Brown, MD, although supraclavicular and infraclavicular blocks are well-described regional anesthesia techniques for elbow surgery, there is still ongoing debate about their variation in speed of onset and […]
Read MoreAuthor: Joseph F. Answine, MD, FASA As we continue to advance our techniques, monitors and medications in order to optimize patient safety, we still struggle with postoperative respiratory compromise. Respiratory events are a leading cause of anesthesia-related complications, especially in elderly and morbidly obese patients, and residual neuromuscular blockade is commonly involved. The problem is […]
Read MoreAJMC Nov 2017 Author: Laura Joszt Patients are significantly overestimating the pain they will feel after surgery, indicating that providers can do a better job of educating patients on what they can expect. Providers are not doing an adequate job of preparing patients for the pain they will experience after a surgery. Research presented at the […]
Read MorePediatric Anesthesia Nov 2017 Authors: Hanna Anderson et al Background Children often starve for longer than recommended by current preoperative fasting guidelines. Aims We studied the effects of implementing a more lenient fasting regimen on the duration of clear fluid fasting, as well as the incidence of extended fasting in children. Methods Preoperative duration of […]
Read MoreAnesthesia Nov 2017 Authors: N. Douglas et al Summary Traditional conscious sedation for endobronchial ultrasound procedures places patients at risk of desaturation, and high‐flow nasal oxygen may reduce the risk. We designed a parallel‐group randomised controlled trial of high‐flow nasal oxygen at a flow rate of 30–70 l.min−1via nasal cannulae, compared with standard oxygen therapy at 10 […]
Read MoreBy USHA LEE MCFARLING Like many transplant surgeons, Dr. Jeffrey Veale got frustrated seeing so many of his patients die while waiting for a donor kidney. So he decided to do something about it: recycle. Since last year, the UCLA surgeon has transplanted three “regifted” kidneys from previous transplant recipients who died with their donated kidneys […]
Read MorePostoperative patients with the highest delirium severity experienced the greatest rate of cognitive decline, with a dose-response relationship between delirium severity and long-term cognitive decline, according to a study published in the Journal of Alzheimer’s Disease. “Although the short-term adverse effects of delirium are well-recognised, our results underscore important implications for longer-term prognosis,” said Sarinnapha […]
Read MoreIntranasal ketamine causes more minor side effects, such as dizziness, than intranasal fentanyl used as analgesia for children with assumed single-extremity fractures, according to researchers. The double-blind, randomized controlled trial (Acad Emerg Med 2017 Sep 19. [Epub ahead of print], doi:10.1111/acem.13313) in 82 children found that while pain relief was similar at 20 minutes between […]
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