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AUTHORS: Nath, Papu, MD, FRCPC et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 615–620 BACKGROUND: Alkalinized lidocaine in the endotracheal tube (ETT) cuff decreases the incidence of cough and throat pain on emergence after surgery lasting more than 2 hours. However, alkalinized lidocaine needs 60–120 minutes to cross the ETT […]
Read MoreAUTHORS: 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: Brogly, Nicolas, MD, PhD, DESAR, DESA et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 532–536 BACKGROUND: The best technique to identify the epidural space for labor analgesia is still unclear despite the publication of various randomized controlled studies and meta-analyses. Our aim was to assess the superiority of the […]
Read MoreSafety violations at a major compounding pharmacy are exacerbating hospital shortages of key painkillers, particularly in California where health officials have taken the “extraordinary” step of prohibiting sales from one of its plants. In late March, California’s Board of Pharmacy barred the distribution of medications — including lidocaine and other local anesthetics — from a […]
Read MoreAUTHORS: Rosero, Eric, B., MD, MSc et al Anesthesia & Analgesia: November 2017 BACKGROUND: Tracheal tube cuff pressures exceeding the perfusion pressures of the tracheal mucosa have been associated with complications such as sore throat, tracheal mucosa ulcers, tracheal rupture, and subglottic stenosis. Despite appropriate inflation, many factors can increase the tracheal cuff pressure during mechanical ventilation. […]
Read MoreAuthors: Scully RE et al. JAMA Surg 2017 Sep 27. For common surgical procedures, 7 days usually sufficed for opioid-naive patients, but duration depended on the type of procedure performed. Surgeons vary considerably in the dose and duration of opioids they prescribe to patients postoperatively. To better define optimal postoperative opioid prescribing, researchers used a U.S. […]
Read MoreA novel approach to prevention of postoperative nausea and vomiting (PONV) failed to reduce its incidence after exposure to general anesthesia. Results of a study, which entailed a gradual preconditioning of several receptor groups involved in the nausea reflex arc, showed a trend toward improved outcomes, but a statistically significant difference was not observed. “We […]
Read MoreAuthor: Olasveengen TM et al. Resuscitation 2017 Nov 8. This update focuses on continuous compressions versus interruptions for ventilation. Sponsoring Organization: International Liaison Committee on Resuscitation (ILCOR) Target Audience: Bystanders, emergency medical services (EMS) dispatchers, EMS providers, physicians who care for patients in cardiac arrest. Background and Objective Quality cardiopulmonary resuscitation (CPR) has become the central factor in […]
Read MoreThe use of post-bypass four-factor prothrombin complex concentrate (PCC) decreases transfusions of both red blood cells and plasma in patients undergoing an orthotopic heart transplant who have existing left ventricular assist devices (LVADs), a study has found. The use of the agent, however, did not result in shorter lengths of stay (LOS) in the ICU […]
Read MoreBy Steven Reinberg HealthDay Reporter Caffeine can send the heart racing, but for some people coffee may help prevent abnormal heartbeats, Australian researchers report. Many doctors advise patients with abnormal heart rhythms (“arrhythmias”) to avoid caffeine. But, for most heart patients, coffee and tea are safe and may sometimes reduce the frequency of arrhythmias, the researchers […]
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