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AUTHORS: Xu, Zifeng MD, PhD et al Anesthesia & Analgesia: November 2017 – Volume 125 – Issue 5 – p 1560–1566 BACKGROUND: Aortocaval compression by the gravid uterus, low baseline vasomotor tone, and spinal anesthesia-related sympathetic blockade contribute to spinal anesthesia-induced hypotension during cesarean delivery. The finger perfusion index (PI) can predict spinal hypotension by reflecting baseline […]
Read MoreA multivariable prediction model for outcome after lower back surgery taking into account comorbidity history, back pain score, and motor and physical deficits may predict 12-month improvements in physical disability, the ability of the patient to return to work, major complications, readmissions, and inpatient rehabilitation requirements reliably, according to a study published in Neurosurgical Focus. In […]
Read MoreAUTHORS: Wu, Meng-Che MD et al Anesthesia & Analgesia: November 2017 – Volume 125 – Issue 5 – p 1549–1557 BACKGROUND: Several clinical trials on hypertonic fluid administration have been completed, but the results have been inconclusive. The objective of this study is to summarize current evidence for treating hypovolemic patients with hypertonic solutions by performing a […]
Read MoreAUTHORS: Sun, Kai MD et al Anesthesia & Analgesia: November 2017 – Volume 125 – Issue 5 – p 1463–1470 BACKGROUND: Although the hemodynamic benefits of venovenous bypass (VVB) during liver transplantation (LT) are well appreciated, the impact of VVB on posttransplant renal function is uncertain. The aim of this study was to determine if VVB was […]
Read MoreLow hemoglobin levels are associated with increased hospital length of stay (LOS) in children with congenital cyanotic heart disease undergoing surgical intervention. Nevertheless, the low hemoglobin levels had no effect on length of intubation or in-hospital mortality. “Although much has been reported in the literature for cardiac and noncardiac surgery in adults regarding transfusion triggers […]
Read MoreAUTHORS: Walsh, Elisa C. BS; Brovman et al Anesthesia & Analgesia: November 2017 – Volume 125 – Issue 5 – p 1484–1493 BACKGROUND: Do-not-resuscitate (DNR) orders instruct medical personnel to forego cardiopulmonary resuscitation in the event of cardiopulmonary arrest, but they do not preclude surgical management. Several studies have reported that DNR status is an independent predictor […]
Read MoreUpdates From the Society for Technology in Anesthesia Annual Meeting Jonathan P. Wanderer, MD, MPhil 2017 Society for Technology in Anesthesia Annual Meeting Program Chair Assistant Professor of Anesthesiology and Biomedical Informatics Vanderbilt University Medical Center Nashville, Tennessee One of the defining characteristics of our current era is the rapid advancement of technology, in which […]
Read MoreResults of a small pilot study suggest that infiltration of local anesthetic between the popliteal artery and capsule of the knee (iPACK) may improve pain control after anterior cruciate ligament (ACL) repair. When compared with preoperative femoral nerve or adductor canal block/catheter techniques alone, supplemental iPACK reduced opioid consumption and discharge times in patients undergoing […]
Read MoreAuthor: Ehab Farag, MD, FRCA Professor of Anesthesiology Cleveland Clinic Lerner College of Medicine of Case Western Reserve University Director of Clinical Research Department of General Anesthesiology Fluid management is central to enhanced recovery after surgery (ERAS) pathways and aims to enhance mean systemic filling pressure and venous return and avoid hypervolemia. Fluid Overload and […]
Read MoreMany children and adolescents suffer from headaches that do not conform to any current accepted diagnostic criteria, according to results published in The Journal of Headache and Pain. These headaches, which the researchers call “undifferentiated headaches,” have a significant impact on quality of life. The prevalence of these headaches highlights the need for longitudinal cohort studies to […]
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