-
-
Call more information
660-596-2224 -
On Wednesday, February 14, the House Energy and Commerce Committee advanced an ASA-supported medical liability reform bill intended to protect medical professionals providing care during natural disasters. H.R. 1876, the Good Samaritan Health Professionals Act, will shield health care professionals from liability when they volunteer their services during a federally-declared disaster. The bill earned Republican […]
Read MoreAuthors: Rajnish K. Gupta, MD, and David A. Edwards, MD, PhD. In 2006 and 2011, the Anesthesia Patient Safety Foundation (APSF) convened multidisciplinary conferences to address the serious patient safety issue of Opioid-Induced Ventilatory Impairment (OIVI).1Given the significance of the problem, and that no best monitor exists for detection of OIVI associated-adverse events, the consensus […]
Read MoreAuthors: Julia Ma, B.Sc., M.P.H. et al Anesthesiology 3 2018, Vol.128, 598-608. Background: Early postoperative ambulation is associated with enhanced functional recovery, particularly in the postpartum population, but ambulation questionnaires are limited by recall bias. This observational study aims to objectively quantify ambulation after neuraxial anesthesia and analgesia for cesarean delivery and vaginal delivery, respectively, by using […]
Read MoreAuthors: Jinyang Liu, M.S. et al Anesthesiology 3 2018, Vol.128, 555-563. Background: This study tests the hypothesis that sevoflurane blocks long-term potentiation only if it is present during the high-frequency stimulation that induces long-term potentiation. Methods: Long-term potentiation, an electrophysiologic correlate of memory, was induced by high-frequency stimulation and measured as a persistent increase in the field excitatory […]
Read MoreAuthors: Savino Spadaro, M.D., Ph.D. et al Anesthesiology 3 2018, Vol.128, 531-538. Background: Arterial oxygenation is often impaired during one-lung ventilation, due to both pulmonary shunt and atelectasis. The use of low tidal volume (VT) (5 ml/kg predicted body weight) in the context of a lung-protective approach exacerbates atelectasis. This study sought to determine the combined physiologic effects […]
Read MoreAuthors: Aaron Louie, B.S. et al Anesthesiology 3 2018, Vol.128, 520-530. Background: Pulse oximeter performance is degraded by motion artifacts and low perfusion. Manufacturers developed algorithms to improve instrument performance during these challenges. There have been no independent comparisons of these devices. Methods: We evaluated the performance of four pulse oximeters (Masimo Radical-7, USA; Nihon Kohden OxyPal Neo, […]
Read MoreAuthors: Stefan A. Girsberger, M.D. et al Anesthesiology 3 2018, Vol.128, 511-519. Background: Thoracic epidural analgesia with bupivacaine resulted in clinically relevant postvoid residuals due to detrusor underactivity. This study aimed to compare the risk of bladder dysfunction with ropivacaine versus bupivacaine using postvoid residuals and maximum flow rates. Our hypothesis was that ropivacaine would result in lower postvoid […]
Read MoreAuthors: Rebecca A. Schroeder, M.D. et al Anesthesiology 3 2018, Vol.128, 502-510. Background: When tracheal intubation is difficult or unachievable before surgery or during an emergent resuscitation, this is a critical safety event. Consensus algorithms and airway devices have been introduced in hopes of reducing such occurrences. However, evidence of improved safety in clinical practice related to […]
Read MoreAuthor: Michael F. Aziz, M.D. Anesthesiology 3 2018, Vol.128, 434-436. TRACHEAL intubation is a critical procedure that unites anesthesiologists as the definitive experts in the field of medicine. Not surprisingly, difficult airway management is the primary patient safety concern among anesthesiologists.1 Decades ago, the introduction of pulse oximetry and end-tidal CO2 were associated with a reduction in respiratory-related […]
Read MoreAuthors: Hyung-Chul Lee, M.D. et al Anesthesiology 3 2018, Vol.128, 492-501. doi:10.1097/ALN.0000000000001892 Background: The discrepancy between predicted effect-site concentration and measured bispectral index is problematic during intravenous anesthesia with target-controlled infusion of propofol and remifentanil. We hypothesized that bispectral index during total intravenous anesthesia would be more accurately predicted by a deep learning approach. Methods: Long short-term memory […]
Read More