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AUTHORS: Hanouz, Jean-Luc MD, PhD et al Anesthesia & Analgesia: May 2017 BACKGROUND: The Mallampati classification (MLPT) is normally evaluated in the sitting position. However, many patients cannot be evaluated in the sitting position for medical reasons. Thus, we compared the MLPT in sitting and supine positions in predicting difficult tracheal intubation (DTI). We hypothesized that […]
Read MoreAUTHORS: Mauermann, Eckhard MD, MSc et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1110–1117 BACKGROUND: Troponin T is a predictor of cardiac morbidity and mortality after cardiac surgery with most data examining fourth generational troponin T assays. We hypothesize that postoperative high-sensitivity troponin T (hsTnT) measured in increments of the […]
Read MoreAUTHORS: Dumans-Nizard, Virginie MD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 635–642 BACKGROUND: Thoracic epidural analgesia (TEA) combined with general anesthesia decreases anesthetic requirements by half when hemodynamic criteria are used for the titration of analgesia. We therefore determined the impact of TEA on anesthetic requirements, when a closed-loop […]
Read MoreUnderstanding pre-operative and post-op factors that influence post-surgical pain management success may provide clues in preventing progression to chronic pain after surgery, according to research presented at the American Pain Society (APS) Annual Scientific Conference. “Post-operative pain, its consequences and response to treatment, vary greatly among patients,” said Timothy Brennan, MD, University of Iowa Medical […]
Read MoreOlder patients who underwent major abdominal surgery and received an intervention that included nutritional assistance and early mobilisation were less likely to experience delirium and had a shorter hospital stay, according to a study published by JAMA Surgery. Older patients undergoing abdominal surgery commonly experience preventable delirium, which extends their hospital length of stay (LOS). […]
Read MoreReport said 6 in 10 hospitals studied had C-section rates above the national target rate for low-risk births. While there are a number of risks that can make birth by cesarean section more likely for women, a Consumer Reports investigation said the biggest risk factor is the hospital where the mother delivers, and how busy […]
Read MoreVitamin D deficiency may cause musculoskeletal pain, muscle weakness, and muscle atrophy. New research published in Headache suggests there is a relationship between serum vitamin D levels and chronic tension-type headaches (CTTH).1 Sanjay Prakash, DM, from the Department of Neurology at the Smt. B. K. Shah Medical Institute and Research Center in Gujarat, India, and colleagues examined […]
Read MoreAdding sciatic nerve block to femoral nerve block may increase the occurrence of adverse effects such as weakness in the quadriceps. Pain relief after total knee arthroplasty (TKA) may be greater when femoral nerve block (FNB) is combined with sciatic nerve block (SNB) than when it is combined with local infiltration analgesia (LIA).1 While previous […]
Read MoreAuthors: Glenn S. Murphy, M.D. et al Anesthesiology published on September 28, 2017Background: When a muscle relaxant is administered to facilitate intubation, the benefits of anticholinesterase reversal must be balanced with potential risks. The aim of this double-blinded, randomized noninferiority trial was to evaluate the effect of neostigmine administration on neuromuscular function when given to patients after […]
Read MoreAuthors: Hyung-Chul Lee, M.D. et al Anesthesiology published on September 28, 2017. 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 […]
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