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AUTHORS: Cozowicz, Crispiana MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 66–77 BACKGROUND: Emerging evidence associating obstructive sleep apnea (OSA) with adverse perioperative outcomes has recently heightened the level of awareness among perioperative physicians. In particular, estimates projecting the high prevalence of this condition in the surgical population […]
Read MoreAUTHORS: Hall, Michael MD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 477–482 INTRODUCTION: Serious complications are common during the intensive care of postoperative cardiac surgery patients. Some of these complications may be influenced by communication during the process of handover of care from the operating room to the […]
Read MoreAUTHORS: García-de-la-Asunción, José MD, PhD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 499–506 BACKGROUND: During lobectomy in patients with lung cancer, the operated lung is often collapsed and hypoperfused. Ischemia/reperfusion injury may then occur when the lung is re-expanded. We hypothesized that remote ischemic preconditioning (RIPC) would decrease […]
Read MorePatients with trigeminal neuralgia face a significant burden of illness. Patients with trigeminal neuralgia face a significant burden of illness and have needs currently unmet by available therapies, according to data presented at the American Pain Society’s 36th Annual Scientific Meeting in Pittsburgh, Pennsylvania.1 There is currently only 1 drug — carbamazepine— approved by the US Food and […]
Read MoreAUTHORS: Mazzeffi, Michael MD, MPH, MSc et Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1316–1321 BACKGROUND: Surgical site infections (SSIs) after colon surgery remain a critical safety issue. Patients with an SSI have an increased risk of death, prolonged hospitalization, and increased costs of care. Red blood cell (RBC) transfusion […]
Read MoreAUTHORS: Moore, Albert MD et al Anesthesia & Analgesia: May 11, 2017 BACKGROUND: We hypothesized that an epidural catheter placed in a lower vertebral interspace will require less medication for labor analgesia. METHODS: Nulliparous women requesting neuraxial labor analgesia were randomized to epidural catheter placement at the ultrasound-confirmed L1-2 or L4-5 interspace. Patient-controlled epidural analgesia and […]
Read MoreObese patients showed less respiratory insufficiency (RI) than their nonobese counterparts during endoscopic surgery, according to a new study. The result was counterintuitive. Because of their higher rates of obstructive sleep apnea, pulmonary hypertension and other cardiopulmonary disorders, obese patients generally are thought to be at increased risk for sedation-related complications, such as RI. Consequently, […]
Read MoreRaeyat Doost E et al., Am J Emerg Med 2017 Apr 14; Nerve block was faster but sedation was somewhat more effective in this small randomized trial. For reduction of anterior shoulder dislocations, options include procedural sedation, intraarticular lidocaine injection, nerve block, and manipulation without sedation. Investigators in Iran randomized 60 adults undergoing anterior shoulder dislocation […]
Read MoreA new initiative to identify preoperative patients who may be predisposed to developing dependence on opioid analgesics could facilitate treatment plans that reduce their exposure to opioids and mitigate that risk. The joint endeavor by specialty pharmaceutical manufacturer Pacira Pharmaceuticals and therapeutic management firm GeneAlign has incorporated behavioral histories and pharmacogenetic and pharmacogenomic testing into […]
Read MoreAlthough anesthesiologists have been performing regional blocks with nerve stimulation for years, the introduction of ultrasound guidance has improved efficiency dramatically, leading to faster block placement and onset in skilled hands. These advancements have come at an opportune time, said Sonia Szlyk, MD, as opioid-related adverse events have become an increasing burden on the health […]
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