Authors: Danqing Hu, M.D. et al Anesthesiology 8 2017, Vol.127, 227-240. Background: Exposure of young animals to general anesthesia causes neurodegeneration and lasting behavioral abnormalities; whether these findings translate to children remains unclear. This study used a population-based birth cohort to test the hypothesis that multiple, but not single, exposures to procedures requiring general anesthesia before age […]
Read MoreAuthors: Thomas Godet, M.D., Ph.D. et al Anesthesiology 8 2017, Vol.127, 217-219. WHATEVER the field of critical care medicine, timely decision to extubate, to both prevent complications associated with extubation failure and undue ventilatory support, remains challenging. Finding reliable clinical predictors of extubation success still appears as a holy grail.1 In this issue of Anesthesiology, Asehnoune et al. […]
Read MoreAUTHORS: Michaela K. Farber, M.D. et al Anesthesiology 8 2017, Vol.127, 212-214. “It is clearly important to critically evaluate aspects of our practice that may be perpetuated based on tradition more than a firm evidence base.” THE avoidance of maternal hypotension during spinal anesthesia for cesarean delivery is of paramount importance to maintain placental blood flow […]
Read MoreHerpes zoster infection is associated with increased risk for cardiovascular events, suggests a study in the Journal of the American College of Cardiology. Researchers in South Korea examined the medical records of 520,000 people from 2003 to 2013. During this time, 4% were diagnosed with herpes zoster. These patients were matched with control participants who didn’t […]
Read MoreAnnals of Surgery found death rate decline in South Carolina in hospitals that chose to participate in the program. The rate of patient death after surgery in South Carolina hospitals decreased substantially in hospitals that implemented a checklist developed by the World Health Organization, according to a summary of a study published online in Annals […]
Read MoreThis study indicates a strong link between chronic migraine and psychological symptoms and beliefs that contribute to disability. Psychological factors such as catastrophizing of pain are common in migraine and, along with depression and anxiety, contribute significantly to migraine-related disability, according to an observational study published in Headacheaimed at better defining features of distress in chronic […]
Read MoreIn a talk titled “Preventing persistent post-surgical pain and promoting opioid cessation after discharge,” given at the annual meeting of the American Academy of Pain Medicine, March 15-19, 2017, in Orlando, Florida, Jennifer Hah, MD, MS, an anesthesiologist and pain specialist at the Pain Management Center at Stanford Health Care, California, provided an overview of postoperative […]
Read MoreHow healthy is “healthy”? According to the results of an analysis from the University of California, San Diego, surgical mortality in a relatively healthy (ASA I and II) patient population is decreasing across the United States. Nevertheless, the study of more than 1.5 million patients identified several clinical predictors of increased mortality risk in this population. Consideration […]
Read MoreAs many as 80% of patients with migraine experience photophobia, which can occur during or between attacks. Researchers from the Medical University of Vienna discovered higher rates of depression, anxiety, and stress in both patients with migraine and migraine-free control patients with photophobia. Their findings were recently published in the Journal of Headache and Pain.1 As […]
Read MoreNew England Journal of Medicine · March 21, 2017 Authors: Giovanni Landoni et al Background: Acute left ventricular dysfunction is a major complication of cardiac surgery and is associated with increased mortality. Meta-analyses of small trials suggest that levosimendan may result in a higher rate of survival among patients undergoing cardiac surgery. Methods: We conducted a multicenter, […]
Read More