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TAILORED DOSING BASED ON DEPTH OF NEUROMUSCULAR BLOCK (NMB) BRIDION® (sugammadex) Injection 100 mg/mL (equivalent to 108.8 mg/mL sugammadex sodium) can be used to reverse different levels of rocuronium- and vecuronium-induced blockade BRIDION dosing should be based on actual body weight. Indication BRIDION is indicated for the reversal of neuromuscular blockade induced by rocuronium bromide and […]
Read MoreOn June 28th, the Protecting Access to Care Act passed through the House by a vote of 218-210. The bill was passed chiefly along party lines and establishes provisions governing healthcare lawsuits where coverage for the care was provided or subsidized by the federal government. The bill would impose a $250,000 cap on non-economic damages that could […]
Read MoreAUTHORS: Lin, Otto S. MD, MSc et al Anesthesia & Analgesia: March 17, 2017 BACKGROUND: : Computer-assisted propofol sedation (CAPS) is now approved for moderate sedation of American Society of Anesthesiologists (ASA) class I and II patients undergoing routine endoscopy. As the first US medical center to adopt CAPS for routine clinical use, we compared patient […]
Read MoreAUTHORS: Walsh, Elisa C. BS et al Anesthesia & Analgesia: March 17, 2017 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 of 30-day mortality; however, the etiology of […]
Read MoreAUTHORS: Downey, Laura MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1431–1436 BACKGROUND: Recombinant factor VIIa (rFVIIa) is routinely used as an off-label hemostatic agent in children undergoing cardiac surgery. Despite evidence that rFVIIa use is associated with an increased incidence of thrombotic complications in adult cardiac surgery, […]
Read MorePatient-controlled anesthesia for the upper airway can be an effective strategy to prepare patients for awake intubation, a recent study has found. A 2% lidocaine “lollipop” helps patients cooperate using an easy, inexpensive and readily available means, the researchers said. “We recognize this technique doesn’t ensure directed local anesthetic application and requires additional topicalization techniques,” […]
Read MoreResearchers at the University of Colorado Boulder have discovered a neural signature that identified fibromyalgia with 93% accuracy, according to a 72-patient study in the journal Pain 2016 Aug 31. “This neural measure for fibromyalgia is composed of three brain-related submeasures that together identify [individuals with] fibromyalgia,” said lead author Marina López-Solà, PhD, a postdoctoral research associate […]
Read MoreAuthors: J.P. Abenstein, M.S.E.E., M.D., FASA et al ASA Monitor 07 2017, Vol.81, 36-38. We read with interest the May 2017 ASA Monitor article written by Ken Pauker, M.D., and colleagues regarding the association of increased postoperative troponin with non-cardiac surgery, myocardial injury (MINS) and increased 30-day mortality.1 While the authors describe Type I myocardial injury as being caused by […]
Read MoreAuthor: Anthony G. Doufas, M.D., Ph.D. ASA Monitor 07 2017, Vol.81, 24-26. Anthony G. Doufas, M.D., Ph.D., is Professor, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California. Large, retrospective clinical cohorts suggest that preoperative diagnosis of obstructive sleep apnea (OSA) is associated with more than a two-fold increase in the […]
Read MoreAuthor: David R. Hillman, M.D., FANZCA ASA Monitor 07 2017, Vol.81, 20-22. David R. Hillman, M.D., FANZCA, Centre for Sleep Science, University of Western Australia Department of Pulmonary Physiology and Sleep Medicine, Sir Charles Gairdner Hospital Nedlands, Western Australia. Anesthesia and sleep have much in common, particularly where breathing is concerned. This relationship is based on […]
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