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AUTHORS: Butwick, Alexander J. MBBS, FRCA, MS et al Anesthesia & Analgesia: March 8, 2017 BACKGROUND: Women who undergo intrapartum caesarean delivery (CD) are at increased risk of postpartum hemorrhage (PPH) compared with those undergoing prelabor CD. To determine whether the presence and strength of the associations between individual risk factors and severe PPH vary among […]
Read MoreDespite becoming a widespread practice, routine use of video laryngoscopy in the ICU is not supported by the evidence. This is the argument made in a recent editorial in JAMA, titled “Video Laryngoscopy in the Intensive Care Unit: Seeing Is Believing, but That Does Not Mean It’s True.” The editorial, by Brian O’Gara, MD, et al (JAMA 2017 […]
Read MoreMany women are prescribed more opioids than needed after C-section, creating a risk for misuse and diversion. Interviews with Brian Bateman, MD, Whitney You, MD, and Nicole Higgins, MD Physicians routinely over-prescribe opioids to patients who undergo Cesarean sections, according to a group of studies published online on June 8, 2017 in the journal Obstetrics & […]
Read MoreAuthors: Daisuke Sugiyama, M.D., Ph.D. et al Anesthesiology published on June 22, 2017 Background: H2O2 has a variety of actions in skin wounds but has been rarely studied in deep muscle tissue. Based on response to the transient receptor potential ankyrin 1 antagonists after plantar incision, we hypothesized that H2O2 exerts nociceptive effects viathe transient receptor potential ankyrin 1 […]
Read MoreBy Robert E. Johnstone, MD Anesthesia practice guidelines are out of control—too many to adopt, too anecdotal to accept and too political to take seriously! Every society seems to issue them now, in order to announce their existence, promote their brand or troll for members. I would ignore most of them, but unfortunately lawyers use […]
Read MoreDo individual anesthesiologists directly affect patient outcomes? For years, anesthesiologists have attempted to answer this question empirically. Now, a recent study has concluded that anesthesiologists do affect outcomes, and at a rate similar to that of surgeons. “Despite everything that’s happened with surgical improvement over the years, we still see troubling rates of complications and […]
Read MoreAnnette Antos; Benjamin Westlake; Matthew T. Popovich, Ph.D. ASA Monitor 06 2017, Vol.81, 24-25. As more practices are steered by federal payment programs to report quality data electronically, practices preparing to meet the criteria established by the Medicare Access and CHIP Reauthorization Act (MACRA) may wish to consider a range of techniques to operationalize workflows within their practice.MACRA […]
Read MoreAuthors: Allison J. Lee, M.D. et al Anesthesiology published on June 15, 2017 Background: Current recommendations for women undergoing cesarean delivery include 15° left tilt for uterine displacement to prevent aortocaval compression, although this degree of tilt is practically never achieved. We hypothesized that under contemporary clinical practice, including a crystalloid coload and phenylephrine infusion targeted at […]
Read MoreAuthors: Danqing Hu, M.D. et al Anesthesiology published on June 15, 2017. 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 […]
Read MoreBetween 25% and 60% of women develop chronic neuropathic pain after mastectomy, a condition known as post-mastectomy pain syndrome. Between 25% and 60% of women develop chronic neuropathic pain after mastectomy, a condition known as post-mastectomy pain syndrome (PMPS).1 Pain associated with PMPS manifests in the anterior thorax, axilla, and/or upper arm and is hypothesized […]
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