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AUTHORS: Siddiqui, Maryam MD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 879–886 BACKGROUND: Asian American/Pacific Islanders (AAPIs) are the fastest-growing racial group in the United States. Despite a higher socioeconomic status, AAPI women experience higher rates of maternal morbidity and mortality. METHODS: Using the National Inpatient Sample, we […]
Read MoreAUTHORS: Zbytovská, Jarmila Dr. rer. nat. et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 776–781 BACKGROUND: Combined infusions of propofol and sufentanil preparations are frequently used in clinical practice to induce anesthesia and analgesia. However, the stability of propofol emulsions can be affected by dilution with another preparation, sometimes […]
Read MoreAUTHORS: Haskins, Stephen C. MD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 791–799 BACKGROUND: Intraabdominal fluid extravasation (IAFE) after hip arthroscopy has historically been diagnosed in catastrophic circumstances with abdominal compartment syndrome requiring diuresis or surgical decompression. A previous retrospective study found the prevalence of symptomatic IAFE requiring […]
Read MoreAUTHORS: Barile, Luigi MD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 743–752 BACKGROUND: To better understand the role of acute normovolemic hemodilution (ANH) in a surgical setting with high risk of bleeding, we analyzed all randomized controlled trials (RCTs) in the setting of cardiac surgery that compared ANH […]
Read MoreA study that compared epidurals placed in the L5-S1 interspace and those placed in the most clinically accessible lumbar interspace cephalad found no significant differences in efficacy. The mean number of dermatomes blocked, number of interventions required to achieve adequate analgesia, and pain scores following epidural placement and at delivery were all similar in the […]
Read MoreAUTHORS: Yao, Weidong MD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 800–806 BACKGROUND: Limited mandibular condylar mobility plays an important role in difficult laryngoscopy. Indirect assessment methods, such as mouth opening, have been proven to be useful predictors of difficult laryngoscopy. Sonography is a new direct assessment method […]
Read MoreIn Patients Undergoing Serious, More Invasive Surgeries A large French study has shown that monitoring both hemoglobin (SpHb) and plethysmography variability index (PVI) as part of a vascular filling algorithm allows for optimal transfusion among surgical patients, thereby reducing mortality. The researchers noted that inclusion of such noninvasive devices may significantly affect patient outcomes in […]
Read MoreWidely used pain relievers may increase the risk of a myocardial infarction (MI) when used during a cold or flu-like illness, according to a study published in the Journal of Infectious Diseases. The findings suggest that physicians and patients should use caution when prescribing or taking nonsteroidal anti-inflammatory drugs (NSAIDs) to ease symptoms of acute […]
Read MoreTaking 1 oxycodone tablet together with even a modest amount of alcohol increases the risk of respiratory depression, according to a study published online first in the journal Anesthesiology. The study also found that elderly people were especially likely to experience this complication. “Unfortunately, we’re seeing more fatalities and people in emergency rooms after having […]
Read MoreWeaning from continuous opioid infusion can result in withdrawal and associated adverse effects, including respiratory, neurologic, and cardiovascular sequelae. Practices pertaining to the use of methadone to facilitate opioid weaning in pediatric patients are widely heterogeneous, according to a recent systematic review and meta-analysis published in Pediatric Anesthesia.1 Weaning from continuous opioid infusion can result in […]
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