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Second-line uterotonic use is high in women experiencing severe postpartum hemorrhage, and B-Lynch brace suture placement is the most common surgical intervention. These were among the findings of a retrospective study conducted at Stanford University School of Medicine, in California, that has shed light on women who experience severe postpartum hemorrhage during intrapartum cesarean delivery. […]
Read MoreWhen it comes to mitigating against postoperative cognitive decline and preserving functional brain connectivity after circulatory arrest for aortic arch surgery, deep hypothermia is superior to high-moderate hypothermia, a pilot study has concluded. A larger prospective trial is underway to confirm these results. “Deep hypothermia—which constitutes cooling the body to a temperature of less than […]
Read MoreThe Nociception Level Index Israeli researchers have devised a multivariable index that appears to accurately reflect patients’ experience of pain during surgery. “The primary significance of our findings is that we have proved that it is possible to accurately and objectively assess patients’ nociceptive state—or “pain”—based on an algorithmic combination of multiple physiological parameters, creating […]
Read MoreAuthors: Chamaidi Sarakatsianou et al The American Journal of Surgery April 2017 Background General anesthesia has been used as standard for laparoscopic hernia repair by the transabdominal preperitoneal (TAPP) approach. Regional anesthesia has been occasionally applied in high risk patients where general anesthesia is contraindicated. This randomized clinical trial compares spinal anesthesia with general anesthesia […]
Read MoreAuthors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology 2 2017, Vol.126, 312-320. Background: Although peripheral nerve blocks decrease pain after total knee arthroplasty, the population-level impact of nerve blocks on arthroplasty resource utilization is unknown. Methods: We conducted a population-based cohort study using linked administrative data from Ontario, Canada. We identified all adults having their first […]
Read MoreC-MAC (Karl Storz) video laryngoscopy, especially when using the D-blade configuration, is a promising way to minimize head and neck movement during intubation, a recent study concluded. In patients with cervical spine injuries in particular, the extra time and effort needed compared with conventional Macintosh laryngoscopy is clinically unimportant, the researchers said. “Head and neck […]
Read MoreThis is a familiar story: A patient with health insurance has an accident and seeks care at a hospital. She receives care in the ER and undergoes an operation. The health care team provides the necessary care, regardless of her health insurance policy. After discharge from the hospital, she receives an unexpected bill from the […]
Read MoreAuthors: Hoeffe J et al., Am J Emerg Med 2017 Jan 5; Combination intranasal fentanyl and nitrous oxide provided adequate pain control for children undergoing reduction of mildly to moderately displaced fractures and dislocations. In a prospective, observational study conducted at two children’s hospitals in Canada and Australia, investigators evaluated the efficacy and safety of intranasal fentanyl […]
Read MoreAUTHORS: Parker, Michael J. MD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1129–1134 BACKGROUND: Laboratory data suggest that newly initiated drug infusions reach steady-state delivery after a significant time lag. Depending on drug and carrier flow rates and the infusion system’s common volume, lag times may exceed 20 […]
Read MoreAUTHORS: Warner, Matthew A. MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1636–1643 BACKGROUND: Critically ill patients frequently receive plasma transfusion under the assumptions that abnormal coagulation test results confer increased risk of bleeding and that plasma transfusion will decrease this risk. However, the effect of prophylactic plasma […]
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