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AUTHORS: 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 […]
Read MoreAUTHORS: Gruenbaum, Shaun E. MD; Toscani, Laura MD et al Anesthesia & Analgesia: February 8, 2017 BACKGROUND: Postoperative infection after craniotomy carries an increased risk of morbidity and mortality. Identification and correction of the risk factors should be prioritized. The association of intraoperative hyperglycemia with postoperative infections in patients undergoing craniotomy is inadequately studied. METHODS: A […]
Read MoreAuthors: Angus DC., JAMA 2017 Feb 7; 317:477 Intubation during arrest was associated with worse outcomes. The 2015 American Heart Association Advanced Cardiovascular Life Support guidelines deemphasize advanced airway placement as a component of initial resuscitation. Out-of-hospital–arrest data suggest lower survival among patients who are intubated in the field (NEJM JW Emerg Med Feb 2013 and JAMA 2013; 309:257). To determine […]
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 MoreIn one of the first studies of its kind, researchers at the University of Ottawa Heart Institute have found that hypotension during cardiopulmonary bypass is associated with postoperative cardiovascular accidents, such as stroke. The researchers also found evidence of a dose–response relationship with increasing severity and duration of hypotension. “Although the etiology of stroke is […]
Read MoreWhile 70% of anesthesiologists say they “frequently” or “occasionally” encounter postoperative delirium in their practices, more than three-fourths (77%) lack a process to screen for at-risk patients. A survey of nearly 300 anesthesiologists revealed that postoperative delirium is extraordinarily common worldwide, with 95% of respondents reporting they have had such a patient. However, 60% said […]
Read MoreRates of severe maternal and neonatal morbidity were similar among superobese women undergoing primary cesarean delivery versus a trial of labor, most often ending in vaginal delivery. Researchers say a prospective clinical trial is needed to determine whether one method of birth is superior to the other in mothers who are superobese. According to Alexander […]
Read MoreAUTHORS: Christensen, Robert E. MD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1231–1236 BACKGROUND: Nearly 20% of anesthesia-related pediatric cardiac arrests (CAs) occur during emergence or recovery. The aims of this case series were to use the Wake Up Safe database to describe the following: (1) the nature […]
Read MoreWhile 70% of anesthesiologists say they “frequently” or “occasionally” encounter postoperative delirium in their practices, more than three-fourths (77%) lack a process to screen for at-risk patients. A survey of nearly 300 anesthesiologists revealed that postoperative delirium is extraordinarily common worldwide, with 95% of respondents reporting they have had such a patient. However, 60% said […]
Read MoreAUTHORS: Denault, André Y. MD, PhD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1109–1115 BACKGROUND: Portal venous flow pulsatility detected by Doppler ultrasound is a sign of congestive heart failure in noncritically ill patients. The assessment of portal and splenic venous flows has never been reported in patients […]
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