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Authors: Glenn S. Murphy, M.D. et al Anesthesiology 5 2017, Vol.126, 822-833. Background: Patients undergoing spinal fusion surgery often experience severe pain during the first three postoperative days. The aim of this parallel-group randomized trial was to assess the effect of the long-duration opioid methadone on postoperative analgesic requirements, pain scores, and patient satisfaction after complex spine […]
Read MoreAuthors: Ryu Komatsu, M.D. et al Anesthesiology 5 2017, Vol.126, 799-809. Background: Statins may reduce the risk of pulmonary and neurologic complications after cardiac surgery. Methods: The authors acquired data for adults who had coronary artery bypass graft, valve surgery, or combined procedures. The authors matched patients who took statins preoperatively to patients who did not. First, the […]
Read MoreAuthor: Kirk Hogan, M.D., J.D. Anesthesiology 5 2017, Vol.126, 759-762. AT the University of Wisconsin, Madison, Wisconsin, in the 1970s, a circulating nurse was designated to maintain a list of all malignant hyperthermia (MH) family surnames taped to the inside of the swinging doors to the operating suite to be cross-checked by everyone responsible for preoperatively […]
Read MoreAuthors: Brian M. Ilfeld, M.D., M.S. et al Anesthesiology 5 2017, Vol.126, 768-770. TOTAL knee arthroplasty (TKA) is among the most common and painful surgical procedures, with more than 700,000 performed annually within the United States alone. Due to the difficulty of providing adequate pain relief, practitioners have proposed and evaluated a plethora of analgesic techniques. […]
Read MoreAuthors: Felix Kork, M.D., M.Sc. et al Anesthesiology 5 2017, Vol.126, 763-765. ACUTE kidney injury (AKI) is a leading postoperative complication and is associated with higher mortality and higher morbidity.1 Even minor postoperative creatinine increases below AKI criteria are associated with adverse outcome in both noncardiac surgery2 and cardiac surgery patients.3 Hence, a method for the effective prevention of […]
Read MoreASA Monitor 04 2017, Vol.81, 40-42. Review of unusual patient care experiences is a cornerstone of medical education. Each month, the AQI-AIRS Steering Committee abstracts a patient history submitted to the Anesthesia Incident Reporting System (AIRS) and authors a discussion of the safety and human factors challenges involved. Real-life case histories often include multiple clinical decisions, […]
Read MoreA new study found that preoperative chronic opioid use leads to more adverse events, but is tapering or stopping opioids before surgery the solution? PPM experts say perhaps not. Interviews with Jennifer P. Schneider, MD, PhD, Jeffrey Gudin, MD, and Ofer Wellisch, MD Patients receiving opioids prior to elective abdominal surgery had slightly longer hospital stays and […]
Read MoreAuthors: Eunsu Kang et al BMC Anesthesiol. 2016;16(116) A Randomized Controlled Trial Background: Dexmedetomidine, a selective alpha-2 agonist, has sedative, analgesic, and anxiolytic effects without respiratory depression. Dexmedetomidine can cause a biphasic cardiovascular response, and induce transient hypertension. Hypotension is a common complication of spinal anesthesia. Decreasing anxiety of patients before procedure is important for high quality […]
Read MoreAUTHORS: Zeidan, Ahed M. MD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1168–1173 BACKGROUND: We tested the hypothesis whether gender differences exist in the applied cricoid force necessary to prevent regurgitation. Real-time visual and dynamic means were used to assess the effectiveness of different applied cricoid forces in […]
Read MoreAUTHORS: Zhou, Jing MD, PhD et al Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 465–471 BACKGROUND: Although the bronchodilatory actions of volatile anesthetics, such as halothane, isoflurane, and sevoflurane, have been well documented in previous studies, the properties of desflurane remain controversial. The aim of this study was to investigate […]
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