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Authors: Chau, Anthony MD, MMSc, FRCPC et al Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 560–569 Obstetric Anesthesiology: Original Clinical Research Report BACKGROUND: The dural puncture epidural (DPE) technique is a modification of the combined spinal epidural (CSE) technique, where a dural perforation is created from a spinal needle but […]
Read MoreAuthors: Toyoaki Maruta et al BMC Anesthesiol. 2016;16(110) A Prospective Randomised Single-Centre Study Background: Remifentanil is an effective drug for protecting against adverse haemodynamic responses to tracheal intubation. We compared the haemodynamic responses during anaesthesia induction between continuous intravenous (IV) infusion and two bolus injections of remifentanil. Methods: This prospective, randomised, open-label, single-centre study included patients with American […]
Read MoreAUTHORS: Kram, Bridgette PharmD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 782–788 BACKGROUND: The purpose of this study was to determine whether mechanically ventilated trauma patients with a positive urine drug screen (UDS) for cocaine and/or amphetamines have different opioid analgesic and sedative requirements compared with similar patients […]
Read MoreAuthors: Roshanov PS et al. Anesthesiology 2017 Jan. In an observational study, withholding angiotensin-converting–enzyme inhibitors was associated with fewer adverse events. For patients who take angiotensin-converting–enzyme (ACE) inhibitors and undergo noncardiac surgery, some observational studies suggest that continuing the ACE inhibitors on the morning of surgery is associated with excess risk for intraoperative hypotension. However, the […]
Read MoreSurgery patients with migraine are at increased risk for ischemic stroke in the perioperative period and hospital readmission within 30 days of discharge, a hospital registry study suggests. “Migraine should be incorporated in the assessment for risk of perioperative stroke,” Matthias Eikermann, MD, PhD, from Massachusetts General Hospital and Harvard Medical School in Boston, told Medscape […]
Read MoreAUTHORS: Grigg, Eliot B. MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1617–1625 BACKGROUND: Medication errors continue to be a significant source of patient harm in the operating room with few concrete countermeasures. The organization and identification of medication syringes may have an impact on the commission of […]
Read MorePain. 2016;157(12):2621-2622. Pain fluctuates, and pain fluctuations are tremendously varied between patients and between clinical circumstances. Opioid analgesic regimes have never been entirely satisfactory in terms of being able to cope with pain fluctuations. Nevertheless, waiting out short painful episodes such as colic or movement-induced bone pain, or waiting until morphine started to work, used to […]
Read MoreWith the physical footprint of American hospitals growing ever larger, the risk for patients developing hypoxia during transport from the operating room (OR) to the PACU is real. Recently, researchers found that nearly 7% of patients will develop hypoxia en route, prompting them to recommend the availability of portable pulse oximetry and supplemental oxygen in […]
Read MoreAuthors: Michael C. Grant, MD et al Anesth Analg. 2016;123(5):1100-1107. A Meta-analysis Background. Nonopioid adjuvant medications are increasingly included among perioperative Enhanced Recovery After Surgery protocols. Preoperative pregabalin has been shown to improve postoperative pain and limit reliance on opioid analgesia. Our group investigated the ability of preoperative pregabalin to also prevent postoperative nausea and vomiting […]
Read MoreAuthors: Franklin Dexter, MD, PhD et al Anesth Analg. 2016;123(5):1297-1301. Background. In order to provide guidance to organizations considering elective weekend surgical case scheduling, we analyzed data from the American Society of Anesthesiologist’s Anesthesia Quality Institute. We determined the US anesthesia workload on Saturdays and Sundays. Methods. The American Society of Anesthesiologist’s Anesthesia Quality Institute data were from […]
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