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The most important thing a health care provider can do is recognize sepsis and septic shock early and take immediate action, according to new guidelines released at the Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress. “I think it is important to recognize that sepsis and septic shock are medical emergencies,” said Andrew Rhodes, FRCP, […]
Read MoreAUTHORS: 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: Bauchat, Jeanette R. MD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 872–878 BACKGROUND: Neuraxial morphine is the most commonly used analgesic technique after cesarean delivery. The incidence of respiratory depression is reported to be very low (0%–1.2%) in this patient population as measured by pulse oximetry and […]
Read MoreAUTHORS: Gleich, Stephen J. MD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 908–914 BACKGROUND: Arthrogryposis syndromes are a heterogeneous group of disorders characterized by congenital joint contractures often requiring multiple surgeries during childhood to address skeletal and visceral abnormalities. Previous reports suggest that these children have increased perioperative […]
Read MoreAuthors: Juang, Jeremy MD, PhD et al Anesthesia & Analgesia published Jan 2017 Neuraxial anesthesia use in cesarean deliveries (CDs) has been rising since the 1980s, whereas general anesthesia (GA) use has been declining. In this brief report we analyzed recent obstetric anesthesia practice patterns using National Anesthesiology Clinical Outcomes Registry data. Approximately 218,285 CD […]
Read MoreYoga may lessen pain and improve function in patients with chronic, nonspecific low back pain, a new Cochrane review suggests. However, it’s unclear whether yoga is more effective than other types of exercise, primarily because there’s so little evidence directly comparing these interventions, lead author L. Susan Wieland, assistant professor, Center for Integrative Medicine, University […]
Read MoreAUTHORS: Gabriel, Rodney A. MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1529–1536 BACKGROUND: A predictive model that can identify patients who are at an increased risk for prolonged postanesthesia care unit (PACU) stay could help optimize resource utilization and case sequencing. Although previous studies identified some […]
Read MoreAuthors: Clebone, Anna MD et al Members of the Society for Pediatric Anesthesia Quality and Safety Committee (see Acknowledgments) Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 900–907 Cognitive aids such as checklists are commonly used in modern operating rooms for routine processes, and the use of such aids may be […]
Read MoreAuthors: Park E et al American Journal of Surgery 213 (1), 58-63 (Jan 2017) BACKGROUND The Patient-Reported Outcomes Measurement Information System was used to evaluate the effects of open incisional ventral hernia repair on hernia-related pain. METHODS All patients who underwent elective repair of a primary or recurrent midline incisional hernia over a 3-year period completed […]
Read MoreAUTHORS: Meyer, Matthew J. MD et al Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 618–622 BACKGROUND: Blood product transfusion is the most commonly performed hospital procedure. Intraoperative blood product utilization varies between institutions and anesthesiologists. In the United States in 2011, nearly 4 million plasma units were transfused. METHODS: A […]
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