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AUTHORS: Stricker, Paul A. MD et al Anesthesia & Analgesia: January 2017 – Volume 124 – Issue 1 – p 245–253 BACKGROUND: Bilateral myringotomy and pressure equalization tube insertion (BMT) is the most common surgery in children. Multiple anesthetic techniques for BMT have been proposed, but that which reliably promotes ideal recovery remains unclear. We sought […]
Read MoreAUTHORS: Choi, Eun Kyung MD, PhD et al Anesthesia & Analgesia: January 2017 – Volume 124 – Issue 1 – p 204–213 BACKGROUND: Superoxide, nitric oxide (NO), and peroxynitrite are important mediators in the pathogenesis of ischemia-reperfusion (I/R) injury. We tested the renoprotective effects of allopurinol (ALP), a xanthine oxidase inhibitor, N-nitro-L-arginine methyl ester (L-NAME), and 5,10,15,20-tetrakis […]
Read MoreAuthors: Miotto, Karen MD et al Anesthesia & Analgesia: January 2017 – Volume 124 – Issue 1 – p 44–51 Tramadol is a unique analgesic medication, available in variety of formulations, with both monoaminergic reuptake inhibitory and opioid receptor agonist activity increasingly prescribed worldwide as an alternative for high-affinity opioid medication in the treatment of acute […]
Read MoreAUTHORS: Yoo, Seokha MD et al Anesthesia & Analgesia: January 2017 – Volume 124 – Issue 1 – p 35–41 BACKGROUND: Glucose control can be difficult in the intraoperative and immediate postoperative period of liver transplantation. Hyperglycemia and glucose variability have been associated with acute kidney injury (AKI) in critically ill patients. We performed a retrospective […]
Read MoreAUTHORS: Laskine-Holland, Marie-Laure MD et al Anesthesia & Analgesia: January 2017 – Volume 124 – Issue 1 – p 23–29 BACKGROUND: Children with congenital heart defects (CHD) have quantitative and qualitative differences in coagulation compared with healthy children. Secondary to polycythemia and increased deformability of red blood cells, cyanosis may be an important confounding factor for […]
Read MoreAUTHORS: Bardia, Amit MBBS et al Anesthesia & Analgesia: January 2017 – Volume 124 – Issue 1 – p 16–22 BACKGROUND: Preoperative hemoglobin A1c (HbA1c) and postoperative glycemic variability predict major adverse events (MAEs) after coronary artery bypass grafting in a protocolized glycemic control setting. However, the influence of preoperative HbA1c and postoperative glycemic variability in […]
Read MoreAUTHORS: Zbytovská, Jarmila Dr. rer. nat. et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 776–781 BACKGROUND: Combined infusions of propofol and sufentanil preparations are frequently used in clinical practice to induce anesthesia and analgesia. However, the stability of propofol emulsions can be affected by dilution with another preparation, sometimes […]
Read MoreAuthor: By Seddon R. Savage, MD, MS The role of opioids in chronic pain treatment has become increasingly controversial and includes important questions about who may benefit from long-term opioid therapy. While much chronic pain can be managed with nonopioid approaches, it is clear that some patients and providers find opioids a helpful component of ongoing […]
Read MoreAuthor: MARY HERMAN, MD, PHD A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Sometimes our best decisions as physician anesthesiologists are when we decide to call off a surgery or procedure. The “best anesthetic I never gave” was for 18-year-old Hunter Jones and her case really demonstrates the importance of talking with patients before surgery. […]
Read MoreAuthors: Benjamin C. Mayo, BA et al Spine. 2016;41(20):1580-1585. Study Design. Case-series Objective. The aim of the study was to investigate changes in intraoperative and postoperative parameters associated with the surgical learning curve for anterior cervical discectomy and fusion (ACDF). Summary of Background Data. ACDF is a common surgical spine procedure. The surgical learning curve for this procedure has […]
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