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Authors: Ludhmila Abrahao Hajjar, M.D., Ph.D. et al Anesthesiology 1 2017, Vol.126, 85-93. Background: Vasoplegic syndrome is a common complication after cardiac surgery and impacts negatively on patient outcomes. The objective of this study was to evaluate whether vasopressin is superior to norepinephrine in reducing postoperative complications in patients with vasoplegic syndrome. Methods: This prospective, randomized, double-blind […]
Read MoreAuthors: Vafi Salmasi, M.D. et al Anesthesiology 1 2017, Vol.126, 47-65 Background: How best to characterize intraoperative hypotension remains unclear. Thus, the authors assessed the relationship between myocardial and kidney injury and intraoperative absolute (mean arterial pressure [MAP]) and relative (reduction from preoperative pressure) MAP thresholds. Methods: The authors characterized hypotension by the lowest MAP below various […]
Read MoreAuthors: David Legouis, M.D. et al Anesthesiology 1 2017, Vol.126, 39-46. Background: There is recent evidence to show that patients suffering from acute kidney injury are at increased risk of developing chronic kidney disease despite the fact that surviving tubular epithelial cells have the capacity to fully regenerate renal tubules and restore renal function within days […]
Read MoreMany patients who die of cancer receive no or delayed prescriptions for strong opioid medications, according to a study published in the journal Pain. Most patients with advanced cancer experience pain, often severe, but inadequate treatment of cancer pain continues to be a major public health problem. Efforts to improve treatment of cancer pain may […]
Read MoreHospital readmission rates dropped by an average of 8% nationally from 2010 to 2015, the Centers for Medicare & Medicaid Services (CMS) announced on Thursday. The number of avoidable 30-day readmissions of Medicare patients dropped in 49 states and the District of Columbia, according to CMS. In 43 states, the readmission rates fell by more than 5%, […]
Read MoreAuthors: N. Levy; N et al Br J Anaesth. 2016;116(4):443-447. Diabetes is the most common metabolic disorder and affects about 6–7% of the population and about 16% of the inpatient population.[1,2] Diabetes leads to accelerated atherosclerosis and patients are at higher risk of renal impairment, coronary vascular disease, peripheral vascular disease and cerebro-vascular disease. Subsequently, the surgical […]
Read MoreAnesthesiologists can take a few steps to improve the coordination of care throughout the perioperative period and should consider safety measures that will improve the preoperative process and postoperative outcomes. “Many of you probably say, ‘I do that already,’ but there are probably some aspects that you should consider that you probably aren’t doing,” said […]
Read MoreThe Society for Ambulatory Anesthesia (SAMBA) Clinical Outcomes Registry (SCOR) may be a useful tool to help anesthesiologists improve the quality of their practices, preliminary data suggest. As the drive for quality continues, anesthesiologists must decide the best way to document and demonstrate quality measures. SCOR may be a good system for starting that process, […]
Read MoreAuthor: James A. Russell, A.B., M.D. Anesthesiology 1 2017, Vol.126, 9-11. HAJJAR et al designed, conducted, and now report in this issue an elegant randomized double-blind controlled trial of vasopressin (0.01 to 0.06 U/min) versus norepinephrine (10 to 60 μg/min) post cardiac surgery with vasodilatory shock (Vasopressin versusNorepinephrine in Patients with Vasoplegic Shock After Cardiac Surgery [VANCS] trial). Open-label norepinephrine was […]
Read MoreAuthor: Martin J. London, M.D. Anesthesiology 1 2017, Vol.126, 1-3. AS of 2012, angiotensin- converting enzyme inhibitors (ACEIs) or angiotensin II receptor blockers (ARBs) were used by approximately 18% of adults in the United States.1 In the Veterans Affairs medical system, a population with a high proportion of patients with cardiovascular disease and strong centralized efforts at […]
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