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Anesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 1026–1032 AUTHORS: Jæger, Pia MD, PhD et al BACKGROUND: The binary aims of this study were to investigate the effect of total dose of lidocaine on duration of an adductor canal block (ACB) and to validate different methods used to assess nerve […]
Read MoreAuthors: Shin Sato, M.D. et al Anesthesiology 1 2017, Vol.126, 28-38. Background: Depending on upper airway patency during anesthesia induction, tidal volume achieved by mask ventilation may vary. In 80 adult patients undergoing general anesthesia, the authors tested a hypothesis that tidal volume during mask ventilation is smaller in patients with sleep-disordered breathing priorly defined as apnea […]
Read MoreThe US Food and Drug Administration (FDA) has finalized a rule banning the use of powdered gloves in medicine because they pose dangers to human health. The ban, first proposed in March 2016, will further propel efforts already underway to phase out the use of prepowdered surgeons’ gloves, powdered exam gloves, and absorbable powder for lubricating surgeons’ […]
Read MoreAuthor: Emil Engels, MD, MBA, CPC ‘If you’re not confused, you’re not paying attention.’ —Tom Peters, writer and expert in business management For years, physicians pressured Congress to repeal the flawed Sustainable Growth Rate (SGR) formula. It adjusted physician reimbursement based on changes in Gross Domestic Product. Over time, the formula led to draconian […]
Read MoreOpioids are widely used in the United States to manage moderate to severe acute postoperative pain, but adverse events, including respiratory depression and gastrointestinal dysfunction, can limit the dosing required for analgesic efficacy. Oliceridine—a novel mu-receptor G protein pathway selective modulator—may provide effective, rapid analgesia and reduce typical adverse effects, according to two recent Phase […]
Read MoreAnesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 1004–1007 AUTHORS: Karlsson, Victoria RN, MMSc et al BACKGROUND: Transcutaneous (TC) measurement of PCO2 (TC PCO2) is a well-established method to monitor assisted ventilation in neonatal intensive care, but its use in the operating room is limited, and the data regarding its performance […]
Read MoreAnesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 991–1003 AUTHORS: Hayes, Jason MD et al BACKGROUND: Bolus administration of opioids via a patient-controlled analgesia (PCA) device is widely used in the postoperative pediatric population. PCA devices have been shown to provide superior analgesia and greater patient satisfaction compared with intermittent […]
Read MoreRepeated use of general anesthetic and sedation drugs — or use for longer than 3 hours — in children under age 3 years and in pregnant women in their third trimester could adversely affect child brain development, the FDA warned on Wednesday. The agency cited animal data showing that early, lengthy exposure to these drugs […]
Read MoreAnesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 972–976 AUTHORS: Orbach-Zinger, Sharon MD et al BACKGROUND: Unintended dural puncture (UDP) is one of the main risks of epidural analgesia, with a reported incidence of approximately 1.5% among the obstetric population. UDP is associated with maternal adverse outcomes, with the most […]
Read MoreAnesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 955–964 AUTHORS: Hattler, Judith MD et al BACKGROUND: Combined spinal–epidural labor analgesia has gained popularity, but it is unclear whether this technique is associated with a higher incidence of nonreassuring fetal heart rate (FHR) tracings compared with epidural analgesia. Our meta-analysis aimed […]
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