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Anesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 950–954 AUTHORS: Patel, Ruchira MBBS et al BACKGROUND: The transcatheter electric stimulation test (Tsui test) can be performed at the bedside to confirm the correct placement of a wire-reinforced epidural catheter within the epidural space. The most commonly observed motor response with […]
Read MoreAnesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 977–988 AUTHORS: Heesen, Michael MD, PhD et al BACKGROUND: Hypotension remains a frequent complication of spinal anesthesia, increasing the risk of nausea and vomiting, altered mental status, and aspiration. The aim of this systematic review and meta-analysis was to determine whether 5-hydroxytryptamine3 […]
Read MoreAnesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 965–971 AUTHORS: Carvalho, Brendan MBBCh, FRCA, MDCH et al Programmed intermittent epidural bolus (PIEB) is an exciting new technology that has the potential to improve the maintenance of epidural labor analgesia. PIEB compared with a continuous epidural infusion (CEI) has the potential […]
Read MoreAnesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 925–932 AUTHORS: Nishimura, Akiko DDS, PhD et al BACKGROUND: The revised Starling law suggests that intravenously infused fluid may leak into the interstitium and not remain in the intravascular space. This hypothesis is supported by clinical findings that postoperative weight gain is […]
Read MoreAnesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 903–909 AUTHORS: Faust, Andrew C. PharmD, BCPS et al BACKGROUND: Recent attention to adverse effects of intensive care unit (ICU) sedation has led to the use of strategies that target a “lighter” depth of sedation. Among these strategies are “analgosedation” protocols, which […]
Read MoreAnesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 885–893 AUTHORS: Zaouter, Cedrick MD, MSc et al BACKGROUND: In this pilot study, we tested a novel automatic anesthesia system for closed-loop administration of IV anesthesia drugs for cardiac surgical procedures with cardiopulmonary bypass. This anesthesia drug delivery robot integrates all 3 […]
Read MoreAnesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 869–876 AUTHORS: Sawada, Atsushi MD, PhD et al BACKGROUND: A harmful effect of stress hormone secretion during surgery is lipolysis and proteolysis to maintain normal blood glucose levels. A well-titrated general anesthetic improves blood glucose control by suppressing secretion of these stress […]
Read MoreAnesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 910–924 AUTHORS: Winearls, James BSc, MBBS, MRCP, FCICM et al Hemorrhage in the setting of severe trauma is a leading cause of death worldwide. The pathophysiology of hemorrhage and coagulopathy in severe trauma is complex and remains poorly understood. Most clinicians currently […]
Read MoreAnesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 859–868 AUTHORS: Stewart, Paul A. MBBS, FANZCA et al BACKGROUND: Residual neuromuscular blockade (RNMB) has been linked to adverse respiratory events (AREs) in the postanesthetic care unit (PACU). However, these events are often not attributed to RNMB by anesthesiologists because they may […]
Read MoreAnesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 846–858 AUTHORS: Peng, Ke MS et al BACKGROUND: Many studies have compared propofol-based anesthesia with inhalational anesthesia. Results from several studies have shown improved postoperative analgesia after propofol anesthesia, but other studies showed contradictory results. There are no large prospective studies that […]
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