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Implementation of a quality improvement initiative substantially reduced excessive use of neostigmine while improving train-of-four–guided neostigmine administration. Over a six-month period, the initiative led to a decrease in the mean dose of intraoperative neostigmine from 2.9 to 2.5 mg, researchers reported. “Preliminary data have shown that these interventions led to a statistically significant reduction in […]
Read MoreAuthors: Kendale S, Blitz J Journal of Clinical Anesthesia (JCA) 33 97-104 (Sep 2016) STUDY OBJECTIVE Obese patients regularly present for surgery and have greater hypoxemia risk. This study aimed to identify the risk and incidence of intraoperative hypoxemia with increasing body mass index (BMI). DESIGN This was a retrospective cohort study. SETTING Operating room. […]
Read MoreUsing the quick Sequential Organ Failure Assessment (qSOFA) score to assess sepsis in women during birth can lead to an unacceptably high rate of false negatives, according to a study presented at the 2016 annual meeting of the Society for Obstetric Anesthesia and Perinatology (SOAP; abstract 01-03). “SIRS (systemic inflammatory response syndrome) criteria and Maternal […]
Read MoreEye-Opener: Physical therapists may hold vastly different opinions than anesthesiologists of the utility of peripheral nerve blocks after total knee and hip replacement surgeries. “For a long time, we placed peripheral nerve catheters in every total knee replacement patient and every total hip replacement patient,” said Steven Porter, MD, assistant professor of anesthesiology at Mayo […]
Read MoreOpioid-related spending by health insurers spikes more than 1,300 percent From 2011 to 2015, insurers’ payments to hospitals, laboratories, treatment centers, other providers grew from $32 million to $446 million. Kaiser Health News The nation’s ongoing opioid problem comes with staggering physical and emotional costs to patients and families. But the dollar cost to the […]
Read MoreRates and etiologies of maternal cardiac arrest in Canada are similar to those found in the United States, a study has concluded. “This is the first Canadian study on maternal cardiac arrest,” said Leyla Baghirzada, MD, MPH, clinical assistant professor at the University of Calgary, in Alberta. She presented the study at the 2016 annual […]
Read MoreEarly Oral Feeding as Compared With Traditional Timing of Oral Feeding After Upper Gastrointestinal Surgery: A Systematic Review and Meta-analysis Authors: Willcutts KF, Chung MC, Erenberg CL, Finn KL, Schirmer BD, Byham-Gray LD Ann Surg. 2016;264:54-63 Is early oral feeding superior to traditional NPO (nothing by mouth) in the postoperative period following upper gastrointestinal surgery? […]
Read MoreEugenio Martínez Hurtado, MD Ana Tirado Errazquin, MD Paloma Muñoz Saldaña, MD Elena Saez Ruiz, MD Norma Aracil Escoda, MD Consultant Anesthesiologists Infanta Leonor University Hospital Madrid, Spain Miriam Sánchez Merchante, MD Consultant Anesthesiologist Alcorcón Foundation University Hospital Madrid, Spain Laryngeal cysts are infrequent, usually benign casual findings during laryngeal exploration. They can […]
Read MorePeople who undergo surgery at night are twice as likely to die as those operated on during regular daytime hours, research suggests. The findings, being presented at a conference, also suggest a higher than usual risk of death among those who have surgery later in the day and in the early evening. 30-Day Hospital Survival […]
Read MoreWhat Do We (Really) Know About It? Matthias W. Koenig, MD Associate Professor of Pediatrics Eastern Virginia Medical School Children’s Hospital of the King’s Daughters Children’s Specialty Group, Pediatric Anesthesia Division Norfolk, Virginia Vincent J. Kopp, MD Emeritus Professor Division of Pediatric Anesthesia Department of Anesthesiology University of North Carolina at Chapel Hill School of Medicine Chapel […]
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