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Anesthesia & Analgesia: August 9, 2016 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 at comparing the incidence of nonreassuring FHR tracings […]
Read MoreResearchers have devised what they hope is a more accurate system for predicting in-hospital mortality in patients undergoing major surgery (Anesthesiology 2016;124:570-579). The number of patient deaths during or after surgery may be small, but the rate among some subgroups can be as high as 10%, making accurate predictions of in-hospital mortality crucial, according to the […]
Read MoreAnesthesia & Analgesia: August 9, 2016 AUTHORS: Bowdle, Andrew MD, PhD, FASE et al BACKGROUND: Imaging the guidewire with ultrasonography in the internal jugular vein during central venous catheterization often is used to verify proper guidewire placement and to aid in prevention of inadvertent arterial catheterization. It is known, however, that inadvertent arterial catheterization can […]
Read MoreThere’s a lot to do in and around the OR between cases. In an effort to improve the efficiency of our room turnovers, and to bring their monthly average times down, we implemented a “parallel process” at our director’s recommendation. Every surgical team member was assigned specific, standardized tasks to carry out simultaneously, based on […]
Read MoreA West Virginia physician has been sentenced to a year and a day in jail after pleading guilty to seven felonies for illegal distribution of oxycodone. West Virginia has one of the highest rates of drug overdose deaths in the country, with 627 deaths in 2014, according to the Centers for Disease Control and Prevention. […]
Read MoreAuthors: Newgard CD et al., JAMA Surg 2016 Oct 12; Patients injured in rural settings were less likely to be cared for in a trauma center than those injured in urban settings, yet mortality didn’t differ between groups. Several studies have shown worse outcomes for patients with injuries that occur in rural versus urban settings, and have […]
Read MoreRegional Anesthesia & Pain Medicine: September/October 2016 – Volume 41 – Issue 5 – p 619–620 Authors: Matzke, Laura L. MD et al Objective: Erythromelalgia is a rare disorder associated with neuropathic pain that commonly affects the lower extremities. This pain is often refractory to multimodal treatment. Both pharmacologic management and interventional anesthetic blocks have […]
Read MoreUpdated guidelines from the AABB (formerly, American Association of Blood Banks), published in JAMA, recommend a conservative strategy for blood transfusion. The recommendations, an update from the group’s 2012 guidance, are based on an analysis of 31 randomized trials comparing a restrictive strategy (triggered by a hemoglobin concentration 7–8 g/dL) with a liberal strategy (9–10 g/dL). […]
Read MoreArfè A et al., BMJ 2016 Sep 28; 354:i4857 Level of risk varied among nonsteroidal anti-inflammatory drugs. Nonsteroidal anti-inflammatory drugs (NSAIDs) are associated with excess risk for heart failure (HF). In this study, researchers used healthcare databases in four European countries to evaluate the association between NSAID use and hospital admission for HF. Among 7.7 million adults […]
Read MoreInês Furtado, MD Anesthesiology Resident Centro Hospitalar de Lisboa Central Hospital Dona Estefânia Lisbon, Portugal Subglottic stenosis from endotracheal intubation (ETI) is a known iatrogenic complication. This implies difficulties in ventilation and endotracheal intubation for the pediatric age group. The incidence of pediatric patients undergoing ETI is less than 2%, and data on the anesthetic […]
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