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Authors: Hernández-Hernández M et al Reumatología Clinica (Jun 2016) OBJECTIVES Rheumatoid arthritis (RA) is a chronic inflammatory disease affecting diarthrodial joints, in which patients tend to perform less physical activity (PA) than recommended. This review focuses on the existing evidence about the relationship of PA and RA, specifically how the former influences joint inflammation, […]
Read MoreAuthors: Cook T et al British Journal of Anaesthesia (BJA) 117 (2), 182-90 (Aug 2016) BACKGROUND The 4th National Audit Project of the Royal College of Anaesthetists’ and Difficult Airway Society (NAP4) made recommendations to improve reliability and safety of airway management in hospitals. This survey examines its impact. METHODS A survey was sent to […]
Read MoreRespiratory depression occurs more often and is more severe in patients undergoing gastroenterologist-led colonoscopy than in those attended by an anesthesiologist during gastrointestinal endoscopy, according to a new study. Routine monitoring of tidal volumes and minute ventilation may help prevent respiratory depression in future cases, the researchers found. Monitoring respiratory function during sedation for GI […]
Read MoreUse of neuraxial anesthesia decreases the development of surgical site infections compared with general anesthesia after total joint arthroplasty, a meta-analysis has found. These findings may help support the use of neuraxial techniques in enhanced recovery after surgery (ERAS) pathways. “There are some smaller, observational studies suggesting that if you use spinal or epidural analgesia, […]
Read MoreDaniel J. Pallin, MD, MPH Reviewing Bhat R et al., Am J Emerg Med 2016 Sep 28; A single-center chart review shows that obese patients are at high risk for underdosing. Current recommendations are that succinylcholine and etomidate be dosed according to total body weight (1–1.5 mg/kg and 0.2–0.4 mg/kg, respectively). Investigators reviewed records from a single emergency […]
Read MoreStanley W. Stead, M.D., M.B.A; Sharon K. Merrick, M.S., CCS-P ASA Monitor 10 2016, Vol.80, 58-65. ASA is pleased to present the annual commercial conversion factor survey for 2016. Each summer we anonymously survey anesthesiology practices across the country. We ask them to report up to five of their largest managed care (commercial) contract conversion factors (CF) and […]
Read MoreSarah Gebauer, M.D. ASA Monitor 10 2016, Vol.80, 8-9. Anesthesiologists are uniquely positioned to provide specialist care in pain and symptom management as well as a nuanced perspective of the likely course for critically ill patients. Additionally, the ability to coordinate and balance the often disparate priorities of multiple coworkers, which so routinely occurs in the O.R., […]
Read MoreKilgannon JH et al., Resuscitation 2016 Sep 22; Compression rates of 120–140 per minute increased odds of return of spontaneous circulation relative to the guideline-recommended rate of 100–120. For patients with cardiac arrest, quality cardiopulmonary resuscitation (CPR) should be the first priority for providers. In 2015, American Heart Association/European guidelines changed the recommendation for chest compression rate […]
Read MoreAnesthesiology published on October 6, 2016. Authors: Jukka Kortelainen, M.D., Ph.D. et al Background: Slow waves (less than 1 Hz) are the most important electroencephalogram signatures of nonrapid eye movement sleep. While considered to have a substantial importance in, for example, providing conditions for single-cell rest and preventing long-term neural damage, a disturbance in this neurophysiologic phenomenon […]
Read MoreAnesthesiology published on October 6, 2016 Authors: Thomas Godet, M.D., Ph.D. et al Background: The decision to extubate brain-injured patients with residual impaired consciousness holds a high degree of uncertainty of success. The authors developed a pragmatic clinical score predictive of extubation failure in brain-injured patients. Methods: One hundred and forty brain-injured patients were prospectively included after the […]
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