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Conservative oxygen therapy is associated with lower mortality risk in the ICU, according to an open-label study in JAMA presented at the European Society of Intensive Care Medicine’s Annual Congress. Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, FASAM In an Italian hospital, researchers randomized nearly 500 adult ICU patients to conservative or conventional oxygen therapy. […]
Read MoreHealthLeaders Media News, October 5, 2016 A crackdown on a Seattle pill mill has disrupted care for thousands of Medicaid patients. Patients of a network of now-closed pain treatment centers in Seattle have been seeking care in the regions’ emergency rooms, according to data from the Washington state Department of Health. The state has been tracking […]
Read MoreAnesthesiology 10 2016, Vol.125, 716-723 Authors: Yoshinobu Nakayama, M.D., Ph.D. et al Background: The main cause of unsuccessful peripheral radial artery catheterization using traditional palpation is imprecisely locating the arterial center. The authors evaluated factors causing disparities between the arterial centers determined by palpation versusultrasound. The authors applied them to create and test a novel catheterization training program. […]
Read MoreAnesthesiology 10 2016, Vol.125, 690-699. Authors: Maxim A. Terekhov, M.S., M.B.A. et al Background: Whether anesthesia care transitions and provision of short breaks affect patient outcomes remains unclear. Methods: The authors determined the number of anesthesia handovers and breaks during each case for adults admitted between 2005 and 2014, along with age, sex, race, American Society of Anesthesiologists […]
Read MoreAnesthesiology 10 2016, Vol.125, 678-689 Authors: Lukas M. Löffel, M.D. et al Background: Gastrointestinal (GI) complications often delay recovery after radical cystectomy with urinary diversion. The authors investigated if perioperative administration of a potassium-enriched, chloride-depleted 5% glucose solution (G5K) accelerates recovery of GI function. Methods: This randomized, parallel-group, single-center double-blind trial included 44 consecutive patients undergoing radical cystectomy […]
Read MoreAnesthesiology 10 2016, Vol.125, 656-666. Authors: Michael F. Aziz, M.D. et al Background: Multiple attempts at tracheal intubation are associated with mortality, and successful rescue requires a structured plan. However, there remains a paucity of data to guide the choice of intubation rescue technique after failed initial direct laryngoscopy. The authors studied a large perioperative database to […]
Read MoreAnesthesiology 10 2016, Vol.125, 700-715 Authors: Åse Lodenius, M.D., D.E.S.A. et al Background: In contrast to general anesthetics such as propofol, dexmedetomidine when used for sedation has been put forward as a drug with minimal effects on respiration. To obtain a more comprehensive understanding of the regulation of breathing during sedation with dexmedetomidine, the authors compared ventilatory […]
Read MoreEdited by David G. Fairchild, MD, MPH Low-dose hydrocortisone infusion may not prevent progression to septic shock among adults with severe sepsis, according to a JAMA study. Some 380 adults with severe sepsis who were not in septic shock were randomized to receive placebo or hydrocortisone (an initial 50-mg intravenous bolus, followed by a 200-mg continuous infusion daily […]
Read MoreWithout these teamwork qualities, your OR staff’s pre-surgical rundowns may be incomplete. A TEAM WORKS Patient safety depends on communication and respect. Your physicians are the undisputed captains of the surgical ship, but are they totally onboard with patient safety? According to a recent study, that may require them to share leadership with their OR staff. […]
Read MoreAnesthesia & Analgesia: September 2016 – Volume 123 – Issue 3 – p 659–669 AUTHORS: Mongardon, Nicolas MD, MSc et al BACKGROUND: In animal models, whole-body cooling reduces end-organ injury after cardiac arrest and other hypoperfusion states. The benefits of cooling in humans, however, are uncertain, possibly because detrimental effects of prolonged cooling may offset […]
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