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Anesthesia & Analgesia: July 29, 2016 AUTHORS: Brogi, Etrusca MD et al BACKGROUND: Automated systems can improve the stability of controlled variables and reduce the workload in clinical practice without increasing the risks to patients. We conducted this review and meta-analysis to assess the clinical performance of closed-loop systems compared with manual control. Our primary […]
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 MoreThis is from Outpatient Surgery Magazine If you invested in a surgical robot, you might not be getting the most bang for your buck, according to a study published in The Lancet. The first randomized, controlled trial to directly compare robotic-assisted and conventional open prostatectomies found that both methods delivered similar outcomes at 3 months post-surgery, despite the […]
Read MoreOrthopedic surgeons love what they do and are paid handsomely for it, according to a newly released survey of what nearly 20,000 U.S. physicians earned in 26 specialties between November 2015 and February 2016. Orthopods pulled in an average of $443,000 to beat out cardiologists ($410,000) and dermatologists ($381,000) for the top spot on the earnings […]
Read MoreAuthors: Monique A. Foster, MD et al Introduction On November 26, 2014, the California Department of Public Health (CDPH) contacted CDC concerning a report from the Santa Barbara County Public Health Department (SBPHD) regarding acute hepatitis C virus (HCV) infection in a repeat blood donor. The patient, who was asymptomatic, was first alerted of the […]
Read MoreAuthors: Laurent G. Glance, M.D. et al Anesthesiology published on September 29, 2016 Background: The validity of basing healthcare reimbursement policy on pay-for-performance is grounded in the accuracy of performance measurement. Methods: Monte Carlo simulation was used to examine the accuracy of performance profiling as a function of statistical methodology, case volume, and the extent to which hospital […]
Read MoreEdited by Susan Sadoughi, MD Individual nonsteroidal anti-inflammatory drugs (NSAIDs) are associated with increased risk for heart failure hospitalization, according to a large study in The BMJ. Using electronic health databases from four European countries, researchers identified 7.7 million adults who started taking prescription NSAIDs in 2000–2010. The 92,000 patients who were admitted for heart failure were […]
Read MoreAnesthesia & Analgesia: July 26, 2016 AUTHORS: Grant, Michael C. MD et al BACKGROUND: Nonopioid adjuvant medications are increasingly included among perioperative Enhanced Recovery After Surgery protocols. Preoperative pregabalin has been shown to improve postoperative pain and limit reliance on opioid analgesia. Our group investigated the ability of preoperative pregabalin to also prevent postoperative nausea […]
Read MoreAnesthesia & Analgesia: July 26, 2016 Authors: Petersen, Christian Leth PhD et al BACKGROUND: Recent research and advances in the automation of anesthesia are driving the need to better understand electroencephalogram (EEG)-based anesthesia end points and to test the performance of anesthesia monitors. This effort is currently limited by the need to collect raw EEG […]
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