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Authors: Hagen Bomberg, M.D. et al Anesthesiology 9 2016, Vol.125, 505-515. Background: Catheter-related infection is a serious complication of continuous regional anesthesia. The authors tested the hypothesis that single-dose antibiotic prophylaxis is associated with a lower incidence of catheter-related infections. Methods: Our analysis was based on cases in the 25-center German Network for Regional Anesthesia database recorded […]
Read MoreAuthors: Brian S. Rothman, M.D. et al Anesthesiology 9 2016, Vol.125, 484-494. Background: “Wrong surgery” is defined as wrong site, wrong operation, or wrong patient, with estimated incidence up to 1 per 5,000 cases. Responding to national attention on wrong surgery, our objective was to create a care redesign intervention to minimize the rate of wrong […]
Read MoreAuthors: Pauline Dureau, M.D. et al Commentary: Lipid Emulsion in Local Anesthetic Toxicity: Long-winded, Rude, and Right Anesthesiology 9 2016, Vol.125, 474-483. Background: Rapid intravenous administration of lipid emulsion has become the standard treatment of severe local anesthetic systemic toxicity. This experiment in volunteers aimed at determining the effect of Intralipid® administration on the time to neurologic symptoms. […]
Read MoreAuthors: J. Lance Lichtor, M.D. et al Anesthesiology 6 2016, Vol.124, 1404-1407. Due to the potentially unforgiving nature of epiglottitis and supraglottitis, the clinician should have a firm understanding of the presentation, work up, and management of a patient presenting with worrisome symptoms. George Washington, the United States’ first president, 2 yr after leaving office on […]
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Read MoreAuthors: Shay P. McGuinness, M.B.Ch.B. et al Commentary: Oxygen Therapy: When Is Too Much Too Much? Anesthesiology 9 2016, Vol.125, 465-473. doi:10.1097/ALN.0000000000001226 Background: Cardiac surgery utilizing cardiopulmonary bypass (CPB) is one of the most common forms of major surgery. Cardiac surgery–associated multiorgan dysfunction (CSA-MOD) is well recognized and includes acute kidney injury (AKI), hepatic impairment, myocardial damage, […]
Read MoreAuthors: Daniel S. Rubin, M.D. et al Commentary: Good News: But Why Is the Incidence of Postoperative Ischemic Optic Neuropathy Falling? Anesthesiology 9 2016, Vol.125, 457-464. Background: Perioperative ischemic optic neuropathy (ION) causes visual loss in spinal fusion. Previous case–control studies are limited by study size and lack of a random sample. The purpose of this study was […]
Read MoreAuthors: Martyn Harvey, M.D., F.A.C.E.M. et al Commentary: Effect of Intralipid® on the Dose of Ropivacaine or Levobupivacaine Tolerated by Volunteers: A Clinical and Pharmacokinetic Study Anesthesiology 9 2016, Vol.125, 451-453. LORD Cyril Asquith, son of a British Prime Minister, and himself an English Law Lord, once remarked “A Judge of the first instance should be […]
Read MoreAuthor: Michael M. Todd, M.D. Commentary: Perioperative Visual Loss in Spine Fusion Surgery: Ischemic Optic Neuropathy in the United States from 1998 to 2012 in the Nationwide Inpatient Sample Anesthesiology 9 2016, Vol.125, 445-448. THE first description of postoperative visual loss (POVL) in Medline is from 1950. Cases appeared sporadically over the next 30 to 40 yr, mostly […]
Read MoreCommentary: A Multicenter, Randomized, Controlled Phase IIb Trial of Avoidance of Hyperoxemia during Cardiopulmonary Bypass Authors: Shahzad Shaefi, M.D. et al Anesthesiology 9 2016, Vol.125, 449-450. THERE are approximately 300,000 cardiac surgical procedures annually utilizing cardiopulmonary bypass (CPB) in the United States. The delivery of oxygen has been a cornerstone of anesthesia practice, with titration of oxygen therapy to […]
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