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Anesthesia & Analgesia: November 2015 Volume 121 Issue 5 p 1231-1239 Authors: Bender, S. Patrick MD et al BACKGROUND: The use of an intraoperative lung-protective ventilation strategy through tidal volume (TV) size reduction and positive end-expiratory pressure (PEEP) has been increasingly investigated. In this article, we describe the current intraoperative lung-protective ventilation practice patterns and […]
Read MoreAnesthesia & Analgesia: November 2015 Volume 121 Issue 5 p 1308-1315 Authors: Hauber, John A. BS et al BACKGROUND: Administration of dexmedetomidine (DEX) in the pediatric population for its sedative, analgesic, and anxiolytic properties has been widely reported, despite there being no label indication approved by the U.S. Food and Drug Administration for pediatric patients. […]
Read MoreIn carefully selected patients, minimally invasive surgery is enabling physicians to stop strokes in their tracks. As more patients undergo such procedures, physicians are debating the best way to anesthetise them. Should patients be put under general anaesthesia or should they undergo conscious sedation? In the September, 2015 issue of the Journal of Stroke and […]
Read MoreAnesthesia & Analgesia: September 2015 Authors: Grant, Michael C. MD et al BACKGROUND: Research has shown that high-risk surgical patients benefit from a multimodal therapeutic approach to prevent postoperative nausea and vomiting (PONV). Our group sought to investigate the effect of administering IV midazolam on PONV. METHODS: This meta-analysis included 12 randomized controlled trials (n […]
Read MorePatients with spinal stenosis (SS) experienced good short-term benefit, lasting from weeks to months, after receiving epidural steroid injections (ESI), according to a study published in the journal Pain Medicine. The study findings contradict a previously published study, published in 2014 in the New England Journal Medicine (NEJM), which found epidural steroid injections were not […]
Read MoreA World Health Organization (WHO) survey used to measure general disability can accurately gauge the specific challenges that many patients face postoperatively, a multinational team of researchers has reported. The finding is important because there has been no universal way to assess the level of disability that patients may experience postoperatively. Fully 20% of elderly […]
Read MoreAlthough other indices of adiposity have gained momentum in terms of their ability to diagnose children who may develop perioperative respiratory complications, a study from the University of Michigan has found that body mass index (BMI) actually outperforms its competitors. This finding is buoyed by the fact that BMI is easier to calculate than the […]
Read MoreGeneral anesthesia may cause unintended side effects in some infants, studies have found. Regional anesthesia may therefore be the better option. In a study published in Pediatrics (2015;136:e1-e12, doi:10.1542/peds.2014-3526), researchers found that children who received general anesthesia before 4 years of age had a lower IQ, decreased brain matter density and slower language comprehension than a comparator […]
Read MoreAuthors: Mira D Franken; Jan Meulenbelt; Wilton A van Klei; Dylan W de Lange BMC Anesthesiol. 2015;15(65) Background: Non-traumatic coma (NTC) is a serious condition requiring swift medical or surgical decision making upon arrival at the emergency department. Knowledge of the most frequent etiologies of NTC and associated mortality might improve the management of these patients. Here, […]
Read MoreAuthors: Singh S et al., Gastroenterology 2015 Jun 5; Postoperative mortality is higher for emergent versus elective surgery in both ulcerative colitis and Crohn disease. In the current meta-analysis, researchers evaluated postoperative mortality following intestinal resection in patients with inflammatory bowel disease (IBD). Twenty-one studies (18 articles and 3 abstracts) met the search criteria and involved 67,057 […]
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