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In 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 MoreHospitals and other healthcare facilities should stop using the Symbiq Infusion System manufactured by Hospira because hackers could gain access to the device and give patients life-threatening overdoses or underdoses of drugs, the US Food and Drug Administration (FDA) announced today. Hospira has ceased making this line of computerized infusion pumps for unrelated reasons and […]
Read MoreMusic played during surgery can interfere with team communication, yet it is seldom recognized as a potential safety hazard, according to the authors of a study published in the August Journal of Advanced Nursing. Sharon-Marie Weldon, RN, senior research officer/nurse from the Department of Cancer and Surgery, Imperial College London, United Kingdom, and colleagues studied […]
Read MoreThe American Nurses Association (ANA) will no longer tolerate violence of any kind against nurses in the workplace, according to a new position statement developed by its Professional Issues Panel on Incivility, Bullying, and Workplace Violence. “Taking this clear and strong position is critical to ensure the safety of patients, nurses and other health care […]
Read MoreDonald M. Voltz, MD Health care depends on the coordination of a great number of activities, communications and data. Anesthesiology sits at a unique intersection within health care, responsible for the coordination of resources from surgeons, primary care physicians and other health care providers. Anesthesiologists are also responsible for the collection of large volumes of […]
Read MoreJ Urol, 2015 Nov;194(5):1209-13. doi: 10.1016/j.juro.2015.05.083. Authors: Xu W et al PURPOSE: Opioids have traditionally been the mainstay of pain management after radical cystectomy for bladder cancer but they have many side effects. The efficacy of opioid sparing analgesics after cystectomy as part of a protocol of enhanced recovery after surgery has yet to be proved. We […]
Read MoreAnaesthesia 2015 Oct;70(10):1186-204. Authors: Doleman B et al Abstract We searched MEDLINE, Embase, CINAHL, AMED and CENTRAL databases until December 2014 and included 133 randomised controlled trials of peri-operative gabapentin vs placebo. Gabapentin reduced mean (95% CI) 24-h morphine-equivalent consumption by 8.44 (7.26-9.62) mg, p < 0.001, whereas more specific reductions in morphine equivalents were predicted (R(2) = 90%, p < 0.001) […]
Read MoreAuthors: Patrick Meybohm et al BMC Anesthesiol. 2015;15(75) Background: Early goal-directed therapy has been endorsed in the guidelines of the Surviving Sepsis Campaign as a key strategy among patients presenting with severe sepsis or septic shock. But more importantly, early goal-directed therapy also became standard care for non-septic critically ill patients and was adopted for high-risk surgical […]
Read MoreAuthors: Igor Zabolotskikh et al BMC Anesthesiol. 2015;15(76) Background: The increased intracranial pressure can significantly complicate the perioperative period in major abdominal surgery, increasing the risk of complications, the length of recovery from the surgery, worsening the outcome. Epidural anesthesia has become a routine component of abdominal surgery, but its use in patients with increased intracranial pressure […]
Read MoreMultiple doses of naloxone may be needed to revive a patient after a fentanyl overdose, given fentanyl’s higher potency compared with other opioids, the CDC advised healthcare providers on Monday. In particular, nonpharmaceutical fentanyl — that is, illegally manufactured fentanyl and its analogs, often mixed with heroin or cocaine — tends to be especially potent. […]
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