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Anesthesia & Analgesia: August 21, 2015 AUTHORS: Yang, Shiming PhD et al BACKGROUND: A noninvasive decision support tool for emergency transfusion would benefit triage and resuscitation. We tested whether 15 minutes of continuous pulse oximetry-derived hemoglobin measurements (SpHb) predict emergency blood transfusion better than conventional oximetry, vital signs, and invasive point-of-admission (POA) laboratory testing. We […]
Read MoreAuthros: A Ram Doo et BMC Surg. 2015;15(11) Background Hypertensive crisis (i.e., systolic blood pressure over 300 mmHg) is very rare during operation except pheochromocytoma, but it can be a fatal and embarrassing to surgeons and anesthesiologists. The right adrenal gland can be electrocauterized during a right hemi-hepatectomy. We report a case of hypertensive crisis […]
Read MoreAuthors: Giuseppe Patti et al Europace. 2015;17(6):855-863. Abstract Aims Statin pretreatment in patients undergoing cardiac surgery is understood to prevent postoperative atrial fibrillation (AF). However, this is based on observational and limited randomized trial evidence, resulting in uncertainty about any genuine anti-arrhythmic benefits of these agents in this setting. We therefore aimed to quantify precisely […]
Read MoreA series of papers published in the British Journal of Anaesthesia detail the differences in the way common anaesthetics affect the brains of older patients and children, findings that could lead to ways of improving monitoring technology and the safety of general anaesthesia for such patients. Recent investigations into the neurobiology underlying the effects of […]
Read MoreAuthors: Daniel Dirkmann et al BMC Anesthesiol. 2015;15(31) Background This multi-centre, prospective, randomized, double-blind, placebo-controlled study was designed to test the hypotheses that parecoxib improves patients’ postoperative analgesia without increasing surgical blood loss following radical open prostatectomy. Methods 105 patients (64 ± 7 years old) were randomized to receive either parecoxib or placebo with concurrent morphine patient […]
Read MoreAuthors: Mehtap Karamese, MD et al ePlasty. 2015;15 Background Following breast reduction procedures, the level of postoperative pain can be severe, and sufficient pain control influences a patient’s physiological, immunological, and psychological status. Objective The aim of this study was to examine the use of intrathecal morphine (ITM) in breast reduction surgery with patient-controlled analgesia […]
Read MoreAuthors: S. Munirama et Br J Anaesth. 2015;114(4):543-545. Anaesthetists provide personalized care. Preoperative assessment guides decision-making, and awareness of risk based on clinical experience allows anaesthesia to be conducted in a way that aims to achieve the best possible clinical outcome for each patient while minimizing side-effects. This traditional approach has led to the use […]
Read MoreWhy Is This Not Part of Our Daily Practice? Authors: D. Benhamou Br J Anaesth. 2015;114(4):545-548. Joint Assessment using Bedside Ultrasonography In 1946, Mendelson[1] showed that pulmonary complications and death could arise in pregnant women because of aspiration of gastric contents. Since then, prevention of aspiration of gastric contents has contributed significantly to a decrease […]
Read MoreAuthors: Matilde Zaballos et al BMC Anesthesiol. 2015;15(60) Background: Smokers undergoing surgery are at a higher risk of complications than non-smokers. Preoperative evaluation by an anesthesiologist could provide an excellent opportunity to promote smoking cessation. Previous surveys of anesthesiologists have found that self-reported smoking cessation counseling rates have room for improvement, but no study has […]
Read MoreAUTHORS: Birnbach D et al; Anesthesia & Analgesia (Jul 2015) BACKGROUND Anesthesiologists may contribute to postoperative infections by means of the transmission of blood and pathogens to the patient and the environment in the operating room (OR). Our primary aims were to determine whether contamination of the IV hub, the anesthesia work area, and the […]
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