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Can J Anaesth. 2015 Aug 22. AUTHORS: Lavi S1 et al BACKGROUND: Sevoflurane is an inhalation anesthetic that has cardioprotective effects. There is limited information regarding its use outside of the operating room and its potential protective effect for patients presenting with myocardial infarction. METHODS: In the Sevoflurane In Acute Myocardial Infarction trial, patients […]
Read MoreDavid J. Kim, MD, MS Department of Anesthesia, Critical Care and Pain Medicine Massachusetts General Hospital Harvard Medical School Boston, Massachusetts Epiglottic cysts are rare and constitute only 5% of all benign laryngeal lesions.1 However, the true incidence of epiglottic cysts is unknown as many can be asymptomatic and discovered incidentally during workup of other […]
Read MoreJoseph Loskove, MD Chief of Anesthesia Memorial Healthcare System Hollywood, Florida Patients designated as “difficult to intubate” (DTI) are more at risk for losing their lives during both emergency and routine surgeries. Surprisingly, it is not the difficult airway itself that is most life–threatening; modern medical technology allows anesthesiologists to intubate even the most difficult […]
Read MoreJohn E. Fiadjoe, MD Assistant Professor of Anesthesiology and Critical Care Hospital of the University of Pennsylvania The Children’s Hospital of Philadelphia Philadelphia, Pennsylvania Madhankumar Sathyamoorthy, MBBS, MS Assistant Professor Department of Anesthesiology University of Mississippi Medical Center Jackson, Mississippi Vikram Patel, MD Assistant Professor of Clinical Anesthesiology Division of Pediatric Anesthesiology Vanderbilt University Medical […]
Read MoreWhether a surgeon works the night before performing surgery does not change the risk for adverse outcomes, a new study shows. “These data suggest that calls for broad-based policy shifts in duty hours and practices of attending surgeons may not be necessary at this time,” write Anand Govindarajan, MD, from the Institute for Clinical Evaluative […]
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: Gano D et al., Pediatr Res 2015 Sep 78:323 A significant reduction in composite IQ scores was found at age 3 to 6 years when preterm infants had two or more surgeries before term-equivalent age. There has been growing concern about potential adverse effects of general anesthesia on the developing brain. In a prospective […]
Read MoreAUTHORS: Mathew P, Mathew J; The Cochrane Database of Systematic Reviews 8 CD007082 (Aug 2015) BACKGROUND The laryngeal mask airway (LMA) is a safe and effective modality to maintain the airway for general anaesthesia during surgical procedures. The LMA is removed at the end of surgery and anaesthesia, when the patient maintains an adequate respiratory […]
Read MoreEuropean Journal of Anaesthesiology: September 2015 – Volume 32 – Issue 9 – p 609–614 AUTHORS: Nilsson, Philip M. et al BACKGROUND: Flexible fibreoptic intubation (FOI) is a key element in difficult airway management. Training of FOI skills is an important part of the anaesthesiology curriculum. Simulation-based training has been shown to be effective when […]
Read MoreAuthors: Leonardo Kapural, M.D., Ph.D. et al Anesthesiology 10 2015, Vol.123, 851-860 Background: Current treatments for chronic pain have limited effectiveness and commonly known side effects. Given the prevalence and burden of intractable pain, additional therapeutic approaches are desired. Spinal cord stimulation (SCS) delivered at 10 kHz (as in HF10 therapy) may provide pain relief […]
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