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Why 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 […]
Read MoreCan 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 […]
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