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Authors: Karthik Raghunathan, M.D., M.P.H. et al Anesthesiology 9 2015 Background: Currently, guidelines recommend initial resuscitation with intravenous (IV) crystalloids during severe sepsis/septic shock. Albumin is suggested as an alternative. However, fluid mixtures are often used in practice, and it is unclear whether the specific mixture of IV fluids used impacts outcomes. The objective of this study […]
Read MoreAuthors: Drake-Brockman TF et al., Anaesthesia 2015 Sep 10; In anesthetized spontaneously breathing children, leakage volume was greater, device dislodgement was more common, and first-attempt insertion success was lower with the i-gel. The i-gel is an extraglottic device with a noninflatable cuff made of a flexible gelatinous material. The PRO-Breathe is a silicone-based standard laryngeal mask airway […]
Read MoreAuthors: Hillenn Cruz Eng, M.D. et al Anesthesiology 9 2015 Background: Common standard practice after complex arthroscopic elbow surgery includes hospital admission for 72 h. The authors hypothesized that an expedited care pathway, with 24 h of hospital admission and ambulatory brachial plexus analgesia and continuous passive motion at home, results in equivalent elbow range of motion […]
Read MoreAuthors: Kelly A. Pollak, M.D. Anesthesiology 9 2015 Background: The authors examined changes in the frequency of pain medicine malpractice claims and associated treatment modalities and outcomes over time. Methods: The authors analyzed trends in pain medicine claims from 1980 to 2012 in the Anesthesia Closed Claims Project database by binary logistic regression on year of event. Pain […]
Read MoreAuthors: Shona Kalkman, M.D. et al Anesthesiology 9 2015. Automatic suspension of do-not-resuscitate (DNR) orders during general anesthesia does not sufficiently address a patient’s right to self-determination and is a practice still observed among anesthesiologists today. To provide an evidence base for ethical management of DNR orders during anesthesia and surgery, the authors performed a systematic […]
Read MoreAuthors: Atif Shafqat, M.B.B.S., D.A., M.Sc., M.R.C.A., Ph.D. et al Anesthesiology 9 2015 Background:: Visuospatial ability correlates positively with novice performance of simple laparoscopic tasks. The aims of this study were to identify whether visuospatial ability could predict technical performance of an ultrasound-guided needle task by novice operators and to describe how emotional state, intelligence, and fear […]
Read MoreSubclavian-vein catheterization was linked with a lower risk of bloodstream infection and symptomatic thrombosis, but a higher risk of pneumothorax, versus jugular vein or femoral vein catheterization, French researchers reported. In a comparison of insertion sites among more than 3,000 randomized ICU patients, the risk of blood infection or thrombosis was lowest for subclavian catheters […]
Read MoreAuthors: Schmidt M et al., Eur Heart J 2015 Sep 1; 36:2246 An internationally derived pre-ECMO risk model appears clinically useful. Extracorporeal membrane oxygenation (ECMO) is an effective treatment option in refractory, yet potentially reversible, cardiogenic shock. Because of its high rates of severe complications and high costs, patient selection on the basis of a predictive survival […]
Read MoreA&A Case Reports: 1 August 2015 – Volume 5 – Issue 3 – p 33–35 Authors: Torres, Arturo G. MD Abstract A healthy, active duty military 25-year-old female with a history of congenital complete heart block presented for a routine septorhinoplasty. During the preoperative interview, she did not disclose her heart condition. A preordered electrocardiogram […]
Read MoreThe Cochrane Database of Systematic Reviews 8 CD007082 Aug 2015 Authors: Mathew P et al 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 […]
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