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Anesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 645–651 Authors: Van Cleve et al BACKGROUND: The inverse relationship between age and dose requirement for potent volatile anesthetics is well established, but the question of whether anesthetic providers consider this relationship in practice remains unanswered. We sought to determine whether there […]
Read MoreAnesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 601–609 Authors: Tousignant, Claude MD, FRCPC et al Abstract Pulmonary hypertension and associated vascular changes may frequently accompany left-sided heart disease in the adult cardiac surgical population. Perioperative assessment of right ventricular function using echocardiography is well established. In general, understanding the […]
Read MorePain Med 2015 Aug Authors: Claroni C et al OBJECTIVE: Continuous surgical wound infusion with local anesthetics is an effective and widely used technique in postoperative pain management. Some aspects of this technique, however, require further investigation. The aim of this study was to retrospectively assess whether continuous infusion of ropivacaine delays the process of wound healing, […]
Read MorePain Med 2015 Aug Authors: Winegarden Jet al OBJECTIVE: We report a case of opioid-induced neurotoxicity (OIN) in an actively dying hospice patient, its reversal and improved analgesia that followed opioid dosage reduction made possible after addition of IV ketamine. We briefly review the diagnosis and treatment of OIN. SETTING: OIN, particularly when associated with high […]
Read MoreOrphanet J Rare Dis 2015 Aug 4;10:93 Authors: Rosenberg H et al Abstract Malignant hyperthermia (MH) is a pharmacogenetic disorder of skeletal muscle that presents as a hypermetabolic response to potent volatile anesthetic gases such as halothane, sevoflurane, desflurane, isoflurane and the depolarizing muscle relaxant succinylcholine, and rarely, in humans, to stressors such as vigorous exercise and […]
Read MoreMedicine: Jan 2015-Vol 94-Issue 3-p e422 Authors: Lazaro, Reynaldo P. MD Abstract: Complex regional pain syndrome (CRPS) associated with acute carpal tunnel syndrome (aCTS) developed in a 38-year-old right-handed man following radial artery cannulation (RAC) during the course of lumbar spine surgery. Inciting events and risk factors that might have led to these complications included: […]
Read MoreAnesthesia & Analgesia: Aug 2015 Authors: Law, Lawrence Siu-Chun MD et al BACKGROUND: Xenon anesthesia has been studied for decades. However, no meta-analysis of randomized controlled trials (RCTs) on xenon anesthesia has been conducted. The aim of this study was to systematically review all available evidence from RCTs comparing xenon and other inhaled and IV […]
Read MoreAnesthesia & Analgesia: Aug 2015 Authors: Kim, Minjae MD, MS et al BACKGROUND: Acute kidney injury (AKI), acute respiratory failure, and sepsis are distinct but related pathophysiologic processes. We hypothesized that these 3 processes may interact to synergistically increase the risk of short-term perioperative mortality in patients undergoing high-risk intraabdominal general surgery procedures. METHODS: We […]
Read MoreAnesthesia & Analgesia: Aug 2015 Authors: Sathyamoorthy, Madhankumar MBBS et al BACKGROUND: We conducted a retrospective chart review to determine the frequency of stridor and contributing factors after the use of Microcuff(R) and uncuffed tracheal tubes (TTs) in neonates. METHODS: All neonates in our neonatal intensive care unit whose airways were intubated between May 2011 […]
Read MoreAnesthesia & Analgesia: Aug 2015 Authors: Tao, Weike MD et al BACKGROUND: The aim of the study was to assess postdural puncture headache, pain relief, motor blockade, and success rate of conversion to cesarean delivery anesthesia of a 23-gauge spinal catheter (Wiley Spinal(R)) for labor analgesia. METHODS: After insertion of the spinal catheter, intrathecal bupivacaine […]
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