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A new study suggests that a routine hospital stay can disturb the balance of the microbiome so much that it sets up some older individuals for life-threatening sepsis. Researchers found that older adults are three times more likely to develop sepsis, a systemic catastrophic response to infection, in the first three months after leaving a […]
Read MorePaediatr Anaesth 2015 Oct;25(10):1020-5 AUTHORS: Rosandwr S et al BACKGROUND: Children with attention-deficit hyperactivity disorder (ADHD) may experience pain differently compared to other children, yet the evidence is equivocal regarding whether pain is heightened or dampened. This prospective observational study, therefore, was designed to compare the postoperative pain experiences in children with and without ADHD. METHODS: Children […]
Read MoreAnesthesia & Analgesia: October 2015 – Volume 121 – Issue 4 – p 1001–1010 AUTHORS: Bailey, Kristen M. MSc et al BACKGROUND: The purpose of this study is to compare the effectiveness of a brief preparation intervention for parental presence during induction of anesthesia (PPIA preparation) with a PPIA with standard preparation (PPIA standard). METHODS: […]
Read MoreAnesthesia & Analgesia: October 2015 – Volume 121 – Issue 4 – p 861–867 AUTHORS: Klinger, Rebecca Y. MD, MS et al BACKGROUND: Hypomagnesemia has been associated with an increased risk of postoperative atrial fibrillation (POAF). Although previous studies have suggested a beneficial effect of magnesium (Mg) therapy, almost all of these are limited by […]
Read MoreThe US Food and Drug Administration (FDA) is investigating the “rare but serious” risk for slowed or difficult breathing in children 17 and younger treated with the opioid analgesic tramadol. “This risk may be increased in children treated with tramadol for pain after surgery to remove their tonsils and/or adenoids,” according to a drug safety alert posted […]
Read MorePediatr Emerg Care 2015 Jul 14 AUTHORS: Hopper et al OBJECTIVE: The aim of the study was to explore physician perceptions of the amount of fluid that demonstrates a successful “trial of fluids” (adequate fluid intake) in the emergency department in children who have had insufficient fluid intake at home. METHODS: This is a secondary analysis […]
Read MoreAnesthesiology 2015 Sep;123(3):524-34 AUTHORS: Martini CH et al BACKGROUND: A novel multidimensional index of nociception, the nociception level (NoL) index, derived from the nonlinear composite of heart rate (HR), HR variability, amplitude of the photoplethysmogram, skin conductance, fluctuations in skin conductance, and their time derivatives, was used to assess nociception during anesthesia. METHODS: Seventy-two American Society of […]
Read MoreHospitals and other healthcare facilities should stop using the Symbiq Infusion System manufactured by Hospira because hackers could gain access to the device and give patients life-threatening overdoses or underdoses of drugs, the US Food and Drug Administration (FDA) announced. Hospira has ceased making this line of computerized infusion pumps for unrelated reasons and is […]
Read MoreBMC Anesthesiol. 2015;15(65) Authors: Marlene WB Horsting et al Background Non-traumatic coma (NTC) is a serious condition requiring swift medical or surgical decision making upon arrival at the emergency department. Knowledge of the most frequent etiologies of NTC and associated mortality might improve the management of these patients. Here, we present the results of a systematic literature […]
Read MoreBMC Anesthesiol. 2015;15(64) Authors: Hiroshi Hanamoto et al Background In infants, sevoflurane is commonly used for induction of anesthesia, following which a muscle relaxant is administered to facilitate tracheal intubation. When rocuronium is used as the muscle relaxant, intubation may be performed before reaching an adequate depth of anesthesia because of its rapid onset. The purpose of […]
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