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BMC Anesthesiol. 2015;15(80) Authors: Pui Yee Tsui et al Background: Mild hypothermia (34–35 °C) increases perioperative blood loss. Our previous studies showed that desmopressin could have in vitro beneficial effects on hypothermia-induced primary haemostasis impairment. In this study, we investigate the in vitro effects of desmopressin on hypothermia-induced primary haemostasis impairment under the influence of aspirin in healthy volunteers. Methods: Sixty healthy […]
Read MoreAnesthesiology. 2015;123:444-456 Authors: Machi AT, et al Discharge Readiness After Tricompartment Knee Arthroplasty: Adductor Canal Versus Femoral Continuous Nerve Blocks—A Dual-Center, Randomized Trial Study Summary This prospective randomized trial studied patients undergoing primary, unilateral knee arthroplasty to determine whether using a catheter to deliver a continuous adductor canal block reduced the interval until a patient […]
Read MoreMusic played during surgery can interfere with team communication, yet it is seldom recognized as a potential safety hazard, according to the authors of a study published in the August Journal of Advanced Nursing. Sharon-Marie Weldon, RN, senior research officer/nurse from the Department of Cancer and Surgery, Imperial College London, United Kingdom, and colleagues studied video […]
Read MoreMost US adults experience pain, be it mild or severe, brief or long-lasting, a new study shows. The analysis, of data from the 2012 National Health Interview Survey (NHIS), shows that 25.3 million adults (11.2%) have daily pain, and 14.4 million (6.4%) classified their pain at the most severe level. “This report begins to answer […]
Read MoreAnesthesiology 8 2015 Authors: Matthew Baird, PhD Background: Concerns have long existed about potential shortages in the anesthesiologist workforce. In addition, many changes have occurred in the economy, demographics, and the healthcare sector in the last few years, which may impact the workforce. The authors documented workforce trends by region of the United States and gender, trends […]
Read MoreAnesthesiology 10 2015, Vol.123, 775-785 Authors: Mark D. Willingham, MD MCSI et al Background: An intraoperative concurrence of mean arterial pressure less than 75 mmHg, minimum alveolar concentration less than 0.8, and bispectral index less than 45 has been termed a “triple low” state. An association between triple low and postoperative mortality has been reported but was not […]
Read MoreAnesthesiology 9 2015 Authors: Xin Luo PhD et al Background: The optimal oxygen administration strategy during resuscitation from hemorrhagic shock (HS) is still controversial. Improving oxygenation and mitigating oxidative stress simultaneously seem to be contradictory goals. To maximize oxygen delivery while minimizing oxidative damage, the authors proposed the notion of gradually increased oxygen administration (GIOA), which entails making […]
Read MoreAnesthesiology 9 2015 Authors: Maxim A. Terkhov MS et al Background: Estimating surgical risk is critical for perioperative decision making and risk stratification. Current risk-adjustment measures do not integrate dynamic clinical parameters along with baseline patient characteristics, which may allow a more accurate prediction of surgical risk. The goal of this study was to determine whether the […]
Read MoreAnesthesiology 9 2015 Authors: G. Alec Rooke, MD, PhD et al Background: Management of cardiovascular implantable electronic devices (CIEDs), including pacemakers and implantable cardioverter defibrillators, for surgical procedures is challenging due to the increasing number of patients with CIEDs and limited availability of trained providers. At the authors’ institution, a small group of anesthesiologists were trained to […]
Read MoreAuthors: Mascha EJ et al., Anesthesiology 2015 Jul 123:79 Intraoperative hypotension was much more important than intraoperative hypertension or BP variability. Adverse effects of severe hypotension during surgery are quite clear. But what about intraoperative hypertension or marked variability of blood pressure (BP) during surgery? Two studies shed light on this question. A study from six U.S. […]
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