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Authors: Chu C-C et al., Anesthesiology 2015 May 8; 123:136 In an observational study, regional anesthesia was associated with lower in-hospital mortality and fewer complications. When patients undergo hip-fracture repair, they have the option of general anesthesia or regional (spinal or epidural) anesthesia. In comparative studies, neither of these two approaches has emerged as decisively better than […]
Read MoreAnesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 652–660 Authors: Karan, Suzanne B. MD et al BACKGROUND: Physostigmine, a centrally acting acetylcholinesterase inhibitor, is most commonly used by anesthesiologists in the postanesthetic setting to reverse confusion caused by central anticholinergic medication effects. It has also been proposed as a treatment […]
Read MorePain Med. 2015 Aug;16(8):1610-21 Authors: Vrooman B et al OBJECTIVES: To test the hypotheses that lidocaine 5% patches decrease the severity of acute pain and incidence of persistent incisional pain after robotic cardiac valve surgery. DESIGN: A randomized, placebo-controlled, double-blind trial. SETTING: Tertiary care academic medical center. SUBJECTS: Patients having robotic cardiac valve surgery. METHODS: Patients […]
Read MoreAnesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 556–569 Authors: Law, Lawrence Siu-Chun MD et al BACKGROUND: Paravertebral block (PVB) is a safe and effective anesthetic technique for thoracotomy and mastectomy. However, no systematic review or meta-analysis has focused on PVB for inguinal herniorrhaphy. Our study compares PVB with general […]
Read MoreShane V. Cherry, MD Resident Physician Jackson Memorial Hospital University of Miami Miller School of Medicine Department of Anesthesiology, Perioperative Medicine, and Pain Management Miami, Florida Christian Diez, MD, MBA Assistant Professor of Clinical Anesthesiology University of Miami Miller School of Medicine Department of Anesthesiology, Perioperative Medicine, and Pain Management Miami, Florida The authors did […]
Read MoreResidual neuromuscular block using rocuronium attenuates the acute hypoxic ventilatory response in patients with untreated obstructive sleep apnea (OSA), according to preliminary data from a study presented at Euroanaesthesia 2015, the European Society of Anaesthesiology’s (ESA) annual meeting (abstract 1AP16-4). Historically, of course, OSA has been associated with significant respiratory complications during the postoperative recovery […]
Read MoreAnesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 492–501 Authors: Rozet, Irene MD et al BACKGROUND: The effect of dexmedetomidine on evoked potentials (EPs) has not been elucidated. We aimed to investigate the effect of dexmedetomidine on somatosensory, motor, and visual EPs. METHODS: After IRB approval, 40 adult patients scheduled […]
Read MoreAnesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 479–485 Authors: Subramanyam, Rajeev MBBS, DNB, MNAMS, MD, MS et al BACKGROUND: Dexmedetomidine (Dex) appears to be very effective as a sole sedative for pediatric imaging when used at high doses, but at an increased risk of transient hypertension, hypotension, and bradycardia. […]
Read MoreAnesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 471–478 Authors: Bryskin, Robert B. MD et al BACKGROUND: Transversus abdominis plane block (TAPB) has emerged as a safe and effective regional anesthesia technique for providing postoperative lower abdominal analgesia. Complications associated with TAPB are rare and pose a lower overall risk […]
Read MoreAnesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 465–468 Authors: Goucher, Haley MD et al Intraoperative cell salvage is a strategy to decrease the need for allogeneic blood transfusion. Traditionally, cell salvage has been avoided in the obstetric population because of the perceived risk of amniotic fluid embolism or induction […]
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