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Anesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 451–456 Authors: Peralta, Feyce MD et al BACKGROUND: Unintentional dural puncture is a known risk after epidural or combined spinal–epidural procedures, occurring in approximately 1% of labor epidural catheters placed in parturients with normal body habitus but may be as high as […]
Read MoreAnesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 440–448 Authors: Mort, Thomas C. MD et al BACKGROUND: Tracheal tube exchange is a simple concept but not a simple procedure because hypoxemia, esophageal intubation, and loss of airway may occur with life-threatening ramifications. Combining laryngoscopy with an airway exchange catheter (AEC) […]
Read MoreAnesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 430–436 Authors: Moore, Alex MD et al BACKGROUND: The I-gel™ (IG) supraglottic airway device is a reliable way to establish an airway. Its large ventilation lumen allows for easy passage of an endotracheal tube. With the use of a flexible bronchoscope, the […]
Read MoreAnesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 422–429 Authors: Weingarten, Toby N. MD et al BACKGROUND: The aim of this study was to identify patient and procedural characteristics associated with postoperative respiratory depression or sedation requiring naloxone intervention. METHODS: We identified patients who received naloxone to reverse opioid-induced respiratory […]
Read MoreAnesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 410–421 Authors: Jelacic, Srdjan MD et al BACKGROUND: Many anesthetic drug errors result from vial or syringe swaps. Scanning the barcodes on vials before drug preparation, creating syringe labels that include barcodes, and scanning the syringe label barcodes before drug administration may […]
Read MoreAnesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 404–409 Authors: Ladha, Karim S. MD et al BACKGROUND: Anesthesia-related medication shortages have become increasingly common in the United States. We tested whether a local shortage of pharmacy-prepared ephedrine syringes, replaced by provider-prepared ephedrine, was associated with provider-level changes in ephedrine and […]
Read MoreAnesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 383–391 Authors: Thonnerieux, Magalie MD et al BACKGROUND: Alveolar recruitment maneuvers (ARMs) are known to improve perioperative morbidity but can transiently impact cardiac output (CO). This reproducible hemodynamic perturbation creates a clinical opportunity to test multiple devices during acute changes in CO. […]
Read MoreAnesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 366–372 Authors: Fortier, Louis-Philippe MSc, MD, FRCPC et al BACKGROUND: Postoperative residual neuromuscular blockade (NMB), defined as a train-of-four (TOF) ratio of <0.9, is an established risk factor for critical postoperative respiratory events and increased morbidity. At present, little is known about […]
Read MoreAnesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 357–365 Authors: Short, Timothy G. MBChB, MD, FANZCA et al BACKGROUND: An association between relatively deep anesthesia, as guided by the bispectral index (BIS), and increased postoperative mortality has been demonstrated in 6 of 8 published observational studies, but association does not […]
Read MoreAnesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 373–380 Authors: Tassonyi, Edömér MD, PhD, DSc et al BACKGROUND: Pipecuronium is a steroidal neuromuscular blocking agent. Sugammadex, a relaxant binding γ-cyclodextrin derivative, reverses the effect of rocuronium, vecuronium, and pancuronium. We investigated whether sugammadex reverses moderate pipecuronium-induced neuromuscular blockade (NMB) and […]
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