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Anesthesia & Analgesia: August 2015-Volume 121-Issue 2-page 302-318 Authors: Lohser, Jens MD et al Lung injury is the leading cause of death after thoracic surgery. Initially recognized after pneumonectomy, it has since been described after any period of 1-lung ventilation (OLV), even in the absence of lung resection. Overhydration and high tidal volumes were thought […]
Read MoreA study published in PLoS ONE has found that women with fibromyalgia were able to drastically reduce, or even eliminate, their use of pain medication following hyperbaric oxygen treatment. The study authors believe they have also identified the primary factor causing fibromyalgia: the disruption of the brain mechanism for processing pain. “As a physician, the […]
Read MoreA Review of Practice Improvement Initiative Authors: Toby N Weingarten et BMC Anesthesiol. 2015;15(54) Background Our anesthetic practice was hindered by inadequate postanesthesia care unit space resulting in operating room inefficiencies. In response, an anesthetic protocol designed to reduce the duration of postanesthesia stay by decreasing residual anesthetic sedation and postoperative nausea and vomiting (PONV) was introduced. […]
Read MoreWhy Is This Not Part of Our Daily Practice? Author: D. Benhamou Br J Anaesth. 2015;114(4):545-548. In 1946, Mendelson[1] showed that pulmonary complications and death could arise in pregnant women because of aspiration of gastric contents. Since then, prevention of aspiration of gastric contents has contributed significantly to a decrease in maternal deaths. Aspiration of gastric contents […]
Read MoreRestricting residents’ work hours as required by the 2011 Accreditation Council for Graduate Medical Education (ACGME) duty hour reform does not reduce morbidity or mortality of patients across diverse surgical specialties, a new longitudinal study concludes. The results add to reports showing lack of benefit for general surgery patients. “These findings suggest that recent changes […]
Read MoreA Cross-Sectional Study Authors: Matilde Zaballos et al BMC Anesthesiol. 2015;15(60) Background: Smokers undergoing surgery are at a higher risk of complications than non-smokers. Preoperative evaluation by an anesthesiologist could provide an excellent opportunity to promote smoking cessation. Previous surveys of anesthesiologists have found that self-reported smoking cessation counseling rates have room for improvement, but no study […]
Read MoreSource: Cochrane Datavase Syst Rev Author: Mathew P, et al BACKGROUND The laryngeal mask airway (LMA) is a safe and effective modality to maintain the airway for general anaesthesia during surgical procedures. The LMA is removed at the end of surgery and anaesthesia, when the patient maintains an adequate respiratory rate and depth. This removal of […]
Read MoreCarlos R. Degrandi Oliveira, MD, TSA Santa Casa de Misericórdia de Santos Santos, Brazil In the airway management of patients with multiple facial fractures, the tracheal tube in the oral cavity can interfere with the surgical procedure. It is therefore necessary for an alternative path to be used. When the patient does not require a […]
Read MoreThis is copied from Anesthesiology News John Doyle, MD, PhD Chief of General Anesthesiology, Anesthesiology Institute, Cleveland Clinic Abu Dhabi, United Arab Emirates Staff Anesthesiologist at the Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio, where he serves as Professor of Anesthesiology at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University. Dr. Doyle […]
Read MoreCompetent airway management is essential in the performance of safe anesthesia. All anesthetics should be preceded by a focused history of previous airway management and physical examination of the airway.1 The objective of airway assessment is not to determine the presence or absence of various clinical signs; instead, the information gained should be used to identify […]
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