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An augmented approach to perioperative fluid management of complex surgical patients can lower the risk for postoperative morbidity by up to 29% and reduce health care costs by up to $970 per patient. The projections (Crit Care 2014;18:566) are based on a combination of actual clinical and cost data from the University HealthSystem Consortium (UHC) and […]
Read MorePublished in Int J Gynecol Cancer 2015 Jun;25(5):937-41 Authors: Hutchins J et al OBJECTIVE: We sought to determine the effect of a subcostal transversus abdominis plane (TAP) block with liposomal bupivacaine on postoperative maximal pain score and length of hospital stay among women undergoing robotic-assisted hysterectomy. METHODS: This was a retrospective study comparing patients before and after […]
Read MoreThe marked increase in the prevalence of obesity over the past 20 years has led to an increase in the number of bariatric and nonbariatric surgeries in this population. This in turn makes every anesthesiologist likely to deal with this challenging population. Perioperative targeted and organized assessment and preparation are important to reduce mortality and […]
Read MorePreoperative aspirin administration decreases postoperative acute kidney injury and mortality in patients with chronic kidney disease undergoing cardiac surgery, a study finds. “In previous studies, we found that aspirin pretreatment before surgery reduces perioperative complications and mortality in patients undergoing cardiac surgery,” said Jian-Zhong Sun, MD, PhD, professor of anesthesiology at Thomas Jefferson University, in […]
Read MorePublished in Anesthesiology 7 2015, Vol.123, 136-147. Authors: Chin-Chen Chu, MD, PhD et al Background: The effects of the mode of anesthesia on major adverse postoperative outcomes in geriatric patients are still inconclusive. The authors hypothesized that a neuraxial anesthetic (NA) rather than a general anesthetic (GA) would yield better in-hospital postoperative outcomes for geriatric patients undergoing […]
Read MorePublished in Anesthesiology 7 2015, Vol.123, 116-125. Authors: Andrew V. Scott BS et al Background: In an effort to measure and improve the quality of perioperative care, the Surgical Care Improvement Project (SCIP) was introduced in 2003. The SCIP guidelines are evidence-based process measures designed to reduce preventable morbidity, but it remains to be determined whether SCIP-measure […]
Read MorePublished in Anesthesiology 7 2015, Vol.123, 92-100 Authors: Vesela P. Kovacheva, MD, PhD et al Background: The administration of uterotonic agents during cesarean delivery is highly variable. The authors hypothesized a “rule of threes” algorithm, featuring oxytocin 3 IU, timed uterine tone evaluations, and a systematic approach to alternative uterotonic agents, would reduce the oxytocin dose required […]
Read MorePublished in Anesthesiology 7 2015, Vol.123, 79-91. Authors: Edward J. Mascha PhD et al Background: Little is known about the relationship between intraoperative blood pressure variability and mortality after noncardiac surgery. Therefore, the authors tested the hypothesis that blood pressure variability, independent from absolute blood pressure, is associated with increased 30-day mortality. Methods: Baseline and intraoperative variables plus […]
Read MorePublished in Anesthesiology 7 2015, Vol.123, 126-135. Authors: John R. Feiner, MD et al Background: Transfusion-related acute lung injury incidence remains the leading cause of posttransfusion mortality. The etiology may be related to leukocyte antibodies or biologically active compounds in transfused plasma, injuring susceptible recipient’s lungs. The authors have hypothesized that transfusion could have less severe effects […]
Read MorePublished in Anesthesiology 7 2015, Vol.123, 38-54 Authors: Andrew J. Davidson, MD et al Background: Postoperative apnea is a complication in young infants. Awake regional anesthesia (RA) may reduce the risk; however, the evidence is weak. The General Anesthesia compared to Spinal anesthesia study is a randomized, controlled trial designed to assess the influence of general […]
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