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Published in Crit Care Med. 2015;43(1):194-204. Authors: Jing Lan Mu et Objectives Postcardiac surgery delirium is associated with increased risks of morbidity, cognitive decline, poor health-related quality of life and mortality, and higher healthcare costs. We performed a systematic review of randomized controlled trials to examine the effect of pharmacologic agents for the prevention and the treatment […]
Read MorePublished in BMC Anesthesiol. 2014;14(83) Authors: Francisco Esteve et al Background The arterial partial pressure of O2 and the fraction of inspired oxygen (PaO2/FiO2) ratio is widely used in ICUs as an indicator of oxygenation status. Although cardiac surgery and ICU scores can predict mortality, during the first hours after cardiac surgery few instruments are available to […]
Read MorePublished in Anesthesiology 5 2015 Authors: Jonne Doorduin, M.Sc. et al Background: In patients with acute respiratory distress syndrome (ARDS), the use of assisted mechanical ventilation is a subject of debate. Assisted ventilation has benefits over controlled ventilation, such as preserved diaphragm function and improved oxygenation. Therefore, higher level of “patient control” of ventilator assist may be […]
Read MorePhysicians would prescribe opioids less often to patients at high risk for abuse if they had information that could help them identify these patients, a new study shows. “It seemed to help simplify the decision making process,” said Alison Vargovich, PhD, from the Cleveland Clinic in Ohio. Dr Vargovich presented the finding here at the […]
Read MorePublished in Anesthesiology 5 2015 Authors: Shihab U. Ahmed, MBBS et al Background: Neuropathic pain is a condition resulting from injury to the peripheral and/or central nervous system. Despite extensive research over the last several decades, neuropathic pain remains difficult to manage. Methods: The authors conducted a randomized, placebo-controlled, double-blinded, and crossover clinical trial to examine the effect […]
Read MorePublished in Anesthesiology on 5 2015 Authors: John R. Feiner, M.D. 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 that […]
Read MoreAuthors: Chin-Chen Chu, M.D., Ph.D. et al Published in Anesthesiology 5 20150. Background: The effects of the mode of anesthesia on major adverse postoperative outcomes in geriatric patients are still inclusive. 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 hip surgery. […]
Read MorePregnant women face no greater morbidity or mortality risk from general surgery than nonpregnant women, according to a retrospective study in JAMA Surgery. Using a national surgical database, U.S. researchers matched some 2500 pregnant women who underwent nonobstetric operations with 2500 nonpregnant women undergoing similar procedures. Over 60 preoperative characteristics were used for matching. The […]
Read MorePublished in Anesthesiology 4 2015. Authors: Emine Ozgur Bayman, Ph.D. et al Background: Periodic assessment of performance by anesthesiologists is required by The Joint Commission Ongoing Professional Performance Evaluation program. Methods: The metrics used in this study were the (1) measurement of blood pressure and (2) oxygen saturation (Spo2) either before or less than 5 min after anesthesia […]
Read MorePublished in Anesthesiology 4 2015. Authors: Léonie F. Kerper, Ph.D. et al Background: The stepped care program Bridging Intervention in Anesthesiology (BRIA) aims at motivating and supporting surgical patients with comorbid mental disorders to engage in psychosocial mental healthcare options. This study examined the efficacy of BRIA. Methods: This randomized, parallel-group, open-label, controlled trial was conducted in the […]
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