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Published in Anesthesiology 4 2015 Authors: Duncan J. McLean, M.B.Ch.B. et al Background: Duration of action increases with repeated administration of neuromuscular-blocking agents, and intraoperative use of high doses of neuromuscular-blocking agent may affect respiratory safety. Methods: In a hospital-based registry study on 48,499 patients who received intermediate-acting neuromuscular-blocking agents, the authors tested the primary hypothesis that neuromuscular-blocking […]
Read MoreFor many women, pregnancy is a wonderful experience. There are, however, many changes and challenges the mom-to-be can expect, and back pain is one of them. The good news for pregnant women is that the development of severe or debilitating low back pain is very rare. The incidence of symptomatic low back pain that is […]
Read MorePublished in Anesthesiology 4 2015 Authors: Vesela P. Kovacheva, M.D., Ph.D. 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 to obtain […]
Read MorePublished in Anesthesiology Newly Published on 4 2015 Authors: Andrew V. Scott, B.S. 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 […]
Read MoreWomen receiving audio-visual biofeedback of the fetal decent during delivery show reductions in the duration of the second stage of labour, as well as lower rates of adverse outcomes, researchers reported here today at The Pregnancy Meeting, the 2015 Annual Meeting of the Society for Maternal-Fetal Medicine (SMFM). The common use of epidurals help reduce […]
Read MorePublished in Pediatr Cardiol. 2015 Feb 8 Authors: Jiang L et al Abstract We hypothesized that postoperative sedation with dexmedetomidine/fentanyl would be effective in infants and neonates with congenital heart disease and pulmonary arterial hypertension (PAH). Children who were <36 months of age, had congenital heart disease with PAH, and had been treated at our hospital between […]
Read MorePublished in Anesthesiology on 4 2015 Authors: Leif Saager, Dr. med et al Background: Postoperative delirium is common in patients recovering from cardiac surgery. Tight glucose control has been shown to reduce mortality and morbidity. Therefore, the authors sought to determine the effect of tight intraoperative glucose control using a hyperinsulinemic–normoglycemic clamp approach on postoperative delirium in […]
Read MorePublished in Anaesthesia 2015 Apr 8 Authors: Ueda K et al. In this randomized, controlled trial of surgery patients, first-attempt radial arterial line placement by anesthesiologists was more successful when guided by ultrasound than palpation or Doppler. The radial artery is traditionally located by palpation, but this can be challenging in patients with hypotension, small-caliber vessels, or […]
Read MorePublished in Intensive Care Med 2015 Apr 14 Authors: Vourc’h M et al. In an unblinded, randomized trial of ICU patients with hypoxemic respiratory failure, high-flow nasal cannula oxygenation did not reduce desaturation during intubation. Despite adequate preoxygenation, desaturation is common during endotracheal intubation in patients with respiratory disease. The use of high-flow nasal cannula oxygenation […]
Read MoreAnalgesia provided following caesarean section delivery at fixed time intervals shows improved efficacy in pain and other outcomes, compared with on-demand analgesia, according to a study presented here at The Pregnancy Meeting, the 2015 Annual Meeting of the Society for Maternal-Fetal Medicine (SMFM). The study involved 187 patients who underwent regional anaesthesia for caesarean section. […]
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