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Published in Paediatr Anaesth. 2015 Jun;25(6):614-20 Authors: Lapmahapaisan S et al BACKGROUND: Transversus abdominis plane (TAP) block is a promising effective method for postoperative pain control after major abdominal surgery. Using a landmark technique, it is easily performed, but its popularity has decreased because of less efficacy due to inaccurate injection and the potential for intraperitoneal […]
Read MoreAmong children undergoing mechanical ventilation for acute respiratory failure, the use of a nurse-implemented, goaldirected sedation protocol compared with usual care did not reduce the duration of mechanical ventilation, according to a study published in JAMA. The study is being released to coincide with its presentation at the Annual Meeting of the Society of Critical […]
Read MoreNew research is challenging what many obstetricians and physician anaesthesiologists believe is the best way to position women during labour. According to a study published in the February issue of the journal Anesthesiology, the traditional practice of positioning women on their side, with hips tilted at 15 degrees, during labour does not effectively reduce compression […]
Read MoreBody temperature decreases during the first hour of surgery, even when patients are actively warmed with forced air, according to a study published in the February issue of the journal Anesthesiology. Furthermore, patients who experience the most hypothermia are more likely to require blood transfusions. “Hypothermia is common during surgery because anaesthetics disrupt normal control […]
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, […]
Read MoreThe number of women dying from overdoses of opioid painkillers increased 5-fold between 1999 and 2010, according to new data released today by the US Centers for Disease Control and Prevention (CDC). The problem of prescription opioid drug overdoses in women is “getting worse and getting worse quickly,” CDC director Tom Frieden, MD, MPH, said […]
Read MorePublished in Ann Emerg Med 2015 Apr 15 Authors: Calver L et al. The FDA’s black box warning about droperidol led to an unfortunate and unwarranted drop in its use; we should bring this safe drug back. In 2001, the FDA issued a warning about droperidol as a potential cause of QT prolongation and torsades de […]
Read MorePublished in BMJ 2015 Mar 24; 350:h1354 Authors: Holst LB et al. And this strategy saves healthcare resources. A growing body of evidence suggests that restrictive red blood cell transfusion strategies are safe. In this systematic review and meta-analysis of 31 randomized trials that involved 9800 patients, researchers compared benefits and harms of restrictive (triggers: hemoglobin, 7–9 […]
Read MorePublished in Anesthesiology 4 2015. doi:10.1097 Authors: Edward J. Mascha, Ph.D 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 30-day […]
Read MorePhysician anesthesiologists can now choose from 36 quality reporting measures when participating in the ASA QCDR, the American Society of Anesthesiologists® (ASA®) Qualified Clinical Data Registry (QCDR). The Centers for Medicare & Medicaid Services (CMS) approved two new Physician Quality Reporting System (PQRS) measures and 16 non-PQRS measures developed by ASA and its affiliated organization, Anesthesia […]
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