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Authors: Kocjancic ST et al., Resuscitation 2014 Jul 7; Although intensified postresuscitation care was associated with improved outcome overall, in patients with shockable rhythms, early PCI was the only advanced intervention that was independently associated with improved outcome. Using a cardiac arrest registry in Slovenia, researchers compared outcomes between comatose survivors of nontraumatic cardiac arrest […]
Read MoreAuthors: Hashimoto Y et al., Anaesthesia 2014 Aug 69:878 Both insertion and ventilation with the i-gel are more successful without cricoid pressure. To determine whether cricoid pressure affects placement or effectiveness of ventilation with the i-gel supraglottic airway device, researchers conducted a randomized crossover study of 40 healthy adults undergoing elective surgery. In each patient, […]
Read MoreThis was a lecture from the ASA national meeting. Complications in treating obese patients were discussed Sunday in “Evidence-Informed Anesthesia for the Severely Obese: Example Obstetrics and Gynecology – Does It Exist?” Three presentations looked at challenges during childbirth, the effect of using higher doses of drugs based on weight and the respiratory physiology of […]
Read MoreThis was presented as a lecture at the ASA national meeting. Neuropathic pain is one of the most complex and difficult management challenges physician anesthesiologists face. Hundreds of distinct neuropathic pain syndromes have been documented and many are refractory to multiple treatments. “Neuropathic pain affects 18 percent of the general U.S. population,” said Jianguo Cheng, […]
Read MoreThis was a lecture from the ASA national meeting. Ready or not, physician anesthesiologists need to start recording and sending their clinical data to the Centers for Medicare & Medicaid Services (CMS) in 2015 to be reimbursed for their services by Medicare, Medicaid and other payers. The Anesthesia Quality Institute (AQI) stands ready to help […]
Read MoreThis was a lecture from the ASA national meeting. Deciding how to approach an airway should be a straightforward question. The ASA Difficult Airway Algorithm (DAA) lays out a step-by-step approach for awake intubation, Box A, or airway control after induction of anesthesia, Box B. But how does the physician anesthesiologist decide where to begin? […]
Read MoreThis was a lecture from the ASA national meeting; What will be your job in 10 years? That was the practical question at the heart of the ANESTHESIOLOGY™ 2014 annual meeting Opening Session yesterday. Change is coming to anesthesiology, and physician anesthesiologists are poised to lead the way in implementing the Perioperative Surgical Home model […]
Read MoreThe aviation industry has an admirable safety record built on simulation training and the use of manuals and checklists to reduce errors. Anesthesiology is following suit through the development of cognitive aids, which David M. Gaba, M.D., discussed during yesterday’s Pierce Lecture at the national ASA meeting. “Human memory and computation is a limited resource, […]
Read MoreIn order for a company to succeed as a whole, its managers need to help their individual employees succeed by effectively managing their performance. All managers can benefit from these reminders: Managers’ attitude matters The attitude of managers is critical managers must have a mindset for the employee to win. The goal is to evaluate […]
Read MorePublished in J Clin Anesth Author(s): Olanders K et al Treatments discussed: betamethasone, ketobemidone, ondansetron STUDY OBJECTIVE: To investigate whether betamethasone decreases the incidence of postoperative nausea/vomiting (PONV) and reduces postoperative pain following partial mastectomy. DESIGN: Prospective randomized, double-blinded study. SETTING: Operating room and Postanesthesia Care Unit of a university hospital. PATIENTS: 80 ASA physical […]
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