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The I-Gel (Intersurgical) and LMA-Supreme (Teleflex) supraglottic airway devices demonstrate comparable value in the intubation of paralysed patients undergoing general anaesthesia, according to results of a study presented here at the 2014 Annual Meeting of the Canadian Anesthesiologists’ Society (CAS). Presentation title: Randomized Prospective Trial Comparing Two Supraglottic Airway Devices: I-Gel™ and LMA-Supreme™ in Paralyzed […]
Read MoreUse of high spinal anaesthesia in cardiac surgery improves the quality of postoperative recovery and, anecdotally, patient comfort, according to results of a retrospective study presented here at the 2014 Annual Meeting of the Canadian Anesthesiologists’ Society (CAS). Presentation title: Perioperative Outcomes of High Spinal Anesthesia for Cardiac Surgery. Abstract 3725 No benefits were apparent […]
Read MorePositive airway pressure (PAP) does not increase the risk of morbidity or mortality and can be safely used to treat obstructive sleep apnoea (OSA) in patients undergoing noncardiac surgery, according to a study presented here at the 2014 Annual Meeting of the Canadian Anesthesiologists’ Society (CAS). Presentation title: Obstructive Sleep Apnea and 30 Day Postoperative […]
Read MoreEpidural volume extension does not provide superior analgesia with a combined spinal-epidural technique for women in labour, according to a study presented here at the 2014 Annual Meeting of the Canadian Anesthesiologists’ Society (CAS). Presentation title: A Randomized Controlled Trial of Epidural Volume Extension During a Combined Spinal-Epidural Technique for Labour Analgesia. Abstract 38998 Epidural […]
Read MorePublished in Aging Clin Exp Res. 2014 May 25 Authors: Jacobson SA et al BACKGROUND: Fibromyalgia (FM) has been understudied in the elderly population, a group with particular vulnerabilities to pain, reduced mobility, and sleep disruption. AIMS: To characterize FM symptoms and treatments in a cohort of older subjects examined over time to determine the […]
Read MorePublished in Br J Anaesth. 2014 Jun;112(6):991-1004 Authors: Fletcher D et al BACKGROUND: Opioids can increase sensitivity to noxious stimuli and cause opioid-induced hyperalgesia. We performed a systematic review to evaluate the clinical consequences of intra-operative doses of opioid. METHODS: We identified randomized controlled trials which compared intra-operative opioid to lower doses or placebo in […]
Read MorePublished in Anesth Analg. 2014 May;118(5):981-6 Authors: Short TG et al BACKGROUND: Deep general anesthesia has been associated with increased mortality in 5 observational studies. The association may be causal or an epiphenomenon due to increased anesthetic sensitivity in high-risk patients. We conducted a pilot study to assess the feasibility of performing a definitive randomized […]
Read MoreAuthors: Kim HC et al., Anaesthesia 2014 Apr 28; A 90° rotation increases first-pass success and decreases insertion time. The i-gel is a supraglottic device with a soft, noninflatable cuff. Although insertion is usually successful, it sometimes fails because of tongue folding. Previous studies have shown that a rotational technique during insertion improves first-pass success […]
Read MoreAuthors: Sutton RM et al., Resuscitation 2014 May 16; Compliance with the 2010 pediatric resuscitation guidelines portended better rates of return of spontaneous circulation and 24-hour survival for pediatric patients with in-hospital arrest. Higher quality of cardiopulmonary resuscitation (CPR) in adults has been shown to be associated with improved survival to discharge, but measuring CPR […]
Read MoreAuthors: Hoshijima H et al., Anaesthesia 2014 May 13; A meta-analysis showed superior laryngeal view with the Pentax AWS but no other differences in performance. To compare performance of the Pentax Airway Scope (AWS) video laryngoscope and the Macintosh direct laryngoscope, researchers performed a meta-analysis of 17 randomized, controlled trials involving 1800 adults undergoing oral […]
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