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AUTHORS: Tyagi, Asha MD et al Anesthesia & Analgesia: September 1, 2021 BACKGROUND: Oxytocin administration during cesarean delivery is the first-line therapy for the prevention of uterine atony. Patients with preeclampsia may receive magnesium sulfate, a drug with known tocolytic effects, for seizure prophylaxis. However, no study has evaluated the minimum effective dose of oxytocin during […]
Read MoreAUTHORS: Wanat-Hawthorne, Alycia MD et al Anesthesia & Analgesia: August 20, 2021 BACKGROUND: Heparin-induced thrombocytopenia (HIT) is an immune-mediated adverse reaction to heparin. Patients undergoing cardiac surgery with cardiopulmonary bypass (CPB) are routinely anticoagulated with heparin before the initiation of bypass. Heparin is contraindicated, however, in patients with acute HIT, and alternatives to routine practice are […]
Read MoreAUTHORS: Firth, Paul G. MBChB, BA et al Anesthesia & Analgesia: August 20, 2021 BACKGROUND: The health care systems of low-income countries have severely limited capacity to treat surgical diseases and conditions. There is limited information about which hospital mortality outcomes are suitable metrics in these settings. METHODS: We did a 1-year observational cohort study of […]
Read MoreAuthors: Raphaël Cinotti, M.D., Ph.D. et al Anesthesiology December 2018, Vol. 129, 1111–1120. Background Craniotomy for brain tumor displays significant morbidity and mortality, and no score is available to discriminate high-risk patients. Our objective was to validate a prediction score for postoperative neurosurgical complications in this setting. Methods Creation of a score in a learning […]
Read MoreAuthors: Elizabeth M. Rickerson, MD; Rebecca A. Aslakson, MD, PhD, FAAHPM, FCCM ASA Monitor October 2021, Vol. 85, 41–42. Though frequently and incorrectly conflated with hospice or end-of-life care, palliative care is comprehensive, interprofessional care with the goal of improving the quality of life for seriously ill patients and their family members, regardless of diagnosis […]
Read MoreAuthors: Riku A. Palanne, M.D. et al Anesthesiology October 2021, Vol. 135, 699–710. Background Persistent postsurgical pain after total knee arthroplasty is a common problem and a major reason for patient dissatisfaction. This secondary analysis aimed to investigate the effects of anesthesia (spinal vs. general) and tourniquet use on persistent pain after total knee arthroplasty. Methods In […]
Read MoreAuthors: T. Wesley Templeton, M.D. et al Anesthesiology September 2021. Background One-lung ventilation in children remains a specialized practice with low case numbers even at tertiary centers, preventing an assessment of best practices. The authors hypothesized that certain case factors may be associated with a higher risk of intraprocedural hypoxemia in children undergoing thoracic surgery […]
Read MoreAuthors: Allyson Tank, M.D. et al Anesthesiology September 2021 Background Preoperative resting echocardiography is often performed before noncardiac surgery, but indications for preoperative resting echocardiography are limited. This study aimed to investigate appropriateness of preoperative resting echocardiography using the Appropriate Use Criteria for Echocardiography, which encompass indications from the guidelines on perioperative cardiovascular evaluation and […]
Read MoreAuthors: Farahnaz Rayatdoost, M.Sc. et al Anesthesiology October 2021, Vol. 135, 673–685. Background Life-threatening bleeding requires prompt reversal of the anticoagulant effects of factor Xa inhibitors. This study investigated the effectiveness of four-factor prothrombin complex concentrate in treating trauma-related hemorrhage with rivaroxaban-anticoagulation in a pig polytrauma model. This study also tested the hypothesis that the […]
Read MoreAuthors: Adjoa Boateng, MD, MPH; Vivek K. Moitra, MD, MHA, FCCM ASA Monitor October 2021, Vol. 85, 38–40. While critical care medicine has been a recognized and valuable subspeciality of anesthesiology for many years and the scope of practice has expanded, in many respects the recent COVID-19 pandemic has accelerated its transformation. Until recently, and for […]
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