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DG Journal Club Wiebke Falk, Anders Magnuson et al. Br J Anaesth. 2021 May BACKGROUND Thoracic epidural analgesia (TEA) has been suggested to improve survival after curative surgery for colorectal cancer compared with systemic opioid analgesia. The evidence, exclusively based on retrospective studies, is contradictory. METHODS In this prospective, multicentre study, patients scheduled for elective […]
Read MoreRobert Morton, CPHRM, CPPS, Assistant Vice President, Department of Patient Safety and Risk Management The Doctors Company For decades, consent documents have helped protect physicians against the claims of dissatisfied patients. Times have changed, however, and modern medicine requires a more complex and complete acknowledgment of both the patient’s and the physician’s rights and responsibilities […]
Read MoreAuthors: Alexandre Mansour, M.D. et al Anesthesiology May 2021. Background The SAME device (i-SEP, France) is an innovative filtration-based autotransfusion device able to salvage and wash both red blood cells and platelets. This study evaluated the device performances using human whole blood with the hypothesis that the device will be able to salvage platelets while […]
Read MoreDG Journal Club Samantha Sohnen, Oonagh Dowling et al. J Clin Anesth. 2021 May STUDY OBJECTIVE To identify whether adding intrathecal ketamine to intrathecal bupivacaine prolongs the time to first analgesic request in adult humans. DESIGN A meta-analysis of randomized controlled trials in humans. SETTING The majority of data was obtained in an operating room […]
Read MoreDG Journal Club Medha Mohta, Rohit B Chowdhury et al. Anaesth Intensive Care. 2021 May Most research in this field has focused on finding oxytocin doses for initiating uterine contractions. Only limited data are available regarding the optimal rate of oxytocin infusion to maintain adequate uterine tone. This randomised, double blind study included 120 healthy […]
Read MoreAUTHORS: Long, Justin B. MD et al Anesthesia & Analgesia: March 15, 2021 BACKGROUND: We sought to examine potential associations between pediatric postcardiac surgical hematocrit values and postoperative complications or mortality. METHODS: A retrospective, cross-sectional study from the Society of Thoracic Surgeons Congenital Heart Surgery Database (STS-CHSD) and Congenital Cardiac Anesthesia Society Database Module (2014–2019) was […]
Read MoreAUTHORS: Wang, Man-Ling MD et al Anesthesia & Analgesia: March 15, 2021 BACKGROUND: Postoperative delirium is common among older surgical patients and may be associated with anesthetic management during the perioperative period. The aim of this study is to assess whether intravenous midazolam, a short-acting benzodiazepine used frequently as premedication, increased the incidence of postoperative delirium. […]
Read MoreAuthors: Alexander J. Butwick, M.B.B.S., F.R.C.A., M.S. et al Anesthesiology June 2021, Vol. 134, 874–886. Background Risk factors for postpartum hemorrhage, such as chorioamnionitis and multiple gestation, have been identified in previous epidemiologic studies. However, existing data describing the association between gestational age at delivery and postpartum hemorrhage are conflicting. The aim of this study was […]
Read MoreAuthors: Gen Li, M.Stat et al Anesthesiology June 2021, Vol. 134, 862–873. Background Postoperative residual neuromuscular blockade related to nondepolarizing neuromuscular blocking agents may be associated with pulmonary complications. In this study, the authors sought to determine whether sugammadex was associated with a lower risk of postoperative pulmonary complications in comparison with neostigmine. Methods Adult patients […]
Read MoreAUTHORS: Macias, Paul MD, MS, RD et al Anesthesia & Analgesia: March 15, 2021 BACKGROUND: Pregnancy-related cardiovascular physiologic changes increase the likelihood of pulmonary edema, with the risk of fluid extravasating into the pulmonary interstitium being potentially at a maximum during the early postpartum period. Data on the impact of labor and peripartum hemodynamic strain on […]
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