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Restrictions on head covers, sleeves and clothing relaxed Authors: Jason S. Chi, MD After much anticipation, the Association of periOperative Registered Nurses (AORN) published its updated “Guidelines for Surgical Attire” on July 1, 2019.1 The previous version, published in 2014, caused controversy due to its recommendation that bouffant hats be worn instead of skull caps. The […]
Read MoreAUTHORS: Downey, Laura A. MD et al Anesthesia & Analgesia: September 2019 BACKGROUND: Infants undergoing cardiac surgery are at risk for bleeding and massive transfusion due to an immature coagulation system, complex surgeries, and cardiopulmonary bypass (CPB) effects. Hemodilution from CPB promotes an acquired hypofibrinogenemia that results in impaired fibrin formation, inadequate clot formation, and increased bleeding. […]
Read MoreAUTHORS: Shah, Shikhar H. MD, MPH et al Anesthesia & Analgesia: September 2019 BACKGROUND: Ischemic optic neuropathy (ION) is a rare complication of anesthesia and surgery that causes vision loss in spine fusion. We sought to develop a predictive model based on known preoperative risk factors for perioperative ION to guide patient and physician preoperative decision-making. METHODS: In […]
Read MoreAuthors: Sagar Patel, DO and Thomas C. Mort, MD Anesthesiology News Anesthesia providers are often confronted with the management of a “cuff leak” in mechanically ventilated patients in the OR and ICU.1 Certainly, the advantage of the OR environment is that the patient is in a relatively more controlled setting, monitored by health care providers (HCPs) […]
Read MoreUtilization, Success Rates and Trends Author: Thomas C. Mort, MD Anesthesiology News The supraglottic airway device (SAD) has earned a well-regarded position in both anesthesia care and emergency airway management. Its prominent position in various societal algorithms for rescue airway management is testimony to its ubiquitous availability, its relative ease of use, and relatively high […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Common hospital policies that mandate the administration of packed red blood cells (PRBCs) through a dedicated IV catheter may be overly cautious, according to the results of a new study. These policies assume detrimental effects on erythrocyte integrity when crystalloids and certain medications are coadministered. Researchers at the University of […]
Read MoreAuthors: Yvon F. Bryan, MD and Kathleen N. Johnson, BS Introduction Angioedema is a rare condition that results in localized swelling of subcutaneous or submucosal tissue in the oral cavity.1,2 Patients suffering from angioedema may require airway management depending on the degrees of severity and swelling.3 There are different airway management strategies to treat this condition, from […]
Read MoreAUTHORS: Ruetzler, Kurt MD et al Anesthesia & Analgesia: September 2019 BACKGROUND: Perioperative hyperoxia has been recommended by the World Health Organization and the Centers for Disease Control and Prevention for the prevention of surgical site infections. Based on animal studies and physiological concerns, the kidneys and heart may be at risk from hyperoxia. We therefore conducted […]
Read MoreA Multicenter Randomized Clinical Trial Comparing Pectoral Nerves Interfascial Plane (Pectoral Nerves II) Block With Surgical Infiltration AUTHORS: Barrington, Michael J. PhD et al Anesthesia & Analgesia: September 2019 BACKGROUND: Pectoral nerves (PECS II) block is a popular regional analgesia technique for breast surgery. PECS II block or local infiltration by surgeon may improve outcomes including […]
Read MoreAUTHORS: Kim, Doo-Hwan MD et al Anesthesia & Analgesia: September 2019 BACKGROUND: Male patients undergoing transurethral resection of bladder tumors (TURBT) are prone to suffer from catheter-related bladder discomfort (CRBD). Lidocaine administration has been widely performed to reduce postoperative pain. Here, the effect of intravenous lidocaine administration on moderate-to-severe CRBD was evaluated in male patients undergoing TURBT. […]
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