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Authors: Ahmed Hasanin et al BMC Anesthesiology volume 19, Article number: 197 (2019) Background Phenylephrine is the most commonly used vasopressor for prophylaxis against maternal hypotension during cesarean delivery; however, the best regimen for its administration is not well established. Although variable infusion protocols had been suggested for phenylephrine infusion, evidence-based evaluation of variable infusion regimens are lacking. The aim […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Oral airways, which are used around the world an estimated 350 million times annually and often in challenging situations, are a ubiquitous part of anesthesia practice. Yet as a retired professor from the Emory University School of Medicine explained, current airways have drawbacks as they are not designed to hold […]
Read MoreAnesthesiology News The Frost Series #352 Written by: Michael Goldenberg Case Presentation A 49-year-old, 95-kg man presented for a total thyroidectomy and radical neck dissection due to a cancerous goiter. His medical history was significant for hypertension treated with beta-blockers, and type 2 diabetes mellitus. General anesthesia was induced with fentanyl, propofol, and succinylcholine. Endotracheal […]
Read MoreAuthor: Lauren Berkow, MD, FASA Anesthesiology News Introduction Endotracheal intubation and extubation are procedures routinely performed by anesthesiologists and intensive care physicians. The majority of the time, extubation is a planned event. Even when planned, the rate of complications related to extubation have been reported in the literature to be as high as 12%.1,2 Incidents of […]
Read MoreAuthors: Agusala V et al. Resuscitation 2019 Aug Even at very high levels, neither initial nor peak troponin predicted left ventricular dysfunction, ischemic etiology of cardiac arrest, or survival. Guidelines recommend early coronary angiography for survivors of cardiac arrest, but identifying the patients who may benefit most, or not at all, is challenging. Although troponin is […]
Read MoreAuthors: Duval S et al. JAMA Cardiol 2019 Aug 14 Compression at a rate of 86 to 129 per minute and depth of 3.8 to 5.6 cm was associated with higher survival to discharge. Adult cardiac arrest guidelines recommend delivery of chest compressions at a rate of 100 to 120 per minute and a depth of […]
Read MoreAUTHORS: Hui, Yin MD et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1699-1706 BACKGROUND: Older people with frailty have decreased postoperative survival. Understanding how comorbidities modify the association between frailty and survival could improve risk stratification and guide development of interventions. Therefore, we evaluated whether the concurrent presence of […]
Read MoreAUTHORS: Bombardieri, Anna Maria MD, PhD et al Anesthesia & Analgesia: November 2019 – Volume 129 – Issue 5 – p 1291-1297 BACKGROUND: Unintended intraoperative awareness with recall (AWR) is a potential complication of general anesthesia. Patients typically report recollections of (1) hearing sounds or conversations, (2) being unable to breathe or move, (3), feeling pain, […]
Read MoreAUTHORS: Karamnov, Sergey MD et al Anesthesia & Analgesia: August 2019 BACKGROUND: Currently available 2-dimensional (2D) echocardiographic methods for accurately assessing the mitral valve orifice area (MVA) after mitral valve repair (MVr) are limited due to its complex 3-dimensional (3D) geometry. We compared repaired MVAs obtained with commonly used 2D and 3D echocardiographic methods to a 3D […]
Read MoreAuthor: Michael Vlessides Anesthesiology News A modified STOP-Bang algorithm designed specifically to detect severe cases of obstructive sleep apnea (OSA) does not seem to offer significant improvement over the questionnaire’s original approach, Belgian researchers have concluded. The investigators also found that the DES-OSA score is the best of the commonly used OSA scales when it […]
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