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Authors: Winther‐Olesen et al Anaesthesiologica Scandinavica Nov 2019 Background Acute kidney injury (AKI) is associated with increased morbidity and mortality and may present as oliguria in the postoperative phase. Diuretics including furosemide are commonly used in postoperative patients. Accordingly, we aimed to assess thebalance between benefits and harms of furosemide postoperativelyin adult surgical patients. Methods […]
Read MoreAuthors: Panza JA et al. N Engl J Med 2019 Aug 22 In a 10-year follow-up, myocardial viability does not predict benefit from revascularization or mortality. We cardiologists have long lived with the idea that the assessment of myocardial viability should inform decisions about revascularization, particularly in patients with ischemic cardiomyopathy, but some studies have questioned […]
Read MoreAuthors: S. Shinde et al Anaesthesia Peri-Operative medicine, critical care and pain Nov 2019 These guidelines are dedicated to all colleagues who have ended their lives so tragically, whatever the circumstances. This is a consensus document produced by expert members of a Working Party established by the Association of Anaesthetists. It has been seen and approved […]
Read MoreI wanted to share with our readers since nationwide 56% of anesthesiologists are over the age of 55 and 80% are over 45. Medical News Today New research over a 28-year follow-up period finds significant evidence that frequent social contact at the age of 60 can lower the risk of developing dementia later on. The […]
Read MoreAuthors: Josiah D. McCain, MD et al GIE Gastrointestinal Endoscopy Nov 2019 Background and Aims The administration of intravenous conscious sedation to patients undergoing GI endoscopy carries risk of cardiopulmonary adverse events. Our study aim was to create a score that stratifies risk of occurrence of either high-dose conscious sedation requirements or a failed procedure. […]
Read MoreAuthor: Rishi RK.MD A “deep” extubation refers to removing an endotracheal tube (ETT) or laryngeal mask airway (LMA) while the patient is still under anesthesia and his/her airway reflexes (ie, gag) have not returned. Although there are no absolute indications for deep extubation, it’s often performed in pediatric anesthesia as well as adult neurosurgery and […]
Read MoreAuthors: Johnston KC et al. JAMA 2019 Jul 23 A randomized trial finds no benefit with intensive glucose control. About 40% of patients with acute ischemic stroke have hyperglycemia. Previous studies have linked hyperglycemia with worse outcomes, including increased infarct growth and higher rates of hemorrhagic transformation. Whether aggressive treatment of hyperglycemia improves outcomes following ischemic […]
Read MoreAuthor Allison Lee et al International Journal of Obstetric Anesthesia Highlights •Avoiding neuraxial opioids for labor analgesia may be warranted in some patients. •Epidural clonidine was not superior to fentanyl for breakthrough labor pain. •Epidural clonidine and fentanyl both showed efficacy for breakthrough labor pain. •Incidence of hypotension, sedation and fetal bradycardia did not significantly […]
Read MoreAuthor: Audrey Dieu, M.D. et al Anesthesiology October 2019. Editor’s Perspective: What We Already Know about This Topic: Fresh frozen plasma is often used to prime the cardiopulmonary bypass circuit for pediatric cardiac surgical patients to help offset dilutional coagulopathy that might result in increased perioperative bleeding and allogeneic blood transfusion Prior randomized trials […]
Read MoreAuthors: M. Charlesworth et al Anaesthesia Oct 2019 This month in Anaesthesia, Zdravkovic et al. report an international survey of 10,003 anaesthetists and 16 airway experts on preferences for clinical practices associated with rapid sequence intubation (RSI) 1. For a hypothetical patient with intestinal obstruction requiring RSI, the head‐up or ‐down position was preferable, as was nasogastric […]
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