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AUTHORS: Brandão, Julio C. MD, PhD et al Anesthesia & Analgesia: July 26, 2019 BACKGROUND: Pneumoperitoneum and nonphysiological positioning required for robotic surgery increase cardiopulmonary risk because of the use of larger airway pressures (Paws) to maintain tidal volume (VT). However, the quantitative partitioning of respiratory mechanics and transpulmonary pressure (PL) during robotic surgery is not […]
Read MoreAUTHORS: Park, Raymond S. MD et al Anesthesia & Analgesia: July 26, 2019 BACKGROUND: In patients presenting for pyloromyotomy, most practitioners prioritize rapid securement of the airway due to concern for aspiration. However, there is a lack of consensus and limited evidence on the choice between rapid sequence induction (RSI) and modified RSI (mRSI). METHODS: The medical records […]
Read MoreAnesthesiology News An additional, well-trained professional who is capable of providing anesthesia and managing a patient under sedation should be present for all pediatric dental procedures, according to a joint statement from the American Society of Anesthesiologists, Society for Pediatric Anesthesia, American Society of Dentist Anesthesiologists and Society for Pediatric Sedation. The statement highlights the […]
Read MoreAuthor: Medical University of Vienna One of the largest global studies in the field of anesthesia, in which the MedUni Vienna has participated, showed that, following curative breast cancer surgery under regional anesthesia, the risk of recurrence was not reduced in comparison to general anesthesia with opioids. These data disprove the assumption that anesthesia might […]
Read MoreAuthor: Bob Kronemyer Anesthesiology News Among choices of neuraxial anesthesia for patients undergoing total hip and knee arthroplasty, spinal anesthesia provides the best postoperative outcomes, according to a large retrospective cohort study. Compared with combined spinal and epidural (CSE) anesthesia, spinal anesthesia significantly reduced the likelihood of cardiac, pulmonary, gastrointestinal and thromboembolic complications by between […]
Read MoreAuthor: Alma Juels, MD Anesthesiology News The Frost Series #351 Case Presentation A 34-year-old man without significant past medical history presented for shoulder arthroscopy. He reported an allergy to sulfa-containing drugs. The patient received midazolam en route to the OR. In the OR, cefazolin 2 g was administered. General anesthesia was induced with fentanyl, lidocaine, […]
Read MoreCommon antidepressants interact with tramadol to make it less effective for pain relief, according to a study published in Pharmacotherapy. The findings have important implications for the opioid epidemic, suggesting that some patients suspected of drug-seeking may in fact be under-medicated and just are seeking more effective pain relief. The results of the study could also […]
Read MoreAuthors: Melissa M. Masaracchia et al Acta Anaesthesiologica Scandinavica Background Guidelines issued by the American Society of Regional Anesthesia and Pain Medicine suggest that ketamine infusions for acute pain management are advantageous as a primary treatment or as an opioid adjunct. Despite significant data regarding its use in adult patients, there remains a paucity of […]
Read MoreStudy results find drastic reduction in the quantity of opioids prescribed and used but no signs of inadequate pain management AMERICAN COLLEGE OF SURGEONS A state-mandated policy restricting opioid prescriptions along with increased public awareness and education about the opioid epidemic preceded drastic reductions in opioid prescribing and use for surgical patients at the University […]
Read MoreAuthors: Stephen Richardson, MD et al Anesthesiology News Abstract We report profound lip and tongue swelling and hypotension in a 71-year-old woman after anesthesia induction. There was no bronchospasm, urticaria, or rash, so anaphylaxis was not initially suspected. She was treated with phenylephrine, ephedrine and boluses of fluid. When hypotension was refractory to these interventions, […]
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