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Authors: Marina Pieri, MD et al Journal of Cardiothoracic and Vascular Anesthesia Oct 2019 Background Delirium after cardiac surgery is associated with adverse outcomes, including prolonged hospital stay, prolonged intensive care unit stay, and increased mortality. Effective preventive interventions and treatments still are largely unknown. Aim This systematic review aimed to gather and summarize the […]
Read MoreAuthors: Andrés Felipe Gil Blanco et al BMC Anesthesiology volume 19, Article number: 193 (2019) Background The coracoid approach is a simple method to perform ultrasound-guided brachial plexus regional anesthesia (RA) but its simplicity is counterbalanced by a difficult needle visualization. We hypothesized that the retroclavicular (RCB) approach is not longer to perform when compared to the coracoid (ICB) approach, […]
Read MoreAuthors: George Hoffman, M.D. et al Introduction: Performance of anesthesiologists, surgical teams, and perioperative systems is commonly measured by the percent of first case on time start (FCOTS) as percent of first cases of the day (FCOD) and by first case start delay (FCSD) time. Although these metrics have reported variable relationships to other measures […]
Read MoreAuthors: Valluvan Rangasamy, MD, DESA et al Journal of Cardiothoracic and Vascular Anesthesia Oct 2019 Objective Frailty, a state of decreased physiological reserve, increases the risk of adverse outcomes. There is no standard tool for frailty during perioperative period. Autonomic dysfunction, an underlying process in frailty, could result in hemodynamic fluctuations. Complexity, the physiological adaptability […]
Read MoreAuthors: Johan Kristiansson et al Anaesthesiologica Scandinavica Oct 2019 Background The effect of time‐to‐surgery on mortality in acute hip fracture (AHF) patients has been debated and studies are inconsistent regarding from what time‐limit mortality starts to increase. At Sahlgrenska University Hospital/Mölndal, surgery is recommended within 24 hours leaving little time for preoperative optimisation. However, internationally […]
Read MoreAuthor: Bob Kronemyer Anesthesiology News The novel, water-soluble prodrug CA-008 (Concentric Analgesics), coupled with standard of care treatment that included a Mayo block with bupivacaine hydrochloride (HCl), was found to significantly reduce both pain and opioid reliance after bunionectomy surgery, according to two randomized, placebo-controlled studies. “CA-008 is a prodrug of trans-capsaicin, the substance in […]
Read MoreAUTHORS: Highland, Krista B. PhD et al Anesthesia & Analgesia: July 17, 2019 BACKGROUND: Ketamine is routinely used within the context of combat casualty care. Despite early concerns that ketamine administration may be associated with elevated risk of posttraumatic stress disorder (PTSD), more recent evidence suggests no relationship. Because PTSD occurs with regular frequency in Operation Iraqi […]
Read MoreA specialised pain management program for patients who underwent robotic surgery for urologic cancers resulted in just 8% going home with narcotics after discharge, compared with 100% who would have received them without this enhanced recovery protocol. What’s more, the group of patients who did receive narcotics went home with fewer medications than they would […]
Read MoreAUTHORS: Nirvik Pal, MD et al Journal of Cardiothoracic and Vascular Anesthesia Objective An increasing number of patients undergoing heart transplantation are being bridged with left ventricular assist devices (LVADs). Bridge-to-transplantation (BTT) LVAD has improved wait list survival remarkably. Historically, post-heart transplantation survival in BTT-LVAD patients, however, has remained inferior to that of primary heart […]
Read MoreAuthors: aj Parikh et al Annals of Intensive Care volume 9, Article number: 124 (2019) Background Bedside ultrasound helps to estimate volume status in critically ill patients and has traditionally relied on diameter, respiratory variation, and collapsibility of the inferior vena cava (IVC) to reflect fluid status. We evaluated collapsibility of the internal jugular vein (IJ) with ultrasound and correlated […]
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