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AUTHORS: Eckerdal, Patricia PhD et al ; Anesthesia & Analgesia: June 24, 2019 BACKGROUND: Severe pain has been linked to depression, which raises the question of whether epidural analgesia (EDA) during childbirth is associated with a reduced risk of postpartum depression (PPD). This association has been explored previously, but the studies were restricted by small sample sizes […]
Read MoreAuthor: RISHI RK.MD 2 AM: “Hey doc, the patient’s MAP (mean arterial pressure) has been in the high 50s for the last hour. Urine output isn’t that great either. Wanna bolus some fluid?” This knee-jerk reaction is a practice that needs to change! Admittedly, some of it is driven by protocol and also seeing numbers […]
Read MoreAUTHORS: Long JB et al Paediatr Anaesth. 2019 Oct 6 BACKGROUND: Neonatal patients are at higher risk in the perioperative period than older infants and children. Extubation as an early goal for NICU patients presenting for surgery is undergoing a renaissance period and an exploration of adverse events following selection for extubation immediately after general […]
Read MoreAuthors: Pancaro C et al Anesth Analg. 2019 Sep 27. BACKGROUND: Continuous infusions of norepinephrine to treat perioperative hypotension are typically administered through a central venous line rather than a peripheral venous catheter to avoid the risk of localized tissue necrosis in case of drug extravasation. There is limited literature to estimate the risk of skin […]
Read MoreAuthor: Elizabeth A. M. Frost, MD Anesthesiology News Rarities With Anesthetic Implications Boerhaave Syndrome What Is It? Originally described by Hermann Boerhaave in 1724, Boerhaave syndrome is defined as a spontaneous rupture or breakdown of the esophagus with a full-thickness tear due to a sudden increase in intraesophageal pressure combined with relatively negative intrathoracic pressure, […]
Read MoreAuthors: Khalil Raissouni, M.D. et al Journal of Cardiothoracic and Vascular Anesthesia Objectives Concomitant cardiac surgery and radiofrequency atrial fibrillation (AF) ablation is an established procedure recommended in guidelines. However, the results have not been as good as expected. The authors therefore searched for predictive factors of success of the ablation procedure. Design The authors […]
Read MoreAUTHORS: Ekstein M et al Acta Anaesthesiol Scand. 2019 Oct 6. BACKGROUND: Obstructive sleep apnea occurs in 1-4% of children; adenotonsillectomy is an effective treatment. Mortality/severe brain injury occurs among 0.6/10,000 adenotonsillectomies;in children, 60% are secondary to airway/ respiratory events. Earlier studies identifiedchildren aged< 2 years, extremes of weight, with co-morbidities of craniofacial, neuromuscular, cardiac/ respiratory […]
Read MoreAuthors: Arbara Manchec, MD et al Journal of Vascular and Interventional Radiology Purpose To evaluate if sedation with propofol during catheter-directed thrombolysis (CDT) in patients with acute submassive pulmonary embolism (PE) affects survival. Materials and Methods This single-institution, retrospective study identified 136 patients from 2011–2017 who underwent CDT for acute submassive PE. Patients were grouped […]
Read MoreAUTHORS: Amit Akirov, MD Clinical Pain Advisor Fentanyl and fentanyl analogues-induced mortality is thought to be caused by a syndrome referred to as wooden chest syndrome, in which severe rigidity occurs in the diaphragm, chest wall, and upper airway. Fentanyl and fentanyl analogues (F/FAs) may cause rapid death through airway compromise and severe muscle rigidity, […]
Read MoreAuthor: Elizabeth A. M. Frost, MD Anesthesiology News Rarities With Anesthetic Implications Osteogenesis Imperfecta What Is It? Osteogenesis imperfecta (OI), or brittle bone disease, is a group of genetic bone disorders characterized by fragile bones that break easily. Severity of OI ranges from mild to severe. The underlying pathophysiology is a connective tissue disorder caused […]
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