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Authors: Konrad Salata, MD et al Journal of Vascular Surgery October 2019 Volume 70, Issue 4, Page e110 Objective Evidence for the use of neuraxial anesthesia (NA) in the context of open abdominal aortic aneurysm (AAA) repair is sparse. The purpose of this study was to determine the 90-day outcomes of combined general and NA […]
Read MoreAuthors: L. Grangier et al International Journal of Obstetric Anesthesia Highlights Meta-analysis of side effects after combined spinal epidural analgesia (CSE) in labour. Compared with epidural analgesia, side effects are increased. Administration of opioid, added to local anaesthetic, is a likely cause. Bradycardia occurs more often, regardless of the route of opioid administration. Hypotension occurs […]
Read MoreAuthors: lbert R. Moore, MD et al JAMA Neurol. September 16, 2019. Key Points Question Do postpartum women with post–dural puncture headache secondary to neuraxial anesthesia have an increased risk of intracranial subdural hematoma? Findings In this cohort study of 22 130 815 deliveries, there was a post–dural puncture headache rate of 309 per 100 000 deliveries and a subdural […]
Read MoreAUTHORS: Brogan, Shane E. MB BCh et al Anesthesia & Analgesia: June 12, 2019 BACKGROUND: Opioids remain the mainstay of cancer pain management but are associated with systemic toxicity. In refractory cancer pain, intrathecal therapy (ITT) is associated with improved pain control, reduced systemic side effects, and improved survival. It has been assumed that ITT decreases systemic […]
Read MoreAuthor: Tauren Dyson UPI People with severe forms of sleep apnea also often have very high blood pressure, which new research suggests carries risk for heart health events. Patients with resistant high blood pressure, which can require at least three drugs to control, have the highest risk of suffering a heart attack or cardiac episode, […]
Read MoreAuthors: J. P. Fitzgerald et al Anesthesia September 2019 Summary Spinal anaesthesia for caesarean section commonly causes maternal hypotension. This systematic review and network meta‐analysis compared methods to prevent hypotension in women receiving spinal anaesthesia for caesarean section. We selected randomised controlled trials that compared an intervention to prevent hypotension with another intervention or inactive […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Transesophageal echocardiography (TEE) measurements made during general endotracheal anesthesia with mechanical ventilation underestimate the severity of aortic stenosis in patients undergoing cardiac surgery, according to a new study. Pressure gradients in these situations also were significantly greater during the inspiratory phase than the expiratory phase. Given these findings, the investigators […]
Read MoreAuthor: Thomas Rosenthal Anesthesiology News Surgical patients who receive analgesic doses of ketamine together with dexmedetomidine should be closely monitored before and immediately after they leave the hospital because of the potential neurocognitive and behavioral effects of the drug combination, a study has found. “At analgesic doses required for pain relief, ketamine administered in combination […]
Read MoreAuthors: Silvia Schönenberger, MD et al JAMA. 2019;322(13):1283-1293. doi:10.1001/jama.2019.11455 Question Is there a difference in functional outcome at 3 months between patients who receive general anesthesia or procedural sedation during stroke thrombectomy? Findings In this individual patient data meta-analysis of 3 randomized clinical trials that included 368 patients with acute ischemic stroke in the anterior circulation, the use […]
Read MoreAuthor: Ellen Goldbaum University at Buffalo University at Buffalo researchers who previously discovered how chronic neuropathic pain arises in the brain have now developed a treatment to block it. The research conducted by scientists in the Jacobs School of Medicine and Biomedical Sciences at UB was published online July 31 in the journal Brain, Behavior, and […]
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