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Author: Yimer H, Woldie H Journal of Obstetrics and Gynaecology Canada 41 (6), 840-854 (Jun 2019) The number of Caesarean section (CS) procedures has increased dramatically both in developed and developing countries in recent decades. CS has been associated with chronic pain. A vicious impediment on quality of life may occur among women who experience […]
Read MoreAuthors: Szerlip M et al. J Am Coll Cardiol 2019 Jun 11 Bayliss G. J Am Coll Cardiol 2019 Jun 11 In a registry-based study, 1-year mortality with transcatheter aortic valve replacement was 37%, almost twofold higher than in patients without ESRD. In patients receiving surgical aortic valve replacement (AVR), the presence of end-stage renal disease (ESRD) is […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Nociception monitors are becoming more popular, but do they work? According to the results of a Dutch study, the answer is yes, at least for one model. A team of researchers from Leiden University Medical Center, in the Netherlands, concluded that nociception-guided analgesia significantly reduced remifentanil consumption while optimizing hemodynamic […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Pediatric patients are certainly not immune to the ravages of the opioid epidemic. This reality should motivate medical professionals to examine their practice and prescribing patterns. However, a Maryland clinician reminded anesthesiologists they need to remember that providing pain relief is a vital part of their professional responsibilities. “When I […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Both pre-frail and frail patients have a significantly higher risk for delirium following cardiac surgery than their non-frail counterparts. Moreover, frail patients are at increased risk for cognitive decline 30 days after surgery, but these differences diminish at one year postoperatively. “Postoperative delirium is common in the cardiac surgery population, […]
Read MoreAUTHORS: Tan, Nicole L. MBBS, FANZCA, MClinRes et al Anesthesia & Analgesia: June 3, 2019 BACKGROUND: Local infiltration analgesia (LIA) is commonly used in anterior total hip arthroplasty (THA) surgery; however, evidence for its efficacy is lacking. We hypothesized that LIA with 0.2% ropivacaine when compared with injection of placebo (0.9% saline) would improve patient quality of […]
Read MoreAUTHORS: Argalious, Maged Y. MD, MSc, MBA, MEd, FASE, FASA et al Anesthesia & Analgesia: June 3, 2019 BACKGROUND: Patients with acute lung injury who received lower tidal volume (VT) ventilation had significantly fewer days with acute kidney injury (AKI) when compared to those receiving higher VTs. There is a paucity of studies on the relationship between […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Although accidental spinal administration of tranexamic acid is rare, it is a well-documented drug error and one that has catastrophic consequences. Yet these errors can be avoided by adhering to four published recommendations. “In 2015, we published an article in Anesthesia & Analgesia regarding obstetric neuraxial drug errors [2015;121(6):1570-1577],” said Santosh […]
Read MoreAUTHORS: Pearson, Amy C. S. MD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 493-499 BACKGROUND: Current guidelines for the administration of therapeutic epidural injections suggest that these be limited to a maximum of 4 per year. We sought to gain an understanding of the proportion of lumbosacral epidural […]
Read MoreAuthors: E. E. Sharpe et al International Journal of Obstetric Anesthesia June 2019 Highlights •The median reduction in pain score was 9 (0–10 scale) after labor spinal analgesia. •Of 429 women receiving spinal analgesia, 14% later needed anesthesia. •Primiparity, induction and lower cervical dilation increased risk of anesthesia. •Two patients (0.5%) ultimately needed general anesthesia […]
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