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By JACQUELYN CORLEY STAT After seeing dozens of patients in a hectic and long day in the clinic, when a doctor is faced with another patient in pain, it may be easiest to prescribe opioids and move on to the next one. New research suggests that doctors who practice with this habit could be contributing to […]
Read MoreAUTHORS: Nemeth B et al. JAMA Netw Open 2019 May 10 Patients with prior VTEs have 5% risk for recurrence by 6 months after major surgery, even if they receive recommended postoperative anticoagulation. In patients undergoing surgery, does having a previous non–surgery-related venous thromboembolism (VTE, i.e., deep venous thrombosis or pulmonary embolism) augment risk for postoperative […]
Read MoreAUTHORS: James, Leslie A. BA et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p 1279-1285 BACKGROUND: Frailty, a state of decreased physiological reserve, is strongly associated with perioperative mortality in older adults. However, the mechanism by which frailty is associated with mortality is not yet understood. Autonomic dysfunction in the […]
Read MoreAUTHORS: Mazzinari, Guido MD, MSc, PhD et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p 1264-1271 BACKGROUND: Tracheal intubation failure in patients with difficult airway is still not uncommon. While videolaryngoscopes such as the Glidescope offer better glottic vision due to an acute-angled blade, this advantage does not always lead […]
Read MoreAUTHORS: Watcha, Mehernoor F. MD et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p 1249-1255 BACKGROUND: Because nausea is difficult to evaluate in children, vomiting is used as the objective clinical end point in managing pediatric postoperative nausea and vomiting and postdischarge nausea and vomiting (PDNV). The recently developed pictorial […]
Read MoreAUTHORS: Whitney, Gina M. MD et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p 1242-1248 BACKGROUND: Pediatric anesthesiologists are exposed to ionizing radiation from x-rays on an almost daily basis. Our goal was to determine the culture of safety in which they work and how they adhere to preventative strategies […]
Read MoreI thought this was interesting so I wanted to share it with our readers. By Scott Maier University of California, San Francisco Patient Care While long-term acute care hospitals (LTACHs) are designed to help patients recover and regain independence, fewer than 1-in-5 older adults who were transferred to such facilities were alive five years later, leaving […]
Read MoreAUTHORS: Sola, Chrystelle MD, MSc et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p 1234-1241 BACKGROUND: The transversus abdominis plane (TAP) block has become a common regional anesthesia technique for pain management in a wide variety of abdominal procedures. Evidence to support any particular local anesthetic regimen as well as […]
Read MoreAUTHORS: Nafiu, Olubukola O. MD, FRCA, MS et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p 1225-1233 BACKGROUND: Many children recovering from anesthesia experience pain that is severe enough to warrant intravenous (IV) opioid treatment within moments of admission to the postanesthesia care unit (PACU). Postoperative pain has several negative […]
Read MoreAUTHORS: Fujita, Nobuko MD et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p 1217-1222 BACKGROUND: Despite the existing dogma that women undergoing cesarean delivery under spinal anesthesia should be positioned with a 15° left-lateral tilt, the patients were actually positioned in a right-lateral tilt position in several of the original […]
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