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Author: Michael Vlessides Anesthesiology News A significant contributor to morbidity and mortality, pulmonary hypertension is associated with diverse cardiac, pulmonary and systemic diseases among neonates, infants and older children. Yet some experts say the significant risk presented by these patients can be mitigated by adaptability and vigilance on the part of the anesthesiologists who treat […]
Read MoreAuthor: Kelly Gooch A Medicare public option, meaning adding a government-sponsored health insurance option into the marketplace, could have a significant effect on rural hospital closures across the country, according to a new analysis. The Navigant Consulting analysis, supported by the Partnership for America’s Healthcare Future, found that a public option could put up to 55 percent […]
Read MoreAuthor: Bob Kronemyer Anesthesiology News A pain survey of 425 nurses found that for many statements, more than 50% of respondents answered incorrectly. For instance, 49.47% of respondents answered true that “if the source of the patient’s pain is unknown, opioids should not be used during the pain evaluation period, as this could mask the […]
Read MoreAUTHORS: Anderson, T. Anthony PhD, MD et al Anesthesia & Analgesia: April 2019 BACKGROUND: Maintaining a balance between nociception and analgesia perioperatively reduces morbidity and improves outcomes. Current intraoperative analgesic strategies are based on subjective and nonspecific parameters. The high-frequency heart rate (HR) variability index is purported to assess the balance between nociception and analgesia in patients […]
Read MoreBy Kelly Young Cannabis use during pregnancy has increased in recent years, suggests a study of Northern California women that was published in JAMA Network Open. During 367,000 pregnancies, women answered questionnaires at roughly 8 weeks’ gestation and self-reported their cannabis use before and during their pregnancy. From 2009 to 2017, the prevalence of reported cannabis […]
Read MoreAuthors: Walsh B et a; Paediatric Anaesthesia (May 2019) BACKGROUND Emergency front of neck airway is a recommended airway rescue strategy in children over one year old. Surgical tracheostomy is advocated as the first line technique, but in the absence of an ear, nose and throat surgeon cricothyroidotomy or tracheostomy are proposed. Recent research shows […]
Read MoreAssociated Press Overdose death rates, which had been higher in rural regions, shift back U.S. drug overdose deaths, which have been concentrated in Appalachia and other rural areas for more than a dozen years, are back to being most common in big cities again, according to a government report issued Friday. The report by the […]
Read MoreAUTHORS: Görges, Matthias PhD et al Anesthesia & Analgesia: April 2019 BACKGROUND: Dexmedetomidine is a highly selective α2-adrenergic agonist, which is increasingly used in pediatric anesthesia and intensive care. Potential adverse effects that have not been rigorously evaluated in children include its effects on blood glucose and serum potassium concentrations, which are relevant due to the associations […]
Read MoreAUTHORS: Birnbach, David J. MD, MPH et al Anesthesia & Analgesia: April 2019 BACKGROUND: Anesthesia providers’ hand hygiene practices in the operating room may contribute to the transmission of bacteria. There is a debate, however, over the best approaches for pathogen containment during task dense periods (induction and extubation) of anesthesia care. A novel approach to reducing […]
Read MoreAUTHORS: Vinclair, Marc MD et al Anesthesia & Analgesia: April 2019 BACKGROUND: Pupillary reflex dilation is a reliable indicator of response to noxious stimulation. In a proof of concept study, we investigated the performance of pupillary pain index, a new score derived from pupillary reflex dilation measurements, to predict nociceptive response to endotracheal suctioning in sedated critically […]
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