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Author: Karen Blum Anesthesiology News Many people think that most sepsis deaths could be preventable if hospitals were better at treating the condition, but that may not be the case (JAMA Open Network 2019 Feb 15). A records review of 568 adult patients who died in the hospital or were discharged to hospice in 2014-2015 from […]
Read MoreHospital Pediatrics May 2019, VOLUME 9 / ISSUE 5 AUTHORS: Juan P. Boriosi et al OBJECTIVES: Intranasal, intramuscular, and intravenous (IV) dexmedetomidine routes have been used successfully for pediatric MRI studies. We designed this retrospective study to determine efficacy and safety of buccal dexmedetomidine for pediatric MRI sedation. METHODS: Medical records were reviewed of outpatient children ages […]
Read MoreAnesthesiology News A small study has concluded that regular cannabis users may require as much as twice the level of sedation before a medical procedure, compared with those who abstain. The report, in the Journal of the American Osteopathic Association ([Epub Apr 15, 2019]. doi:10.7556/jaoa.2019.052), defined regular users as those who smoked or ingested edibles on a […]
Read MoreAnesthesiology News Michael Schatman, PhD, is the director of research and network development at Boston Pain Care, an adjunct clinical assistant professor of public health and community medicine at Tufts University, and the editor-in-chief of the Journal of Pain Research. Here he discusses pain medicine in the midst of the opioid crisis and the rise of medical marijuana. […]
Read MoreAuthors: Zhao-Ting Meng et al Plos July 1, 2019 Background Patients after total knee arthroplasty (TKA) often develop moderate to severe pain. This study compared the analgesic effect of low-dose epidural morphine vs. a comparable saline injection in patients following TKA surgery. Methods This randomized, double-blinded, and placebo-controlled trial was conducted in a tertiary hospital […]
Read MoreBy Rita Agrawal, MD Featured in Op-Med In 2015, healthy, happy 6-year-old Caleb Sears suffered a cardiac arrest in his oral surgeon’s office after receiving midazolam, ketamine, propofol, fentanyl, and nitrous oxide. He became apneic and later passed away. His devastated family could not understand how this tragedy had happened. They discovered that in California and […]
Read MoreAuthors: Jin Y et al Exp Ther Med. 2019 Jul;18(1):289-295 Abstract Effective and adequate post-operative analgesia for cesarean section is in demand due to increasing rates of cesarean deliveries, and may help promote recovery, ambulation and breastfeeding. Local nerve block has been applied as post-operative analgesia for maternal patients receiving cesarean section; specifically, lateral abdominal transversus […]
Read MoreAUTHORS: Zhou, Hui MD et al Anesthesia & Analgesia: July 2019 – Volume 129 – Issue 1 – p 287-293 BACKGROUND: Acute kidney injury is a common complication after open total aortic arch replacement but lacks effective preventive strategies. Remote ischemic preconditioning has controversial results of its benefit to the kidney and may perform better in […]
Read MoreAUTHORS: Rood PJT et al Anesthesiology. 2019 Aug;131(2):328-335 WHAT WE ALREADY KNOW ABOUT THIS TOPIC: Delirium is a frequently occurring disorder in intensive care unit patients associated with impaired short-term and long-term outcomes. Prophylactic haloperidol neither reduces delirium incidence nor its short-term clinical consequences. Many intensive care unit survivors suffer from long-term impairment of physical, cognitive, […]
Read MoreAuthors: Jee-Eu Chang et al BMC Anesthesiology volume 19, Article number: 118 (2019) Background In the present study, we compare the LMA-Protector™ and the i-gel™ in terms of adequacy of the airway seal, insertion time, ease and accuracy of insertion, and the incidence of postoperative sore throat. Methods In 110 anesthetized and paralyzed adult patients, the i-gel™ (n = 55) or […]
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