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Authors: Jacopo Fumagalli, M.D. et al Anesthesiology 5 2019, Vol.130, 791-803 Editor’s Perspective: What We Already Know about This Topic: Obesity increases the propensity to atelectasis in acute respiratory distress syndrome, but the optimal approach to reversing this atelectasis is uncertain What This Article Tells Us That Is New: A clinical crossover study comparing three approaches to titrate […]
Read MoreAutors: Nielsen AO et al. Clinical Medicine 2019 Jan Hospitalizations for chronic obstructive pulmonary disease were less common in patients who received β-blockers. Patients with chronic obstructive pulmonary disease (COPD) often do not receive β-blockers because of concerns that they might exacerbate respiratory symptoms. Using Danish registries from 1995 to 2015, investigators studied the incidence of […]
Read MoreMajority of avoidable patient deaths occur in hospitals with ‘C’ grade or below: Leapfrog by Tina Reed Fierce Healthcare In the Leapfrog report, released with the Johns Hopkins Armstrong Institute for Patient Safety and Quality, officials estimated 160,000 people died from avoidable medical efforts in 2018. Patients treated at hospitals that earned “D” or “F” grades […]
Read MoreAuthors: Ethan L. Sanford et al Background Traditional intraoperative fluid administration practices have been challenged this century with data suggesting improved outcomes with restrictive or goal‐directed fluid administration during adult bowel surgery. Minimal data on outcomes associated with differing intraoperative fluid administration practice exists for pediatric patients. Aims We assessed factors and outcomes associated with […]
Read MoreAuthors: Michael Vlessides Anesthesiology News The use of intraoperative bispectral index (BIS) monitoring is effective in reducing time to extubation, time to spontaneous eye opening, PACU time and consumption of anesthetics, according to the results of a recent systemic review and meta-analysis. Nevertheless, the research team behind the study was quick to add that while […]
Read MoreAutor: Ethan Covey Anesthesiology News The use of certain antimicrobial curtains in hospital rooms has been found to greatly decrease the transmission of multidrug-resistant organisms (MDROs), according to a new study. The researchers said this discovery might enable hospital staff to better manage the risk for infection among patients in their institutions (Infect Control Hosp […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Severely obese patients who receive supraglottic airways are presenting with markedly more risk factors than their lower weight counterparts. Still, the choice to use these airway devices may be the correct one. A study found that patients with a body mass index (BMI) of 35 kg/m2 have a higher comorbidity composite, […]
Read MoreAuthor: Tom Miles Reuters The World Health Organization published its first guidelines on the prevention and management of dementia on Tuesday, putting physical activity at the top of its list of recommendations for preventing cognitive decline. Stopping smoking, a healthy diet and avoiding harmful use of alcohol were also among the recommendations of the WHO’s […]
Read MoreAuthor: Lynne Peeples Anesthesiology News Versed mix-up in radiology leads to lethal dose On Dec. 26, 2017, a nurse at Vanderbilt University Medical Center opened an automated dispensing cabinet (ADC) seeking a sedative for a patient with a cerebral hematoma about to undergo a PET scan. Rather than taking out 2 mg of Versed (midazolam, […]
Read MoreAUTHORS: Hasselgren, Emma, MD et al Anesthesia & Analgesia: February 2019 BACKGROUND: Albumin may persist intravascularly for a shorter time in patients after major surgery than in healthy volunteers due to a surgery-induced breakdown (shedding) of the endothelial glycocalyx layer. METHODS: In this nonrandomized clinical trial, an IV infusion of 3 mL/kg of 20% albumin was given at […]
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