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AUTHORS: Muhly, Wallis T., MD et al Anesthesia & Analgesia: February 2019 – Volume 128 – Issue 2 – p 315–327 BACKGROUND: There are few comparative data on the analgesic options used to manage patients undergoing minimally invasive repair of pectus excavatum (MIRPE). The Society for Pediatric Anesthesia Improvement Network was established to investigate outcomes for […]
Read MoreSource: Shots news from NPR For most of his career, Dr. Stephen Trzeciak was not a big believer in the “touchy-feely” side of medicine. As a specialist in intensive care and chief of medicine at Cooper University Health Care in Camden, N.J., Trzeciak felt most at home in the hard sciences. Then his new boss, Dr. Anthony Mazzarelli, […]
Read MoreAUTHORS: Bicket, Mark C., MD et al Anesthesia & Analgesia: February 2019 – Volume 128 – Issue 2 – p 358–364 BACKGROUND: Many patients receive prescription opioids at hospital discharge after surgery, yet little is known regarding how often these opioids go unused. We estimated the prevalence of unused opioids, use of nonopioid analgesics, and storage […]
Read MoreAUTHORS: Han, Yuan, MD, PhD Anesthesia & Analgesia: February 2019 – Volume 128 – Issue 2 – p 349–357 BACKGROUND: The diagnosis of postoperative cognitive dysfunction (POCD) requires complicated neuropsychological testing and is often delayed. Possible biomarkers for early detection or prediction are essential for the prevention and treatment of POCD. Preoperative screening of salivary cortisol […]
Read MoreAUTHORS: Cho, Brian C., MD et al Anesthesia & Analgesia: February 2019 – Volume 128 – Issue 2 – p 342–348 BACKGROUND: Restrictive transfusion strategies supported by large randomized trials are resulting in decreased blood utilization in cardiac surgery. What remains to be determined, however, is the impact of lower discharge hemoglobin (Hb) levels on readmission […]
Read MoreI wanted to share due to the high incidence of peanut allergy. By Kelly Young Edited by André Sofair, MD, MPH, and William E. Chavey, MD, MS Peanut oral immunotherapy is associated with increased risk for anaphylaxis, according to a meta-analysis in the Lancet. Researchers examined 12 trials in which over 1000 patients with peanut allergy were randomized […]
Read MoreAUTHORS: Scheeren, Thomas W. L., MD, PhD et al Anesthesia & Analgesia: February 2019 – Volume 128 – Issue 2 – p 265–277 Maintaining brain function and integrity is a pivotal part of anesthesiological practice. The present overview aims to describe the current role of the 2 most frequently used monitoring methods for evaluation brain function […]
Read MoreAUTHORS: Leah LaRue, PharmD, PMP et al JAMA Nets Open. 2019;2(4):e192851. Question Among urine drug test results positive for cocaine or methamphetamine, how has the prevalence of positive results for nonprescribed fentanyl changed through time? Findings In this cross-sectional study of 1 million urine drug test results from January 2013 through September 2018, positivity rates for nonprescribed […]
Read MoreAUTHORS: Tawfik, Mohamed Mohamed, MD et al Anesthesia & Analgesia: February 2019 – Volume 128 – Issue 2 – p 304–312 BACKGROUND: The optimal strategy of fluid administration during spinal anesthesia for cesarean delivery is still unclear. Ultrasonography of the inferior vena cava (IVC) has been recently used to assess the volume status and predict fluid […]
Read MoreAUTHORS: Warner, Matthew A., MD et al Anesthesia & Analgesia: February 2019 – Volume 128 – Issue 2 – p 288–295 BACKGROUND: Thrombocytopenia is frequently encountered in critically ill patients, often resulting in prophylactic transfusion of platelets for the prevention of bleeding complications. However, the efficacy of this practice remains unclear. The objective of this study […]
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