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The American Heart Association has updated its 2005 statement on blood pressure measurement. Among the highlights, published in Hypertension: For office BP measurement, oscillometric devices can limit the human error seen with auscultatory methods. An automated device that can average three or more readings is the preferred approach; leaving the patient alone may help ensure […]
Read MoreAUTHORS: Monahan, Ann, MD et al Anesthesia & Analgesia: January 2019 – Volume 128 – Issue 1 – p 130–136 BACKGROUND: The aim of this systematic review was to compare the effects of regional analgesic (RA) techniques with systemic analgesia on postoperative pain, nausea and vomiting, resources utilization, reoperation, death, and complications of the analgesic techniques […]
Read MoreAUTHORS: Noll, Eric, MD, PhD et al Anesthesia & Analgesia: January 2019 – Volume 128 – Issue 1 – p 109–116 BACKGROUND: Aspiration of gastric contents is a leading cause of airway management–related mortality during anesthesia practice. Cricoid pressure (CP) is widely used during rapid sequence induction to prevent aspiration. National guidelines for CP suggest a […]
Read MoreAUTHORS: St-Pierre, Patrick, MD, FRCPC et al Anesthesia & Analgesia: January 2019 – Volume 128 – Issue 1 – p 98–106 BACKGROUND: We hypothesized that, compared to remifentanil, dexmedetomidine used for endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) performed under monitored anesthesia care (MAC) in nonintubated patients would result in fewer episodes of major respiratory adverse events […]
Read MoreAUTHORS: Kruisselbrink, Richelle, MD, FRCPC et al Anesthesia & Analgesia: January 2019 – Volume 128 – Issue 1 – p 89–95 BACKGROUND: Pulmonary aspiration of gastric contents is associated with significant perioperative morbidity and mortality. Previous studies have investigated the validity, reliability, and possible clinical impact of gastric ultrasound for the assessment of gastric content at […]
Read MoreAUTHORS: Wu, Yun, MD et al Anesthesia & Analgesia: January 2019 – Volume 128 – Issue 1 – p 77–82 BACKGROUND: End-stage renal disease (ESRD) has been shown to be associated with abnormal neural function. Clinically used inhaled anesthetic agents typically exert their effect through multiple target receptors in the central nervous system. Pathological changes in […]
Read MoreResults From an Enhanced Recovery After Surgery for Colorectal Surgery Cohort AUTHORS: Grant, Michael C., MD et al Anesthesia & Analgesia: January 2019 – Volume 128 – Issue 1 – p 68–74 BACKGROUND: Process measure compliance has been associated with improved outcomes in enhanced recovery after surgery (ERAS) programs. Herein, we sought to assess the impact […]
Read MoreAuthors: Vorobeichik, Leon, MD et al Anesthesia & Analgesia: January 2019 – Volume 128 – Issue 1 – p 58–65 The optimal management of pain after ambulatory anterior cruciate ligament reconstruction (ACLR) is unclear. Femoral nerve block (FNB) is purported to enhance postoperative analgesia, but its effectiveness in the setting of modern multimodal analgesia is unclear. […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Nasopharyngeal ventilation, involving the placement of a regular endotracheal tube through the nose into the hypopharynx (Figure), is a viable alternative to mask ventilation in patients at risk for difficult mask ventilation, according to a new study. This technique, the researchers concluded, serves as a supraglottic airway, thereby offering an […]
Read MoreAuthor: Nikki Kean Anesthesiology News To help prevent the development of chronic pain after acute trauma, clinicians have begun to study the use of continuous ketamine infusion in the ICU. However, preliminary data presented at the 2018 ACCP Global Conference on Clinical Pharmacy indicated problems with such a strategy. In a small retrospective study, Cara […]
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