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Clear fluids fasting for elective paediatric anaesthesia

Authors: Disma, Nicola et al European Journal of Anaesthesiology (EJA): March 2019 – Volume 36 – Issue 3 – p 173–174 Guidelines for the management of pre-operative paediatric clear fluid fasting historically recommend a minimum of 2 h. In particular, the published guideline from European Society of Anaesthesiology (ESA) in 2011, dedicated a section to peri-operative […]

Implementation of Routine Cognitive Screening in the Preoperative Assessment Clinic

Authors: Sherman, Julia B., BA et al A&A Practice: February 15, 2019 – Volume 12 – Issue 4 – p 125–127 Traditional systems of anesthesia evaluation do not routinely incorporate cognitive screening into preoperative assessments of vital organ systems. Increasing recognition of the importance of preoperative cognitive assessment of the elderly surgical patient has resulted in […]

Side effects of oral corticosteroids

Cardiac Anesthesiologist As corticosteroids are hormones, they can have a wide range of side effects. the range and severity of the side effects will depend on two factors: what type of corticosteroid medicine how long patient is using it for. With oral corticosteroids the effects are spread throughout the body. Long-term corticosteroid use is more likely to lead […]

Patient Blood Management Recs Revamped .

A group endorsed restrictive thresholds for blood transfusion but ignored some key aspects of patient blood management (PBM) in a new expert consensus statement, some said. Among the clinical recommendations suggested at the International Consensus Conference held in Frankfurt/Main, Germany in April 2018 and now published in the March 12 issue of JAMA are calls for the […]

Military Doctors In Crosshairs Of A Budget Battle

Kaiser Health News The U.S. military is devising major reductions in its medical corps, unnerving the system’s advocates who fear the cuts will hobble the armed forces’ ability to adequately care for health problems of military personnel at home and abroad. The move inside the military coincides with efforts by the Trump administration to privatize […]

Propofol infusion syndrome: a structured literature review and analysis of published case reports

Local Anesthetic Dosing

Author: The Cardiac Anesthesiologist General recommendations for average volumes of local anesthetic for specific blocks are found in Table 1. In all cases one must never exceed  the  recommended toxic limits of local anesthetic (Table 2), which should be calculated in advance and must also take into account any addition local anesthetic dose administered to the patient […]

With lawsuits looming, OxyContin maker considers bankruptcy

By GEOFF MULVIHILL and MATTHEW PERRONE The company that has made billions selling the prescription painkiller OxyContin said Wednesday that it is considering legal options including bankruptcy, a move that could upend hundreds of lawsuits claiming it had a major role in causing the U.S. opioid drug crisis. “As the company has stated, it is […]

Order of Drug Administration During Rapid Sequence Intubation with Etomidate May Not Matter

Authors: Driver BE et al. Acad Emerg Med 2019 Mar 4 This secondary analysis of emergency department RSI found no association between drug order and apnea time but is not generalizable to sedatives other than etomidate. During rapid sequence intubation (RSI), a paralytic and a sedative agent are successively administered to facilitate laryngoscopy with minimal apneic […]

The trends to know about pain management in ASCs: 4 Qs with Dr. Eric Grahling

Written by Rachel Popa Eric Grahling, MD, is founder and medical director of Plainville, Conn.-based Comprehensive Pain Management, and president of the Connecticut Pain Society. Recently, Dr. Grahling penned an op-ed on responsible pain management published in Connecticut Medicine, the peer-reviewed journal of the Connecticut State Medical Society. Here, he shares his thoughts on pain management […]