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Authors: Stefan Schraag et al BMC Anesthesiology201818:162 Background It is unclear if anaesthesia maintenance with propofol is advantageous or beneficial over inhalational agents. This study is intended to compare the effects of propofol vs. inhalational agents in maintaining general anaesthesia on patient-relevant outcomes and patient satisfaction. Methods Studies were identified by electronic database searches in […]
Read MoreAuthors: Jung H-S et al. Am J Gastroenterol 2018 Oct 23 Cigarette smoking appears to be a modifiable risk factor for development and progression of NAFLD. Although there is no specific treatment for nonalcoholic fatty liver disease (NAFLD), weight loss, avoiding alcohol, and control of underlying comorbid conditions such as diabetes are recommended. Should clinicians also […]
Read MoreAuthor: Chase Doyle Anesthesiology News New research suggests that preoperative coagulation testing can be instrumental in predicting cardiac surgery outcomes. According to a retrospective analysis of nearly 1,400 patients’ medical records, preoperative international normalized ratio (INR) is significantly associated with 30-day mortality in cardiac surgery patients. The data showed tha t for every 1-unit increase […]
Read MoreAuthor: Ajai Raj Anesthesiology News Analyzing the impact of implementing patient-centered protocols for preoperative anesthesia testing at their institution, a team at Rutgers New Jersey Medical School discovered an unexpected dividend: an annual cost reduction of more than 50%, which was nearly $200,000. Presenting the study at the 2018 annual meeting of the Society for […]
Read MoreAuthor: Michael Vlessides Anesthesiology News When it comes to medication errors in general anesthesia, more clinicians than ever are reporting their experiences in studies and case reports, according to a systematic review by a Canadian research team. Yet these errors continue, and sometimes with fatal effects. “We all know that medication errors occur everywhere in […]
Read MoreJama June 2018 Abstract Importance The tracheal tube introducer, known as the bougie, is typically used to aid tracheal intubation in poor laryngoscopic views or after intubation attempts fail. The effect of routine bougie use on first-attempt intubation success is unclear. Objective To compare first attempt intubation success facilitated by the bougie vs the endotracheal tube + stylet. Design, […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Opioids may be the preferred therapy for treating cancer-related pain, but as a French study has demonstrated, continuous peripheral nerve blocks also may have a place. The study found that in carefully selected cancer patients, continuous peripheral nerve blocks represent a safe and surprisingly effective alternative analgesic modality, sometimes lasting […]
Read MoreAuthor: Andrew Goldstein Anesthesiology News Women given remifentanil for labor pain were less likely to need a subsequent epidural compared with women given meperidine, the current standard for labor pain relief in the United Kingdom, according to a study published in the Lancet (2018;392(10148):662-672.). “What I think the study has shown rigorously for the first time, in […]
Read MoreAuthor: Joseph F. Answine, MD, FASA Anesthesiology News Sugammadex (Bridion, Merck) has proven to be superior to acetylcholinesterase inhibitors for the reversal of neuromuscular blockade with a steroidal nondepolarizing neuromuscular blocking agent (NMBA); and, after high-dose rocuronium (1.2 mg/kg), it has been found superior to succinylcholine for return of neuromuscular function after rapid sequence induction. […]
Read MoreA large retrospective study presented here at the 2018 Annual Meeting of the American Society of Anesthesiologists (ASA) has found that adequate postpartum pain control is associated with a decreased risk of postpartum depression. Recent studies have suggested that epidural analgesia is linked to a reduced risk of postpartum depression. One study of 214 women […]
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