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Authors: Brian E. Driver, MD et al JAMA • June 5, 2018 To understand procedural challenges of endotracheal intubation. Question In patients admitted to the emergency department with difficult airway characteristics undergoing orotracheal intubation with a Macintosh laryngoscope blade, does a bougie facilitate higher first-attempt intubation success than an endotracheal tube + stylet? Findings In this randomized clinical trial that included 757 […]
Read MoreAuthors: Sarah Devroe et al Pediatric Anesthesia July 2018 Background In adults, xenon has only minimal hemodynamic side effects when compared with other anesthetics. Moreover, in preclinical experiments, xenon has been demonstrated to possess cardio‐ and neuroprotective properties. Altogether, the favorable hemodynamic profile combined with its potential for organ‐protection could render xenon an attractive option […]
Read MoreAuthors: Zhi-Fu Wu, M.D. et al Anesthesiology 11 2018, Vol.129, 932-941. What We Already Know about This Topic: Propofol may better preserve host defenses against cancer Whether cancer recurrence is less likely with propofol than volatile anesthesia remains unknown What This Article Tells Us That Is New: The authors conducted a propensity-matched retrospective analysis of 1,158 […]
Read MoreAuthors: Allana Munro et al Canadian Journal of Anesthesia November 2018, Volume 65, Issue 11, pp 1240–1247| Purpose The incidence of epidural top-ups received in the second stage of labour in nulliparous women and the obstetrical and neonatal implications associated with these boluses are explored in this retrospective observational study. We hypothesized that an epidural top-up in the second stage of labour […]
Read MoreWolters Kluwer Health Individual and work-related factors may be helpful in promoting positive engagement with work among hospital physicians, according to a study in the December issue of Medical Care. The study provides insights into the emerging evidence on the characteristics and outcomes affecting physician engagement—an area of growing focus in healthcare improvement efforts. “By understanding […]
Read MoreU.S. life expectancy at birth has declined for the second year in a row, from 78.7 years in 2015 to 78.6 years in 2016, according to the latest CDC data. Notable increases were observed in drug overdose deaths and suicides. The overdose rate nearly doubled from 2006 to 2016, hitting 19.8 deaths per 100,000. Meanwhile, […]
Read MoreAuthors: Tài Pham, M.D., Ph.D. et al Anesthesiology November 28, 2018. What We Already Know about This Topic: Hospital mortality in acute respiratory distress syndrome is approximately 40%, but mortality and trajectory in “mild” acute respiratory distress syndrome (classified only since 2012) are unknown, and many cases are not detected What This Article Tells Us That […]
Read MoreNew research reveals a need for better tools for catching severe infections in pregnant women; simple early interventions are crucial, too Source: MICHIGAN MEDICINE – UNIVERSITY OF MICHIGAN A woman lies in her hospital bed. Her heart rate is elevated, she has a slight fever and an elevated white blood cell count. Could this be […]
Read MoreAuthors: Bell, Rae Frances et al PAIN Reports: September/October 2018 – Volume 3 – Issue 5 – p e674 Key Points There is good evidence that perioperative ketamine decreases postoperative pain scores and opioid requirements, but there is a lack of consensus on dose, for both bolus and infusion. Despite limited evidence, a trial of low-dose intravenous or […]
Read MoreA test to deliver a functional human kidney to a patient by drone has been deemed a success. A team from the University of Maryland Medical Centre and the university’s Department of Aerospace Engineering ran the test. The kidney was not healthy enough to be used in a transplantation but was available for research earlier […]
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