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Authors: Philip M. Hopkins, M.B., B.S., M.D., F.R.C.A. et al Anesthesiology November 12, 2018. “[Increased] patient safety is served by mandating that dantrolene be stocked where succinylcholine is available.” IN this issue, Larach et al.1 conclude a large database analysis and systematic review by advocating that dantrolene be stocked in all locations where succinylcholine is available, even if […]
Read MoreHeart attacks once characterized as a part of “old man’s disease” — are increasingly occurring in younger people, especially women, according to new research. The study, presented Sunday at the American Heart Association’s Scientific Sessions meeting in Chicago and published in the AHA journal Circulation, sought to investigate heart attacks in the young, a group frequently […]
Read MoreBy Aaron E. Carroll New York Times Nov 5, 2018 A look at the system’s weaknesses, and possible ways to combat them. Even before the recent news that a group of researchers managed to get several ridiculous fake studies published in reputable academic journals, people have been aware of problems with peer review. Throwing out the system — which deems whether research […]
Read MoreAuthors: Béatrice La Combe, M.D., M.Sc. et al Anesthesiology 12 2018, Vol.129, 1140-1148. What We Already Know about This Topic: Chlorhexidine is frequently used to reduce oropharyngeal bacterial colonization in mechanically ventilated patients. How effective the drug is remains unclear. What This Article Tells Us That Is New: Bacterial colonization was evaluated in 30 mechanically ventilated […]
Read MoreAuthors: Robert M. Kacmarek, Ph.D., R.R.T. et al Anesthesiology 12 2018, Vol.129, 1057-1059. “A small physiologic trial evaluate[d] the ability of titrated PEEP to prevent intraoperative atelectasis.” THE concept of lung-protective ventilation is well established in patients with acute lung injury and is now considered a fundamental approach when managing any patient under mechanical ventilation in […]
Read MoreAuthors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology 12 2018, Vol.129, 1121-1131. What We Already Know about This Topic: Neuraxial anesthesia use for hip fracture surgery has wide variation in use across hospitals, and hospitals using it for less than 25% of patients may have increased 30-day mortality The proportion of the variation in […]
Read MoreAuthors: Raphaël Cinotti, M.D., Ph.D. et al Anesthesiology 12 2018, Vol.129, 1111-1120. What We Already Know about This Topic: The authors developed a score for predicting the risk of postoperative complications What This Article Tells Us That Is New: The score was developed from 1,094 patients and validated in 830 patients from six French hospitals Severe […]
Read MoreAuthors: Justyna Bartoszko, M.D. et al Anesthesiology 12 2018, Vol.129, 1092-1100. What We Already Know about This Topic: Major bleeding can occur during cardiac surgery. Although different scoring systems exist, the assessment of bleeding can be variable, and the reliability of these scoring systems has not been determined. What This Article Tells Us That Is New: […]
Read MoreAuthors: Pranjal B. Gupta, B.E. et al Anesthesiology 12 2018, Vol.129, 1082-1091. What We Already Know about This Topic: A transfusion threshold of 8 g/dl of hemoglobin is considered safe for asymptomatic orthopedic surgery patients, but lower thresholds have not been tested What This Article Tells Us That Is New: A blood management program using a […]
Read MoreAuthors: Naveed Siddiqui, M.D., M.Sc et al Anesthesiology 12 2018, Vol.129, 1132-1139. What We Already Know about This Topic: Accurate identification of the cricothyroid membrane is key for success of emergency cricothyrotomy Ultrasound has been reported to identify the cricothyroid membrane more accurately than external palpation in patients with normal neck anatomy What This Article Tells […]
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