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Authors: Sérgio M. Pereira, M.D. et al Anesthesiology 12 2018, Vol.129, 1070-1081. What We Already Know about This Topic: In patients with adult respiratory distress syndrome, physiologic tidal volume and positive end-expiratory pressure (PEEP) are protective In patients without lung diseases undergoing mechanical ventilation under general anesthesia, optimal PEEP is unknown What This Article Tells Us […]
Read MoreAuthors: Alexandre Joosten, M.D. et al Anesthesiology November 9, 2018. What We Already Know about This Topic: Balanced hydroxyethyl starch solution, as part of intraoperative goal-directed fluid therapy, is associated with better short-term outcomes than administration of a balanced crystalloid solution in patients having major open abdominal surgery The safety of modern hydroxyethyl starch solutions remains […]
Read MoreAuthors: Mathieu Béland, M.D., F.R.C.P.C. Anesthesiology November 8, 2018. FRACTURE/EMBOLIZATION is a rare complication of arterial cannulas for continuous hemodynamic monitoring during general anesthesia.1 While endovascular retrieval of embolized material is not a new technique, management of broken arterial cannulas has only been described as surgical, in total or partially. However, complete endovascular treatment can be successfully […]
Read MoreAuthors: Ashish K. Khanna, M.D., F.C.C.P., F.C.C.M. et al Anesthesiology 12 2018, Vol.129, 1101-1110. What We Already Know about This Topic: Use of beta (β) blockers in the perioperative period is associated with reduced incidence of postoperative atrial fibrillation In chronic β-blocker users, optimal timing for β-blocker resumption in the postoperative setting is unclear What This […]
Read MoreAuthors: Manuel Taboada, M.D., Ph.D. et al Anesthesiology 8 2018, Vol.129, 321-328. What We Already Know about This Topic: Reported incidence rates of difficult trachea intubation are higher outside of the operating room than in the operating room The differences may be explained by operator-related, patient-related, and environment-related factors What This Article Tells Us That Is […]
Read MoreAuthors: Gianluca Cappelleri, M.D. et al Anesthesiology 8 2018, Vol.129, 241-248. What We Already Know about This Topic: Reducing the volume of local anesthetic administered for neural blockade may increase safety Local anesthetic administration can result in nerve damage What This Article Tells Us That Is New: The low volume intraneural injection of ropivacaine 1% provided […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Enhanced recovery pathways can be successfully implemented for complex hip and pectus excavatum surgeries in children, according to a team of researchers. Among the benefits observed after such a pathway was instituted at Vanderbilt University Medical Center (VUMC) were reduced postoperative pain and nausea and vomiting (PONV), earlier mobility, decreased hospital […]
Read MoreAuthor: Michael Vlessides Anesthesiology News The POET (PeriOperative Enhancement Team) program at Duke University Health System aims to enhance patient health preoperatively in order to improve postoperative outcomes. The program had considerable success with its initial foray into anemia management. Other areas for preoperative enhancement have since followed. “As anesthesiologists, we have to think of ourselves […]
Read MoreAuthor: W. Harry Fortuna Anesthesiology News The incendiary response from the medical community to the working white paper written by two economists on the moral hazards of naloxone access resulted in a full-throated defense of the much heralded recovery drug. Although the white paper seems unlikely to affect policy, as the recent statement from Surgeon General […]
Read MoreAuthors: Amr S et al European Journal of Pain (Jul 2018) BACKGROUND Radiofrequency ablation (RFA) of the splanchnic nerves has been reported as a predictable and safe technique for abdominal pain management. We compare between RFA and chemical neurolysis of bilateral thoracic splanchnic nerves in the management of refractory cancer pain. METHODS The study was conducted […]
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