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ASA Monitor 10 2018, Vol.82, 60-61. A recent retrospective cohort study tallied administrative and pharmacy billing data collected during the years 2008 to 2013 on patients with septic shock admitted to hospitals. The authors analyzed the impact of the 2011 norepinephrine shortage in the U.S. According to the results of the study, which of the following […]
Read MoreAuthors: Sorin J. Brull, M.D. FCARCSI (Hon) et al ASA Monitor 10 2018, Vol.82, 52-54. The Anesthesia Patient Safety Foundation (APSF) presented a panel on neuromuscular blockade and patient safety during ANESTHESIOLOGY 2017 in Boston. The panel included presentation of a survey that sought to determine key clinical and patient safety issues related to perioperative management of […]
Read MoreThis is for our readers who treat pain pts with narcotics. Authors: By Yuan CS et al JAMA 2000; 283:367–72. Context: Constipation is the most common chronic adverse effect of opioid pain medications in patients who require long-term opioid administration, such as patients with advanced cancer, but conventional measures for ameliorating constipation often are insufficient. Objective: To […]
Read MorePatients 65 and older undergoing surgery are at increased risk for developing perioperative neurocognitive disorders, including postoperative delirium (POD), with detrimental effects on their recovery. POD is the most common surgical complication in older adults, occurring in 5 to 50 percent of older adults after an operation, according to the American Geriatrics Society. It’s estimated […]
Read MoreI thought this was interesting so I wanted to share with our readers. A 12-item screening tool can help identify teens who are likely to start smoking in the next year, researchers report in Pediatrics. To develop the tool, the researchers used data from over 800 children who completed questionnaires several times each year from seventh […]
Read More(A) An IO device may be used for transfusion. (B) Pediatric patients are the only patients who should receive IO access. (C) The risk for osteomyelitis is 20 percent. (D) In the advanced cardiac life support protocols, drug administration via a tracheal tube is preferred over the IO route. IO access was developed in the […]
Read MoreWhat We Already Know about This Topic: Positive end-expiratory pressure protects against ventilation-induced lung injury by improving homogeneity of ventilation, but positive end-expiratory pressure contributes to the mechanical power required to ventilate the lung What This Article Tells Us That Is New: This in vivo study (36 pigs mechanically ventilated in the prone position) suggests that low […]
Read MoreWhat We Already Know about This Topic: Substance abuse remains common among anesthesia clinicians Whether routine, random drug testing deters use remains unknown What This Article Tells Us That Is New: The Massachusetts General Hospital randomly tested residents over a period of 13 yr There was no detected substance abuse among residents during the testing […]
Read MoreLow doses of the tricyclic antidepressant amitriptyline may provide some relief for chronic low back pain, a JAMA Internal Medicine study suggests. Nearly 150 adults with chronic, nonspecific low back pain were randomized to receive either low-dose (25 mg) amitriptyline or 1-mg benztropine (an active control with similar adverse events as amitriptyline) every day for 6 […]
Read MoreMajor European study led by Technical University of Munich confirms association and assesses current avoidance strategies TECHNICAL UNIVERSITY OF MUNICH (TUM) Muscle relaxants are a necessary part of anesthesia during certain major operations. Studies have, however, hinted at respiratory risks connected with these drugs. POPULAR, a major prospective observational European study supported by the European […]
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