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I thought this was interesting so I wanted to share it Causes of death in the year after a nonfatal opioid overdose were often related to substance use disorders, as well as a range of mental health and medical conditions, in a US national cohort, according to a study published in JAMA Psychiatry. For this longitudinal […]
Read MoreStroke volume–guided fluid resuscitation in severe sepsis and septic shock ICU patients may result in less fluid administered and improve patient outcomes that reduce cost of care, according to a new study. Patients who underwent noninvasive cardiac output monitoring (NICOM) had improved outcomes of significantly shorter ICU stays, compared with patients undergoing a less specific […]
Read MoreThe demographic characteristics of patients presenting for ambulatory surgery are changing—they are older and sicker, a databa se review has confirmed. The analysis concluded that the proportion of ambulatory surgery patients having challenging medical conditions that influence their health status increased significantly between 2006 and 2010. “Although the criteria for outpatient surgery selection have become […]
Read MoreA review of several late-phase studies of sufentanil sublingual tablets (Dsuvia, AcelRx) concluded that the investigational product is effective and well tolerated for the short-term management of people suffering from moderate to severe acute pain. “Our goal with this review was to articulate any differences between IV sufentanil and the sublingual sufentanil tablet, identify the […]
Read MoreBerend Mets, MB ChB, PhD, a professor and the chair of Anesthesiology and Perioperative Medicine at Penn State University College of Medicine, in Hershey, recently published “Waking Up Safer? An Anesthesiologist’s Record,” which is available through SilverWood Books, Bristol, England, and on Amazon. Written specifically to inform the lay public about anesthesia, this “anesthesiologist’s record” tells the story of […]
Read MoreThe transversus abdominis plane (TAP) block catheter for nephrectomy does not produce a significant decrease in opioid use in the first 48 hours after surgery, according to a study presented here at the 2018 Annual Meeting of the Canadian Anesthesiologists Society (CAS). Jaasmit Khurana, BSc, University of Alberta, Edmonton, Alberta, presented the study on June […]
Read MoreAuthors: Ru Li et al BMC Cancer 2018 18:666 Background Breast cancer accounts for nearly a quarter of all cancers in women worldwide, and more than 90% of women diagnosed with breast cancer undergo mastectomy or breast-conserving surgery. Retrospective clinical studies have suggested that use of regional anesthesia leads to improved patient outcomes. Laboratory studies have reported that […]
Read MoreAuthors: CláudiaSchweiger et al Journal of Pediatrics Sept 2018 Objective To assess the accuracy of stridor in comparison to endoscopicexamination for diagnosis of pediatric post-intubation subglottic stenosis. Method Children who required endotracheal intubation for >24 h were included in this prospective cohort study. Children were monitored daily and underwent flexible fiberoptic laryngoscopy after extubation. Those with moderate-to-severe abnormalities underwent another examination 7–10 days later. If lesions […]
Read MoreAuthors: Giacomo Grasselli, M.D. et al Anesthesiology 9 2018, Vol.129, 394-395. Functional impairment of respiratory muscles is considered one of the determinants of difficult weaning from the ventilator which results in prolonged mechanical ventilation and is associated with worse patient outcome. Patients requiring invasive ventilation are exquisitely prone to the development of respiratory muscle dysfunction (including ventilator-induced […]
Read MoreAuthors: Matthias Behrends, M.D. et al Anesthesiology 9 2018, Vol.129, 536-543. What We Already Know about This Topic: Hip arthroscopy is a surgical procedure growing in popularity The optimal approach to postoperative analgesia has not been identified What This Article Tells Us That Is New: The addition of preoperative fascia iliaca block using ropivacaine to the […]
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