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The incidence rate of major adverse cardiac events (MACEs) after electroconvulsive therapy (ECT)—still commonly used in cases of intractable psychiatric disorders—has been unclear. A new meta-analysis, however, has found that such events occur after ECT in as many as one in 50 patients and after approximately one in 500 treatments. “Evidence indicates that ECT use […]
Read MoreAlthough the risk factors for hypoxemia in obese patients undergoing general anesthesia are well known, the risk is less clear when it comes to monitored anesthesia care (MAC). Yet, as a study by a team of NYU Langone Medical Center researchers has shown, the relationship is the same under MAC anesthesia, with the incidence of […]
Read MoreAuthors: Marco Rispoli, M.D. et al Anesthesiology 10 2018, Vol.129, 853-854. “Have you ever wondered what coffee is? Coffee is just an excuse. An excuse to tell a friend that you love him.” —Edoardo De Crescenzo This quote from Edoardo De Crescenzo, a famous Neapolitan writer, director, and actor, explains one important truth: in Naples, coffee […]
Read MoreThe use of transnasal sphenopalatine ganglion(SPG) block is safe and effective for providing short-term relief from acute migraine headaches, according to a study in Pain Research and Treatment. Investigators retrospectively evaluated outcomes in 55 patients treated at a university medical center for migraine headache with bilateral transnasal SPG blocks during a 6-month period. The percentage of patients who were […]
Read MoreAuthors: Joseph Zenga, M.D. Anesthesiology 9 2018, Vol.129, 581. WHILE endotracheal tube obstruction by the air cuff is rare, it is not a new phenomenon. As early as 1957, cuff hyperinflation was a reported cause of ventilation failure, leading to several deaths.1 Most commonly, airway obstruction results from herniation of the thin pliable cuff plastic, either into […]
Read MoreAuthors: Steven P. Cohen, M.D. et al Anesthesiology 9 2018, Vol.129, 517-535. What We Already Know about This Topic: Facet blocks, including intraarticular and medial branch blocks, are frequently used before radiofrequency ablation, but their validity as a predictive tool is unproven Recently, the evidence supporting radiofrequency ablation has come under great scrutiny What This Article […]
Read MoreAuthors: David O. Warner, M.D. et al Anesthesiology 7 2018, Vol.129, 89-105. Background: Few studies of how exposure of children to anesthesia may affect neurodevelopment employ comprehensive neuropsychological assessments. This study tested the hypothesis that exposure to multiple, but not single, procedures requiring anesthesia before age 3 yr is associated with adverse neurodevelopmental outcomes.Methods: Unexposed, singly exposed, and […]
Read MoreAuthors: Isaac Wasserman, M.P.H. et al Anesthesiology 7 2018, Vol.129, 77-88. Background: The value of intravenous acetaminophen in postoperative pain management remains debated. The authors tested the hypothesis that intravenous acetaminophen use, in isolation and in comparison to oral, would be associated with decreased opioid utilization (clinically significant reduction defined as 25%) and opioid-related adverse effects in […]
Read MoreAuthors” Alexander J. Butwick, M.B.B.S., F.R.C.A., M.S. et al Anesthesiology 9 2018, Vol.129, 448-458. What We Already Know about This Topic: Neuraxial labor analgesia for parturients is often recommended to avoid airway instrumentation in case of urgent surgical delivery The extent to which neuraxial use varies by maternal body mass index using modern, national data remains […]
Read MoreGas insufflation during any endoscopic procedure runs the risk for increased abdominal pressure, potentially leading to an unplanned cardiovascular event. “Anesthesiologists should be concerned with the amount of time an endoscopy procedure may entail,” said Paul Terracciano, MD, a senior attending anesthesiologist and the former director of anesthesiology at Phelps Hospital (Northwell Health), in Sleepy […]
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