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Women prescribed opioids that met their personal needs following caesarean section delivery show significant reductions in both the amount of opioids used and in the amount unused, compared with standard post-caesarean opioid prescribing, according to research presented here at the 2018 Annual Meeting of the American College of Obstetricians and Gynecologists (ACOG). Sarah Osmundson, MD, […]
Read MoreExposure to general anaesthetic up to age 4 years raises the risk of poor child development and reduced literacy and numeracy as measured by school tests, according to a study published in Pediatric Anesthesia. The study included 211,978 children who were born in New South Wales, Australia at 37-plus weeks’ gestation without major congenital anomalies or […]
Read MoreEpidural placement before active delivery does not increase the likelihood of caesarean section delivery, according to research presented here at the 2018 Annual Meeting of the American College of Obstetricians and Gynecologists (ACOG). “Placement of epidural prior to or after the onset of active labour did not differentiate mode of delivery or length of the […]
Read MoreAuthors: Baloyiannis I et al Surgical Endoscopy 32 (5), 2184-2192 (May 2018) BACKGROUND General anesthesia has been used as a standard for laparoscopic inguinal hernia repair including both techniques (Trans-Abdominal Pre-Peritoneal repair and the Total Extra-Peritoneal repair), while regional anesthesia has been occasionally applied in high risk patients where general anesthesia is contraindicated. In case […]
Read MoreAuthors: Zhang Y et al Anaesthesiologica Scandinavica (Mar 2018) BACKGROUND Vitamin D is important for maintaining physiological functions including cognition and its deficiency is associated with the occurrence of cognitive impairment. This study was to explore the association between preoperative vitamin D status and the occurrence of postoperative cognitive dysfunction (POCD) in elderly patients undergoing […]
Read MoreHaving one or more anesthesiologists present during mechanical thrombectomy for acute ischemic stroke optimizes hemodynamics, improves periprocedural complications and facilitates the transition of care, a recent study concluded, prompting the recommendation that an anesthesiologist should be present routinely during endovascular treatment. “Both anesthetic modality and hemodynamic management are potential contributors to clinical outcomes after mechanical […]
Read MoreFollowing cardiopulmonary bypass surgery, preoperative diastolic pressure was more closely associated with failed extubation at 24 hours than systolic or mean blood pressure, according to a study of a large sample of cardiac surgery patients. “This relationship is statistically significant when interpreted as a linear regression model,” said lead investigator Christos Koutentis, MB ChB, an […]
Read MoreIn patients with intractable spine and limb pain, spinal stimulation (SS) was associated with better pain reduction than medical therapy, with newer stimulation technology having better effects than conventional stimulation. This research was presented at the American Academy of Pain Medicine Annual Meeting, held in Vancouver, Canada. Tim Lamer and colleagues from the Mayo Clinic in […]
Read MoreCMS recently announced that targeted reviews of certain 2017 Merit-based Incentive Payment System performance scores resulted in a number of individuals and practices avoiding a penalty and, in some cases, being eligible for a positive payment adjustment. The calculating errors, first noticed by CMS in the Spring, mostly affected non-anesthesiologists. Those errors included the application of the […]
Read MoreResearchers from Southeast Anesthesiology Consultants in Charlotte, N.C., have gone to great lengths, combing through 97,815 case files in a 16-year-old database containing 150,000 patients, in an effort to understand causes of perianesthetic death in children. Presented at the American Society of Anesthesiologists annual meeting in October 2017, the study revealed death rates and causes of perianesthetic […]
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