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18-12-2012 | Anaesthesiology | Article

‘Sensory’ block promise for postop knee pain

Using adductor canal block rather than femoral nerve block for analgesia after knee surgery could minimize muscle weakness and risk for falls, a study in Anesthesiology suggests.

11-12-2012 | Anaesthesiology | Article

Spotlight on acute respiratory distress syndrome in low-risk surgery

Postoperative acute respiratory distress syndrome is rare in patients undergoing low-risk surgery, but still carries a very high mortality rate, a large study shows.

04-12-2012 | Surgery | Article

‘Old’ erythrocytes little problem in noncardiac surgery

Erythrocytes that have been stored for several weeks before use may not cause problems in patients who receive transfusions during noncardiac surgery, a large retrospective analysis suggests.

28-11-2012 | Surgery | Article

Imaging window into future for brain injury patients

A model based on quantitative diffusion tensor imaging findings predicts outcomes after severe traumatic brain injury better than current methods, shows a multicenter study.

27-11-2012 | Surgery | Article

Bleeding risk modifies perioperative beta-blocker benefits

Perioperative use of beta blockers seems to be beneficial unless patients experience heavy bleeding, in which case it may be detrimental, say researchers.

20-11-2012 | Radiology | Article

Metabolomics clue to postoperative delirium

The choice of general anesthetic in children influences their cerebral metabolism, which in turn affects their risk for postoperative delirium, an imaging study shows.

14-11-2012 | General practice | Article

Adequate pain management at end of life is a team effort

Inadequate management of pain in patients with terminal illness and those at the end of their lives exists because of knowledge deficits and misperceptions among patients, families, and healthcare providers, indicate the results of a study involving palliative nurses.

13-11-2012 | Cardiology | Article

Anesthetic choice may not be critical in noncardiac surgery

The choice of general anesthetic does not appear to influence the risk for myocardial infarction in patients undergoing noncardiac surgery, report researchers.

06-11-2012 | Neurology | Article

Communications down in anesthetized brain

Two studies indicate that inhaled anesthetics disrupt communication between distant cortical areas before directly activating sleep-inducing neuronal circuitry.

01-11-2012 | Gastroenterology | Article

TD-1211 may relieve opioid-induced constipation

TD-1211 – an inhibitor of the mµ-opioid receptor – alleviates chronic noncancer-related constipation in patients receiving opioid therapy, without affecting pain relief, show the results of a parallel-group study.

30-10-2012 | Anaesthesiology | Article

Regional anesthesia reduces transfusion risk in knee replacement surgery

Regional anesthesia, compared with general anesthesia, reduces the need for blood transfusions in patients undergoing bilateral total knee replacement, research suggests.

30-10-2012 | Surgery | Article

Intraoperative cardiac arrest most likely following heavy blood loss

Study results show that although intraoperative cardiac arrest is rare during noncardiac surgery, patients who receive intraoperative blood transfusion are at increased risk for the event.

23-10-2012 | Anaesthesiology | Article

Eyes deceive neuromuscular monitoring efforts

Measuring train-of-four ratios at the eye muscles risks leaving patients with residual paralysis after reversal of neuromuscular blockade, a study in Anesthesiology shows.

16-10-2012 | Anaesthesiology | Article

Intermediate-acting neuromuscular block use ‘needs revisiting’

The use of intermediate-acting neuromuscular blocking agents during general anesthesia may increase the risk for clinically meaningful respiratory complications, researchers report in the BMJ.

10-10-2012 | Surgery | Article

Tourniquet timing alters foot surgery pain outcomes

The timing of thigh tourniquet application may affect pain control in patients undergoing forefoot surgery, research published in Foot and Ankle Surgery suggests.

09-10-2012 | Anaesthesiology | Article

Simple test confirms correct catheter placement

Injecting sodium bicarbonate into a peripheral intravenous catheter is a straightforward means of testing its placement and patency in mechanically ventilated children, say researchers.

02-10-2012 | Anaesthesiology | Article

Alarms could be key to avoiding intraoperative awareness

Bispectral index monitoring is unlikely to be better than monitoring based on anesthetic concentrations for preventing intraoperative awareness, shows a randomized trial.

25-09-2012 | Surgery | Article

Developing world lagging in anesthesia safety

Mortality after general anesthesia has declined over the past 50 years, but the greatest gains have been in developed countries, shows a systematic review in The Lancet.

24-09-2012 | Anaesthesiology | Article

Low blood sugar danger for critically ill

Further analysis of the NICE-SUGAR trial shows a dose‑response relationship between the degree of hypoglycemia and the risk for death in critically ill patients.

18-09-2012 | Anaesthesiology | Article

i-gel airway device provides reliable anesthesia ventilation

The i-gel supraglottic airway device provides reliable ventilation in patients under anesthesia, results of a prospective multicentre observational study show.