Anesthesia & Analgesia's supplement for education and dialog

Heart failure patients who undergo surgery do not only have cardiac complications

Heart failure patients who undergo surgery do not only have cardiac complications

Heart failure affects more than five million Americans and is one of the major causes of hospitalization in patients over 65 years of age. The number of patients with chronic heart failure will increase as Americans live longer. Additionally, patients with heart failure are living longer through medical advances. As we age, the chance of(…)

Spinal Anesthesia and Cognitive Development in Children: A Preliminary Study

Spinal Anesthesia and Cognitive Development in Children: A Preliminary Study

The relationship between neurocognitive development and anesthesia exposure in early life is a much discussed topic in the pediatric anesthesia literature. Preclinical studies have shown that exposure to common anesthetic agents in animals can lead to neuronal apoptosis or neural degeneration and measurable behavioral and functional deficits. Clinical literature thus far has been equivocal at(…)

Noninvasive Measurement of Hemoglobin Via CO-Oximetry: Is it Accurate in Children?

Noninvasive Measurement of Hemoglobin Via CO-Oximetry: Is it Accurate in Children?

Rainbow® Pulse CO-Oximetry™ sensors are single-piece, taped-on sensors that are placed like a pulse oximeter to provide a real-time, noninvasive measurement of arterial hemoglobin concentration (SpHb). This technology has been well studied in adults, but more data needs to be collected regarding its pediatric applicability. Because it is intended to be used to direct transfusion(…)

Perioperative Goal-Directed Fluid Therapy for Colorectal Surgery

Perioperative Goal-Directed Fluid Therapy for Colorectal Surgery

It’s not always clear how much fluid to give intraoperatively. Blood pressure and heart rate are two monitors to help determine how much fluid should be given, though the differential diagnosis for variations in each does not only include fluid volume. Dr. David Pestaña, originally from the Department of Anesthesiology and Critical Care, Hospital Universitario(…)

Development of a Short Version of the Modified Yale Preoperative Anxiety Scale

Development of a Short Version of the Modified Yale Preoperative Anxiety Scale

Preoperative anxiety has been extensively studied in the anesthesia literature.  Preoperative anxiety is associated with adverse outcomes in children such as nightmares, separation anxiety, and increased analgesic requirements postoperatively, and thus assessment and treatment are important components of optimum anesthesia care.  The Yale Preoperative Anxiety Scale was developed almost twenty years ago and has become one(…)