Anesthesia & Analgesia's supplement for education and dialog

September 2014: Anesthesia & Analgesia

September 2014: Anesthesia & Analgesia

The September issue of Anesthesia & Analgesia has just posted. Dr. Steven Shafer, editor-in-chief, Anesthesia & Analgesia: Turan and colleagues (Vitamin D and Noncardiac Surgery) report that increased vitamin D concentrations were associated with a reduction in severe adverse perioperative outcomes in adult noncardiac surgical patients. Zaloga and Butterworth observe in their accompanying special article(…)

Malignant Hyperthermia symptoms without exposure to an anesthetic

Malignant Hyperthermia symptoms without exposure to an anesthetic

Most anesthesiologists realize that rhabdomyolysis is an expected consequence of malignant hyperthermia.  In addition to treating the malignant hyperthermia event with dantrolene, rhabdomyolysis must also be treated to avoid such complications as renal failure.  In susceptible individuals malignant hyperthermia can be triggered by volatile anesthetics and succinylcholine. What is less appreciated is that in  susceptible(…)

Why is there a television playing in a doctor’s office? The science of distractors

Why is there a television playing in a doctor’s office? The science of distractors

Doctors’ waiting rooms have different distractors: potted plants, televisions featuring shows such as Judge Judy or Pardon the Interruption (depending on the time of day you are sitting in the office), and toys or playrooms for children. There’s scientific evidence behind these practices: anxiety is reduced, perception of pain might be reduced, and perhaps you(…)

Epidural Analgesia and Postpartum Depression

Epidural Analgesia and Postpartum Depression

Postpartum depression is triggered by childbirth and possibly additionally by the intensity of pain experienced during childbirth. If epidural anesthesia is used, is the incidence of postoperative depression affected? Dr. Dong-Xin Wang, Department of Anesthesiology and Surgical Intensive Care, Peking University First Hospital, Beijing, China, and colleagues report on a cohort of 214 nulliparous women(…)

Isoflurane-induced enhanced hippocampal tau phosphorylation and cognitive dysfunction in transgenic APP695 mice

Isoflurane-induced enhanced hippocampal tau phosphorylation and cognitive dysfunction in transgenic APP695 mice

Do inhaled anesthetics contribute to postoperative cognitive dysfunction? This important topic is difficult to study clinically because of the confounding effects of surgery. Animal models are being increasingly used to try to determine the specific effects of anesthesia. Dr. Feng Tau, Department of Anesthesia and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore,(…)

Supplemental postoperative oxygen and wound infection after bariatric surgery

Supplemental postoperative oxygen and wound infection after bariatric surgery

Bariatric surgery is a valuable treatment option in morbidly obese patients and those with type 2 diabetes mellitus.  These patients are at a high risk of postoperative complications including wound infections. Low tissue oxygenation is considered to play a key role in enhancing the risk of infection, and obese patients have been shown to have(…)