Anesthesia & Analgesia's supplement for education and dialog

Can labor pain, need for local analgesics during labor, and time to epidural analgesia request for labor be predicted?

Can labor pain, need for local analgesics during labor, and time to epidural analgesia request for labor be predicted?

Labor is the process of childbirth, from the start of uterine contractions to the delivery of the fetus and placenta. Labor hurts, of course, and the intensity of labor pain increases over the course of labor. Nevertheless, women experience pain differently.  Can we understand this variability? Dr. Brendan Carvalho, Department of Anesthesia, Stanford University School(…)

The clinical application of an iPad device to measure blood lost on laparotomy sponges

The clinical application of an iPad device to measure blood lost on laparotomy sponges

The previous post described the Triton System™, an iPad application, combined with a modest amount of hardware (a footswitch) that scans surgical sponges, uploads the data to a cloud server, and estimates hemoglobin mass. In that study, reconstituted blood was used to measure the system’s accuracy.  Dr. Allen A. Holmes, Department of Anesthesiology and Perioperative(…)

Transversus Abdominis Plane Blocks in Children: A Preliminary Study

Transversus Abdominis Plane Blocks in Children: A Preliminary Study

Regional anesthesia has been thought of as the future of anesthesia, specifically targeting the area being operated on, and providing postoperative analgesia while decreasing intraoperative anesthetic requirements.  In this month’s issue of Anesthesia & Analgesia, Dr. Gildasio S. De Oliveira, Jr., Department of Anesthesiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, and colleagues from(…)

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 (The Association of Serum Vitamin D Concentration with Serious Complications After Noncardiac Surgery) report that increased vitamin D concentrations were associated with a reduction in severe adverse perioperative outcomes in adult noncardiac surgical patients. Zaloga(…)

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(…)