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Will the electronic stethoscope replace use of a standard stethoscope in the operating room?

August 28, 2013 By J. Lance Lichtor in Technology, Computing, and Simulation

Will the electronic stethoscope replace use of a standard stethoscope in the operating room?

Anesthesiologists are known to wear stethoscopes around their neck. We use the stethoscope to make sure breath sounds are equal after a patient’s trachea has been intubated, to check lung physiology during anesthesia, and occasionally place the stethoscope earpiece on the ears of deaf patients and speak into the bell to amplify our own voices […]

Aromatherapy may have a role in treating postoperative nausea

August 26, 2013 By J. Lance Lichtor in Ambulatory Anesthesiology

Aromatherapy may have a role in treating postoperative nausea

A lot has been written about postoperative nausea and vomiting (PONV).   Treatment for PONV usually is accomplished with a drug that can be injected intravenously, administered orally, or, when all else fails, given rectally.  Somehow the nose doesn’t seem like an appropriate orifice for treatment of PONV.  However, the nose is the only option for […]

A licorice solution can help prevent postoperative sore throat

August 23, 2013 By J. Lance Lichtor in Ambulatory Anesthesiology

A licorice solution can help prevent postoperative sore throat

Common side effects after anesthesia include postoperative nausea and vomiting (PONV), sore throat, shivering and headache.  Postoperative nausea and vomiting gets the most press: It’s listed as a specific MeSH® (Medical Subject Headings), and over 2500 manuscripts use PONV as a MeSH term compared to fewer than 600 articles where MeSH terms include sore throat […]

September 2013: Anesthesia & Analgesia

August 21, 2013 By Steven Shafer in Audio, This issue

g2 small front

The September 2013 issue of Anesthesia & Analgesia has posted.  What follows are some highlights from the issue. Despite intraoperative antiemetics, some patients have refractory postoperative nausea and vomiting. Dabu-Bondoc and colleagues (“Intravenous Dextrose Administration Reduces Postoperative Antiemetic Rescue Treatment Requirements and Postanesthesia Care Unit Length of Stay”) found that patients receiving intravenous dextrose (D5LR) during […]

The Nexfin is an non-invasive monitor of of cardiac output. Does it work? How does it compare to thermodilution measured using a pulmonary artery catheter?

August 16, 2013 By J. Lance Lichtor in Audio, Technology, Computing, and Simulation

The Nexfin is an non-invasive monitor of of cardiac output. Does it work? How does it compare to thermodilution measured using a pulmonary artery catheter?

Cardiac output is classically measured using thermodilution, which requires a pulmonary artery catheter (PAC).  Pulmonary artery catheters are invasive and, as highlighted in 2 posts last month on AA2day (post 1; post 2), have multiple risks. The Nexfin determines cardiac output by analyzing the arterial pulse contour using an inflatable finger cuff.  In the article “Noninvasive […]

Use caution when placing a magnet to pacemakers or defibrillators before surgery

August 14, 2013 By J. Lance Lichtor in Audio, Patient Safety

Use caution when placing a magnet to pacemakers or defibrillators before surgery

The American Society of Anesthesiologists advises against the routine use of a magnet over an implantable cardioverter-debrillator or pacemaker in its 2011 Practice Advisory for cardiac implantable external devices (CIEDs). Instead, the ASA advice is to interrogate the device to assess function. In this month’s issue of Anesthesia & Analgesia, the article “Use Caution When […]

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  • January 2019: Anesthesia & Analgesia January 2, 2019
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  • January 2019: Anesthesia & Analgesia

    January 2019: Anesthesia & Analgesia

    The January 2019 issue of Anesthesia & Analgesia has been published. Patient blood management is the timely application of evidence-based medical and surgical concepts designed to maintain hemoglobin concentration, optimize hemostasis, and minimize blood loss to improve patient outcomes. In their article, Zaleski and colleagues provide suggestions for successful, safe and bloodless treatment for patients […]

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    April 2015: Anesthesia & Analgesia

    Dr. Steven Shafer, editor-in-chief, Anesthesia & Analgesia: Recent news reports have highlighted the risks of nosocomial infection. Fourteen articles in this issue of Anesthesia & Analgesia document how anesthesiologists make a difference in perioperative infection. Research papers identify the reservoirs of bacterial contamination in the operating room, our role in hospital-acquired infections, and changes in […]

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    We’ve gone to the IARS meeting

    We’ve gone to the IARS meeting.  Posts will continue after the meeting.  Anyone know the location of this image? To see it, go to the Hawaii Tropical Botanic Garden, near Hilo: on the Ocean Front trail, the twin rocks, based on legend, are where two young lovers were turned to stone as they protected their village […]

  • A Summary of Research on Perioperative Neurotoxicity in the Elderly

    A Summary of Research on Perioperative Neurotoxicity in the Elderly

    Scientists and clinicians from ten countries attended the International Workshop on Perioperative Neurotoxicity in the Elderly this past May in Stockholm, Sweden. In this month’s issue of Anesthesia & Analgesia, Dr. Roderic G. Eckenhoff, Department of Anesthesiology & Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, and colleagues review the workshop proceedings […]

  • Can the anesthesiologist affect outcome after CABG surgery?  A study from New York (reader note: this article has been retracted)

    Can the anesthesiologist affect outcome after CABG surgery? A study from New York (reader note: this article has been retracted)

    Anesthesia care has changed significantly since that time. However, the question remains whether a subset of anesthesiologists is particularly skilled relative to a different subset. That’s the “glass half full” question. You can invert that if you prefer the “glass half empty” question. Dr. Laurent G. Glance, Department of Anesthesiology, University of Rochester School of […]

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