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Warming patients is important but not risk-free

July 29, 2013 By J. Lance Lichtor in Patient Safety

Warming patients is important but not risk-free

The evidence to show the importance of keeping a patient warm during surgery is strong.  For example, the risk of surgical site infection increases when patients are cold. In  patients undergoing bowel surgery, infection risk is increased as much as three times when temperature drops 2°C. Forced air warming is the most common method used […]

Despite Fujii’s unprecedented fabrication, ramosatron might actually be a better drug than ondansetron

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

Despite Fujii’s unprecedented fabrication, ramosatron might actually be a better drug than ondansetron

When investigating the work of Dr. Yoshitaka Fujii, Toho University noted that 8/9 studies did not have appropriate ethics committee approval. A subsequent analysis by the Japanese Society of Anesthesiologists found that 172/212 studies were fabricated. Earlier this year in an editorial published in Anesthesia & Analgesia, Drs. Ashraf S. Habib and Tong J. Gan […]

Anesthesia and Analgesia highlights: August 2013

July 24, 2013 By Steven Shafer in This issue

Anesthesia and Analgesia highlights: August 2013

The August 2013 issue of Anesthesia and Analgesia has just posted. Highlights of this issue of the journal include: ¡ Is lidocaine a general anesthetic? Hamp and colleagues (The Effect of a Bolus Dose of Intravenous Lidocaine on the Minimum Alveolar Concentration of Sevoflurane: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Trial) found that 1.5 mg/kg of […]

An unusual complication of central venous cannulation: intrathecal cannulation

July 19, 2013 By J. Lance Lichtor in Patient Safety

An unusual complication of central venous cannulation: intrathecal cannulation

An earlier post for AA2day described cases of guidewires inadvertently left in patients. In a case report titled “Inadvertent Intrathecal Placement of a Pulmonary Artery Catheter Introducer,” which was published in this month’s issue of Anesthesia & Analgesia, Dr. Marcel Vercauteren, Department of Anesthesiology, University Hospital Antwerp, Edegem, Belgium, and co-authors describe a patient who, […]

Use of ultrasound for treatment of patients with chronic pain

July 17, 2013 By J. Lance Lichtor in Pain Medicine

Use of ultrasound for treatment of patients with chronic pain

Anesthesiologists use ultrasound in a variety of areas. Needle placement is probably the most common reason to use ultrasound and in this month’s issue of Anesthesia & Analgesia, Dr. Anuj Bhatia, Department of Anesthesia and Pain Management, Toronto Western Hospital (University Health Network), Toronto, Ontario, Canada, and co-authors review the use of ultrasound for needle […]

A device that can decrease the risk of exposure to anesthetics used in the operating room

July 15, 2013 By J. Lance Lichtor in Ambulatory Anesthesiology

Image: The double mask can decrease exposure risk of inhaled anesthetic agents.  Image source courtesy of Anesthesia

In operating rooms in the United States, due primarily to risk of adverse reproductive effects, there are limits set by the National Institute for Occupational Health and Safety for exposure to nitrous oxide (25 ppm) and potent inhalation agents (2 ppm). Limited exposure to anesthetic gases in hospitals is accomplished in large part via the […]

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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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