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Analgesic Effects of Hydromorphone versus Buprenorphine in Buprenorphine-maintained Individuals

EDITOR’S PERSPECTIVE What We Already Know about This Topic The prevalence of patients prescribed buprenorphine for treatment of opioid use disorder is increasing Managing acute pain in buprenorphine-maintained individuals can be challenging What This Article Tells Us That Is New Large doses of intravenous hydromorphone can provide analgesia in buprenorphine-maintained […]

By |January 1st, 2019|Uncategorized|0 Comments

Succinylcholine Use and Dantrolene Availability for Malignant Hyperthermia Treatment Database Analyses and Systematic Review

EDITOR’S PERSPECTIVE What We Already Know about This Topic Dantrolene effectively treats malignant hyperthermia, but there are discrepant recommendations for dantrolene availability in facilities that stock succinylcholine for airway rescue but do not use volatile anesthetics. What This Article Tells Us That Is New The authors performed an analysis of […]

By |January 1st, 2019|Uncategorized|0 Comments

Major Adverse Cardiac Events and Mortality Associated with Electroconvulsive Therapy A Systematic Review and Meta-analysis

EDITOR’S PERSPECTIVE What We Already Know about This Topic The incidence of major adverse cardiac events after electroconvulsive therapy is not known What This Article Tells Us That Is New Major adverse cardiac events and death after electroconvulsive therapy are infrequent and occur in about 1 of 50 patients and […]

By |January 1st, 2019|Uncategorized|0 Comments

Blood Pressure and End-tidal Carbon Dioxide Ranges during Aneurysm Occlusion and Neurologic Outcome after an Aneurysmal Subarachnoid Hemorrhage

EDITOR’S PERSPECTIVE What We Already Know about This Topic It remains unknown what end-tidal carbon dioxide and mean arterial pressure are optimal for surgical management of patients with an aneurysmal subarachnoid hemorrhage What This Article Tells Us That Is New The investigators retrospectively evaluated 1,099 patients who had endovascular coiling […]

By |January 1st, 2019|Uncategorized|0 Comments

Cognitive Effects of Perioperative Pregabalin Secondary Exploratory Analysis of a Randomized Placebo-controlled Study

EDITOR’S PERSPECTIVE What We Already Know about This Topic Perioperative administration of pregabalin has been associated with decreased postoperative pain and opioid requirements What This Article Tells Us That Is New This secondary analysis of data demonstrating that perioperative administration of pregabalin was associated with a reduction in opioid requirements […]

By |January 1st, 2019|Uncategorized|0 Comments

Personalized PEEP: Options for Getting It Just Right

Complex Information for Anesthesiologists Presented Quickly and Clearly
Source: Anesthesiology

By |December 1st, 2018|Uncategorized|0 Comments

Chloroforming a Hoosier Holiday Turkey

On Christmas day in 1930, The Indianapolis Star featured the culinary adventures of a bride-to-be from Richmond, Indiana. In attempting to dispatch her plucky-but-unplucked holiday turkey in a humane manner, the young woman had chloroformed the feisty fowl before defeathering and then refrigerating it overnight. As the Star recorded, when “she opened the refrigerator the […]

By |December 1st, 2018|Uncategorized|0 Comments

Interscalene Brachial Plexus Block “Stoplight” That Lit Up Red

SONOGRAPHIC guidance has increased the efficacy of regional anesthesia and improved safety by reducing the minimum effective local anesthetic volume1; however, block failures still occur due to anomalous anatomy and/or sonographic misidentification of relevant structures.2 The ultrasound image presented (image A) demonstrates the typical “stoplight” pattern of three vertically oriented hypoechoic structures denoting C5 and […]

By |December 1st, 2018|Uncategorized|0 Comments

Images in Anesthesiology: Diagnosis of Atrial Tachycardia with Transesophageal Echocardiography

A PREVIOUSLY healthy 52-yr-old man was admitted to the intensive care unit for septic shock and diffuse alveolar hemorrhage caused by leptospirosis. He received high-dose norepinephrine (2.2 μg · kg−1 · min−1); the heart rate was 155 beats/min, and the electrocardiogram revealed regular tachycardia with narrow QRS complexes (image A, white arrows). A P wave […]

By |December 1st, 2018|Uncategorized|0 Comments

Not a Pipe Dream: Crescent Interest in Free’s Vegetable Anesthetic

From his George Street office in York, Pennsylvania, Dr. Harry A. Free promised to “extract teeth without pain, by the use” of his Vegetable Anesthetic (upper left). Advertised on a trade card featuring a sleepy, pipe-puffing crescent moon (right), Free’s proprietary concoction of botanical sedatives extended the anesthetic duration of nitrous oxide. By December of […]

By |November 1st, 2018|Uncategorized|0 Comments