Anesthesia and analgesia
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Anesthesia and analgesia · Aug 2014
Observational StudyEpidural Labor Analgesia Is Associated with a Decreased Risk of Postpartum Depression: A Prospective Cohort Study.
Labour epidural analgesia may be associated with a lower incidence of post-natal depression.
pearl -
Anesthesia and analgesia · Aug 2014
Review Meta AnalysisNicotine for Postoperative Analgesia: A Systematic Review and Meta-Analysis.
Peri-operative nicotine very slightly reduces opioid consumption in non-smokers but not pain scores — and increases the incidence of post-op nausea.
pearl -
Anesthesia and analgesia · Aug 2014
Randomized Controlled Trial Multicenter StudySupplemental postoperative oxygen does not reduce surgical site infection and major healing-related complications from bariatric surgery in morbidly obese patients: a randomized, blinded trial.
12-16h of post-op supplemental O2 (80%) does not reduce wound infection or complication in the morbidly obese undergoing gastric bypass.
pearl -
Anesthesia and analgesia · Aug 2014
The Implementation of Quantitative Electromyographic Neuromuscular Monitoring in an Academic Anesthesia Department.
Although experts agree on the importance of quantitative neuromuscular blockade monitoring, particularly for managing reversal, such monitoring is not in widespread use. We describe the processes and results of our departmental experience with the introduction of such quantitative monitoring. ⋯ Implementation of universal electromyographic-based quantitative neuromuscular blockade monitoring required a sustained process of education along with repeated PACU surveys and feedback to providers. Nevertheless, this effort resulted in a significant reduction in the incidence of incompletely reversed patients in the PACU.