Canadian journal of anaesthesia = Journal canadien d'anesthésie
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There is no evidence supporting routinely ceasing buprenorphine perioperatively, even up to SL doses of 16mg/d.
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Randomized Controlled Trial Multicenter Study
Steroids in cardiac surgery trial: a substudy of surgical site infections.
Postoperative infection, particularly in cardiac surgery, results in significant morbidity, mortality, and healthcare cost. Identification of novel predictors of postoperative infection can target high-risk populations for prophylactic intervention. ⋯ Patients undergoing CABG, requiring longer CPB, with higher BMI, or with diabetes, are at elevated risk of surgical site infection. Strategies to mitigate this risk warrant further investigation.
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Observational Study
Association between known or strongly suspected malignant hyperthermia susceptibility and postoperative outcomes: an observational population-based study.
Whether current standards of care management for malignant hyperthermia (MH)-susceptible patients result in acceptable postoperative clinical outcomes at a population level is not known. Our objective was to determine if patients with susceptibility to MH experienced similar outcomes as patients without MH susceptibility after surgery under general anesthesia. ⋯ Among adults in Ontario who underwent common surgeries under general anesthesia from 2009 to 2016, known or strongly suspected MH was not associated with a higher risk of adverse postoperative outcomes. These findings support the current standard of care management for MH-susceptible patients.
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Comment Letter
Because it's 2018: the need for early career development for female anesthesiologists.
Abstract
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Editorial Comment
A friend in need: evaluating the impact of Lifebox in Burkina Faso.
Abstract