Article Notes

• Hide
  • Pearls
  • Summaries
  • Comments

comment
1
I agree with Allan. This is the best available evidence for Ephedrine vs Phenylephrine to treat hypotension post-spinals in LSCS.
Veeser M, Hofmann T, Roth R et al. Vasopressors for the management of hypotension after spinal anesthesia for elective caesarean section. Systematic review and cumulative meta-analysis. Acta Anaesthesiol Scand. 2012 Aug 1; 56 (7): 810-6.
  Chris Tan
pearl
1
Use of intraoperative cerebral oximetry may reduce post-operative cognitive decline.
Zorrilla-Vaca A, Healy R, Grant MC et al. Intraoperative cerebral oximetry-based management for optimizing perioperative outcomes: a meta-analysis of randomized controlled trials. Can J Anaesth. 2018 May 1; 65 (5): 529-542.
  Daniel Jolley
pearl
1
Intubation using a tracheal stylet in the ETT significantly increases the incidence of post-operative sore throat.
Komasawa N, Nishihara I, Minami T. Effects of stylet use during tracheal intubation on postoperative pharyngeal pain in anesthetized patients: A prospective randomized controlled trial. J Clin Anesth. 2017 May 1; 38: 68-70.
  Daniel Jolley
pearl
1
Epidural fentanyl at concentrations up to 2 mcg/mL does not effect breastfeeding rates in women who have previously successfully breastfed.
Lee AI, McCarthy RJ, Toledo P et al. Epidural Labor Analgesia-Fentanyl Dose and Breastfeeding Success: A Randomized Clinical Trial. Anesthesiology. 2017 Oct 1; 127 (4): 614-624.
  Daniel Jolley
comment
1
Excellent study and long-awaited conclusion!
Davidson AJ, Disma N, de JC et al. Neurodevelopmental outcome at 2 years of age after general anaesthesia and awake-regional anaesthesia in infancy (GAS): an international multicentre, randomised controlled trial. Lancet. 2016 Jan 16; 387 (10015): 239-50.
  Chris Tan
comment
1
Adding high dose adrenaline to spinal solution? I'm not sure that's wise. Potential general or specific vasoconstriction in intracerebral capillaries, for benefit of 40 mins added sensory block time.
Katz D, Hamburger J, Gutman D et al. The Effect of Adding Subarachnoid Epinephrine to Hyperbaric Bupivacaine and Morphine for Repeat Cesarean Delivery: A Double-Blind Prospective Randomized Control Trial. Anesth. Analg. 2018 Jul 1; 127 (1): 171-178.
  Chris Tan
pearl
1
High-risk obstructive sleep apnoea patients identified by STOP-Bang screening suffer higher risk of post-operative adverse events and longer hospital stays.
Nagappa M, Patra J, Wong J et al. Association of STOP-Bang Questionnaire as a Screening Tool for Sleep Apnea and Postoperative Complications: A Systematic Review and Bayesian Meta-analysis of Prospective and Retrospective Cohort Studies. Anesth. Analg. 2017 Oct 1; 125 (4): 1301-1308.
  Daniel Jolley
pearl
1
Brain tissue oxygentation monitoring after severe traumatic brain injury may improve mortality and neurological morbidity compared with ICP monitoring alone.
Okonkwo DO, Shutter LA, Moore C et al. Brain Oxygen Optimization in Severe Traumatic Brain Injury Phase-II: A Phase II Randomized Trial. Crit. Care Med. 2017 Nov 1; 45 (11): 190719141907-1914.
  Daniel Jolley
pearl
1
Prophylactic intraoperative IV pentazocine reduces the incidence and severity of post-operative pruritis due to intrathecal morphine used for elective Caesarean section.
Hirabayashi M, Doi K, Imamachi N et al. Prophylactic Pentazocine Reduces the Incidence of Pruritus After Cesarean Delivery Under Spinal Anesthesia With Opioids: A Prospective Randomized Clinical Trial. Anesth. Analg. 2017 Jun 1; 124 (6): 1930-1934.
  Daniel Jolley
comment
1
Really really good summary article of the current state of play in Anaesthesia for ECT
Bryson EO, Aloysi AS, Farber KG et al. Individualized Anesthetic Management for Patients Undergoing Electroconvulsive Therapy: A Review of Current Practice. Anesth. Analg. 2017 Jun 1; 124 (6): 1943-1956.
  Allan Palmer