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Special Report

Journal Review :

In this special report we summarize recent reports that have looked at the effects of surgery on hemostatic changes in surgical patients and therapeutic approaches to reduce post-surgery bleeding, and include recently published guidelines for diagnosing and managing disseminated intravascular coagulation. We also summarize the updated guidelines for perioperative beta blockade in non-cardiac surgery.


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Serum infection marker cuts ICU antibiotic exposure

MedWire News: Using procalcitonin as a marker of severe bacterial infection to guide treatment decisions reduces intensive care unit (ICU) patients’ exposure to antibiotics, shows a randomized trial.

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Deep sedation blamed for delirium after spinal anesthesia

MedWire News: Using light rather than deep propofol sedation in elderly patients undergoing spinal anesthesia could halve the rate of postoperative delirium, research suggests.

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Pulse oximetry surveillance cuts patient rescue events
MedWire News: Implementing universal pulse oximetry monitoring in an orthopedic unit reduces the frequency of patients requiring rescue events for cardiac or respiratory arrest, research shows.

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Avoiding sedation may improve outcomes for mechanically ventilated patients
MedWire News: A policy of no sedation for critically ill patients requiring mechanical ventilation may help to reduce their dependency on the ventilator, say Danish researchers.

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Recent Publications

Mallampati class changes during pregnancy, labour, and after delivery: can these be predicted?
BJA: British Journal of Anaesthesia 2010; 104(1): 67-70
Echocardiographically Derived Parameters of Fluid Responsiveness
International Anesthesia Clinics 2010; 48(1): 37-44
Prescription and Administration of Opioids to Hospital In-patients, and Barriers to Effective Use
Pain Medicine 2010; 11(1): 58-66
Intraosseous Infusions: A Review for the Anesthesiologist with a Focus on Pediatric Use
Anesthesia & Analgesia 2010; 110(2): 391-401
Knowledge of residual curarization: an Italian survey: a prospective study of orthopedic surgical patients randomized to receive pancuronium or rocuronium
Acta Anaesthesiologica Scandinavica 2010; 54(3): 307-12
Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia
BJA: British Journal of Anaesthesia 2010; 104(3): 369-74
Long-term Cognitive Decline: Is There a Link to Surgery and Anesthesia?
Anesthesiology 2009; 111(5): 931-2
Teaching airway management to novices: a simulator manikin study comparing the ‘sniffing position’ and ‘win with the chin’ analogies
BJA: British Journal of Anaesthesia 2010; aop: 10.1093/bja/aeq020
Airway stents: anaesthetic implications
Continuing Education in Anaesthesia, Critical Care and Pain online 2010; aop: 10.1093/bjaceaccp/mkq006
Intranasal cooling with or without intravenous cold fluids during and after cardiac arrest in pigs: epidemiology, pathophysiology, treatment, and prognostication. A scientific statement from the International Liaison Committee on Resuscitation; the American Heart Association Emergency Cardiovascular Care Committee; the Council on Cardiovascular Surgery and Anesthesia; the Council on Cardiopulmonary, Perioperative, and Critical Care; the Council on Clinical Cardiology; the Council on Stroke
Acta Anaesthesiologica Scandinavica 2010; 54(4): 494-501
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