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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.

Atomized lidocaine 1% inferior to 2% for airway anesthesia
	MedWire News: Atomized lidocaine 2% is effective for awake oral fiberoptic intubation in morbidly obese patients and provides superior intubating conditions to lidocaine 1%, say Canadian researchers. Read More ...>

Bilateral TKA associated with poor peri-operative outcome
	MedWire News: Unilateral total knee arthroplasty (TKA) appears to be associated with better peri-operative morbidity and mortality than bilateral procedures, say researchers. Read More ...>

Maintaining remifentanil infusion benefits recovery
MedWire News: Maintaining a remifentanil infusion during the emergence and tracheal extubation minimizes cardiovascular changes and coughing in patients after total intravenous anesthesia (TIVA), without delaying recovery, researchers report. Read More ...>

Benefits of aprotonin outweigh risks in high-risk cardiac surgery patients
MedWire News: Aprotonin for preventing major blood loss after cardiac surgery has a better risk–benefit profile than tranexamic acid in high-risk, but not low-to-moderate risk patients, study findings show. Read More ...>

Recent Publications

	Transcatheter aortic valve insertion: anaesthetic implications of emerging new technology BJA: British Journal of Anaesthesia 2009; 103(6): 792-9

	Anesthesia for children with hyperleukocytosis a retrospective review Paediatric Anaesthesia 2009; 19(12): 1191-8

	Avoiding midazolam overdose: summary of a safety report from the National Patient Safety Agency BMJ : British Medical Journal 2009; 339(7731): b4459

	The Effects of Crystalloid and Colloid Preload on Cardiac Output in the Parturient Undergoing Planned Cesarean Delivery Under Spinal Anesthesia: A Randomized Trial Anesthesia & Analgesia 2009; 109(6): 1916-21

	The Early and Delayed Analgesic Effects of Ketamine After Total Hip Arthroplasty: A Prospective, Randomized, Controlled, Double-Blind Study Anesthesia & Analgesia 2009; 109(6): 1963-71

	Pain Following Battlefield Injury and Evacuation: A Survey of 110 Casualties from the Wars in Iraq and Afghanistan Pain Medicine 2009; 10(8): 1487-96

	Regional anaesthesia for a Caesarean section in women with cardiac disease: a prospective study: arrhythmias, cardiomyopathy, aortic stenosis, transposition of the great arteries and Marfan's syndrome Acta Anaesthesiologica Scandinavica 2010; 54(1): 46-54

	Nordic guidelines for neuraxial blocks in disturbed haemostasis from the Scandinavian Society of Anaesthesiology and Intensive Care Medicine: lessons learned from different dosage regimens in two continents Acta Anaesthesiologica Scandinavica 2010; 54(1): 16-41

	Transient neurological symptoms after spinal anaesthesia with levobupivacaine 5 mg/ml or lidocaine 20 mg/ml: an epidemiologic study of 1,863 patients Acta Anaesthesiologica Scandinavica 2010; 54(1): 59-64

	Neurotoxicity of General Anesthetics: Cause for Concern? Anesthesiology 2009; 111(6): 1365-71

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