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Using excess oxygen during surgery could cause organ injury

Time : 1st of December 2022 11:17:31 AM Physician/Medicine,General Surgery,Anesthesia

Supplemental oxygen given to patients under general anesthesia during surgeries when given excess at 75th centile can increase the risk of acute kidney injury by 26%, lung injury by 14%, and myocardial injury compared to 25th centile excess oxygen, according to a study. Excess oxygen also increased the risk of stroke by 9% and 30-day mortality by 6%.

Anesthesiologist tampers with IV bags to cause the death of a patient

Time : 19th of September 2022 10:32:42 AM Physician/Medicine,Nursing,Anesthesia

Dr Raynaldo Ortiz Jr. reportedly injected a nerve-blocking agent, bupivacaine, and other drugs into IV bags meant for another sick doctor, who died after self-administering the saline at home in June. The accused repeated similar actions on an 18-year-old patient who suffered a cardiac emergency while in surgery in August. Federal authorities arrested him on criminal charges.
  D Magazine

A case of subacute degeneration associated with the use of nitrous oxide

Time : 1st of September 2022 01:25:57 PM Trending,Physician/Medicine,Nursing,Anesthesia

A 32-year-old man presented to a hospital with a 2- and a 6-week history of inability to walk and tingling in arms and legs. MRI of the spine revealed hyperintensity in the posterior spinal cord from C1 to T12 and hyperintense lesions in the dorsal column. Based on the clinical findings, he was diagnosed with subacute combined degeneration linked with nitrous oxide use.
  Twitter @NEJM

Etomidate shows fewer postoperative complications in older adults than propofol

Time : 23rd of August 2022 01:13:00 PM Physician/Medicine,General Surgery,Anesthesia

Anaesthesia using intravenous etomidate did not raise the overall major in-hospital morbidity following abdominal operation in older patients, compared to propofol, according to a study. However, patients who received etomidate anaesthesia had transient adrenocortical suppression and an increased risk of developing pneumonia than patients who received propofol.
  Twitter @JAMASurgery

A drug risk factor in people on life support identified

Time : 11th of August 2022 12:25:25 PM Physician/Medicine,Nursing,Critical Care,Anesthesia

The commonly used anaesthetic agent, propofol, is strongly linked with an increased incidence of severe hypotension and cardiac arrest after intubation in critically ill patients, as per the Global ICU study. Further studies will be performed to develop and test alternative strategies to reduce the risk of CVD adverse events in patients needing urgent tracheal intubation.
  National University of Ireland

Overlapping anesthesiologist responsibilities could increase patient mortality

Time : 4th of August 2022 10:19:00 AM Physician/Medicine,Nursing,General Surgery,Anesthesia

Anesthesiologists supervising 3-4 overlapping surgeries were linked to a 14% relative rise in composite risk-adjusted patient mortality and morbidity compared to anesthesiologists covering 1-2 overlapping surgeries, according to a study. The study findings suggest hospitals consider the effects of perioperative team staffing ratios in clinical coverage efforts.
  Twitter @JAMASurgery

Surgery risks might depend on a workload of anesthesiologist

Time : 22nd of July 2022 12:31:33 PM Physician/Medicine,General Surgery,Anesthesia

An anaesthesiologist directing anaesthesia for 2 to 3 or 3 to 4 overlapping surgeries could increase the mortality and morbidity rate compared to those directing anaesthesia for 1 to 2 overlapping surgeries, as per a study. Anesthesiologists directing 3 to 4 surgeries at the same time had 5.75% complications compared to 5.06% for 1 to 2 overlapping surgeries.
  University of Michigan

FDA issues Class I recall for Getinge Flow-e and Flow-c Anesthesia Systems

Time : 13th of July 2022 01:39:02 PM Pharma News,Anesthesia

Getinge recalled its Flow-e and Flow-c Anesthesia system after receiving 21 reports of broken or cracked on/off switches on the suction units of the system. This system damage will not allow the suction unit to remove fluids such as blood, phlegm, or gastric content from the patient's mouth or airways. Also, these issues might lead to delays during the procedure.

Patients prefer conscious sedation during urological procedures

Time : 5th of July 2022 09:36:41 AM General Surgery,Anesthesia

Most patients chose conscious sedation over general anaesthesia for both the first time and repeated urological procedures, according to a study. The success rate of urological procedures using conscious sedation was nearly 96.5%. Also, no significant intraoperative complications were found with conscious sedation compared to general anaesthesia.
  Trident of CNC

Pain can be common after surgery of hip fracture regardless of anaesthesia type

Time : 17th of June 2022 10:26:58 AM Orthopaedics,Anesthesia

Over 73% of the patients who received spinal or general anaesthesia reported severe pain during the initial 24 hours following the surgery, as per the REGAIN trial. Compared to patients on general anaesthesia, patients who received spinal anaesthesia reported worse pain in the first 24 hours following surgery, and more of them used prescription analgesics till 60 days.