ASCO Post; Stenger M
Nov 11th, 2019 - In a trial reported in The Lancet, Sessler et al found no difference in breast cancer recurrence after surgery with regional anesthesia-analgesia using paravertebral block and propofol vs general anesthesia with the volatile anesthetic sevoflurane and opioid analgesia. They also found no difference in persistent incisional pain between approaches.
Jul 29th, 2019 - The late 20th and early 21st centuries have seen a continuous reduction in mortality and morbidity from intraoperative and periprocedural accidents involving sedation and general anesthesia for children. In the last 31 years, the American Society of Anesthesiologists (ASA) and the American Academy of Pediatrics (AAP) have separately created guidelines for the management of children and adults b...
Nov 27th, 2019 - The Food and Drug Administration has approved the Tubes Under Local Anesthesia (Tula) System for treatment of recurrent ear infections (otitis media) via tympanostomy in young children, according to a release from the agency. Olivier Le Moal/Getty Images Consisting of Tymbion anesthetic, tympanostomy tubes developed by Tusker Medical, and several devices that deliver them into the ear drum, the.
Nov 25th, 2019 - The US Food and Drug Administration (FDA) has approved a new system for placement of tympanostomy tubes in children with otitis media that does not require general anesthesia. The Tubes Under Local Anesthesia (Tula, Tusker Medical) system is the first tympanostomy tube delivery system that can be performed in young children under local anesthesia in a physician's office. The system uses a smal...
Oct 23rd, 2019 - Despite expectations to the contrary, regional anesthesia-analgesia with paravertebral blocks and propofol during breast cancer surgery did not lower the risk of disease recurrence or incidence of persistent pain compared with general anesthesia with sevoflurane and opioids, a randomized trial found. Among women in this large international study, the recurrence rate was the same (10%) for those...
Oct 21st, 2019 - BARCELONA, Spain — For patients with a rare form of connective tissue tumor whose condition progresses after medical treatment, total necrosis of their tumor could occur if they are treated with cryoablation, say French researchers. In fact, the technique could "cure some patients who had progressive disease," said principle investigator Jean-Emmanuel Kurtz, MD, PhD, Service d'Oncologie Médica...
Aug 27th, 2019 - VATS has several distinct and clinically important differences. The equipment is slightly larger but otherwise similar in concept to rigid medical thoracoscopes.
MDedge Pediatrics; Jeff Craven
May 29th, 2019 - An independent skilled observer should be present when pediatric patients undergo dental procedures that require deep sedation or general anesthesia at a dental facility or hospital setting, according to new guidelines released by the American Academy of Pediatrics and American Academy of Pediatric Dentistry. “Sedation for dental procedures in children and teenagers is generally safe,” Charles.
Apr 10th, 2019 - Cardiac anesthesiologists may not have to be present in the pediatric and congenital catheterization lab to administer general anesthesia as often as recommended, one center found. Operator-directed sedation actually had fewer adverse events than did general anesthesia (3.4% vs 6.6%, adjusted OR 0.66, 95% CI 0.45-0.95), according to propensity score-matched analysis from a group led by Michael ...
Apr 8th, 2019 - Medical Evaluation For patients who decide to proceed with surgery, it can be helpful to have a medical evaluation by their PCPs to minimize potential complications during surgery. The very elderly may be at increased risk of intraoperative transient hypertension, restlessness, and electrocardiogram abnormalities.
Mar 21st, 2019 - NEW YORK (Reuters Health) - Port-wine-stain birthmarks can be safely and effectively treated in early infancy with pulsed dye laser without the need for general anesthesia, according to new research. This "is particularly important because of the (Food and Drug Administration) warnings regarding multiple exposures to general anesthesia under the age of 3 and the potential impact on neurocogniti...
Mar 21st, 2019 - Inhaled anesthesia may be safer for the heart than infusion agents, but that didn't lead to better survival in patients undergoing coronary artery bypass grafting (CABG) surgery in the MYRIAD trial. Those randomized to inhaled anesthesia had the same likelihood of mortality at 1 year as peers who got IV general anesthesia-only (2.8% vs 3.0%, RR 0.94, 95% CI 0.69-1.29). Deaths at 30 days were al...
Feb 22nd, 2019 - Increased duration of hip fracture surgery appeared to increase risk for postoperative delirium, a retrospective Canadian analysis suggested. Longer surgery duration was associated with a higher likelihood of postoperative delirium, with a 6% increase in delirium risk for each additional half hour of surgery (adjusted OR 1.06, 95% CI 1.03-1.08, P<0.001) after controlling for variables like age,...
Feb 18th, 2019 - (Reuters Health) - In infants, an hour of general anesthesia - long enough for most minor surgeries done in babies - doesn’t increase the risk of impaired brain development compared to an hour of regional anesthesia, a study suggests. By age three, roughly one in 10 children in developed countries will have had general anesthesia at least once for things like repairing a hernia, placing ear tub...
Jan 14th, 2019 - A trial is underway to assess the incidence of postoperative pulmonary complications in patients undergoing mechanical ventilation during general anesthesia for robotic surgery and to study current practices of mechanical ventilation and the potential link between ventilatory parameters and postoperative pulmonary complications. The Assessment of Ventilatory Management During General Anesthesia.
Dec 3rd, 2018 - The Assessment of Ventilatory Management During General Anesthesia for Robotic Surgery trial is an observational, prospective cohort study of patients receiving mechanical ventilation during robotic surgery. The trial will assess the incidence of postoperative pulmonary complications in patients who receive mechanical ventilation while under general anesthesia during robotic surgery to characte.
Nov 6th, 2018 - (Reuters Health) - Young children who had surgery under general anesthesia were no more likely than their siblings who weren't exposed to anesthesia to experience developmental challenges that impair school readiness, a Canadian study found. Some previous studies suggest that the opposite might be true: that the developing brain might be injured by anesthesia drugs early in life, researchers no...
Nov 5th, 2018 - (Reuters Health) - Young children who had surgery under general anesthesia were no more likely than their siblings who weren’t exposed to anesthesia to experience developmental challenges that impair school readiness, a Canadian study found. Some previous studies suggest that the opposite might be true: that the developing brain might be injured by anesthesia drugs early in life, researchers no...
Nov 5th, 2018 - Action Points Exposure to general anesthesia prior to primary school entry did not significantly affect child development outcomes in a Canadian observational study of sibling pairs where only one child underwent surgery. Although only observational, the study did not document significant differences in the Educational Development Index or any of its five major measures between a child who had ...
Oct 1st, 2018 - NEW YORK (Reuters Health) - Compared to sutured closure, sutureless gastroschisis is associated with a significant reduction in pain medication requirements and mechanical ventilation duration but may increase the risk of umbilical hernia, researchers say. "The main conclusion from the (study) is the feasibility of sutureless repair for patients with gastroschisis and potential benefits, includ...