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Tag: Anesthesia

Peripheral nerve blockade with regular local anesthetic and liposomal bupivacaine is associated with lower oral morphine equivalent use at 72 hours after major lower extremity amputation

Peripheral Nerve Block May Cut Opioid Use After Amputation

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Peripheral nerve block helps improve pain control after major lower extremity amputation
Chloroprocaine results in adequate anesthesia with quick recovery of sensory/motor functions for knee arthroscopy in the ambulatory setting

Chloroprocaine Offers Adequate Anesthesia for Knee Arthroscopy

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Shorter time to complete recovery from motor blockade seen for chloroprocaine compared with prilocaine
Awake endoscopic minimally invasive transforaminal lumbar interbody fusion performed without general anesthesia is safe and seems effective for lumbar fusion

Awake Endoscopic Spinal Fusion Appears to Be Safe, Effective

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Minimally invasive transforaminal lumbar interbody fusion without general anesthesia is safe
For patients undergoing elective coronary artery bypass grafting

Volatile Anesthetics Do Not Reduce Deaths in Elective CABG

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No significant difference seen for patients undergoing CABG with volatile anesthesia, total IV anesthesia
Neurodevelopmental outcomes at 5 years of age are equivalent after brief general anesthesia or awake-regional anesthesia in infancy

Brief Anesthesia in Infancy Does Not Mar Neurodevelopment

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General anesthesia less than one hour does not seem to alter neurodevelopmental outcome at age 5
Although more women have hip fracture surgery

Women Less Likely to Get Periop Care Before Hip Fracture Surgery

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Women also less likely to receive anesthesia consultation, more likely to have timely surgery
For older adults undergoing surgery

EEG-Guided Anesthesia Does Not Cut Postop Delirium in Seniors

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Significantly less median cumulative time found with EEG suppression in EEG-guided group vs. usual care
Recommendations have been developed for promotion of infection prevention policies in operating room anesthesia work areas; the Society for Healthcare Epidemiology of America guidance document was published online Dec. 11 in Infection Control & Hospital Epidemiology.

Guidance Offered for Infection Control in Anesthesia Work Area

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Measures include hand hygiene, alcohol-based hand rub use, disinfection of anesthesia machine
Young children who have surgical procedures that require general anesthesia do not have an increased risk for adverse child development outcomes

Pediatric Anesthesia Does Not Affect Development Outcomes

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No significant differences seen in early developmental vulnerability in sibling-matched cohort
Recommendations have been developed for nomenclature of cognitive changes associated with anesthesia and surgery; the recommendations were published in the November issue of Anesthesiology.

Changes in Nomenclature for Perioperative Cognitive Disorders

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'Perioperative neurocognitive disorders' is broad term for cognitive impairment in perioperative period