Editor's Note In this meta-analysis, propofol anesthesia was associated with reduced postoperative pain intensity at 30 minutes, 1 hour, and 12 hours as well as reduced morphine-equivalent consumption 0 to 24 hours postoperatively. Fewer patients required postoperative rescue analgesics during 0 to 24 hours after surgery under propofol, and patients…

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Editor's Note This study found a strong association between spinal anesthesia and lower 30-day mortality along with a shorter length of stay after total hip and knee replacements. Of 10,868 patients analyzed, 8,553 had spinal anesthesia and 2,315 had general anesthesia. The 30-day mortality rate was 0.19% in the spinal…

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Editor's Note Children who played games on an Apple iPad before surgery had a reduction in their stress levels equal to the effect of taking a sedative, according to a study presented at the World Congress of Anaesthesiologists in Hong Kong. In addition, parental satisfaction and quality of anesthesia induction…

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Editor's Note In children undergoing staged reconstructive surgery for hypoplastic left heart syndrome, increasing cumulative exposure to volatile anesthetic agents beginning in infancy was associated with worse performance on IQ scores between ages 4 and 5, this study finds. This is the first study to link neurodevelopment outcomes with cardiac…

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Editor's Note Single-dose antibiotic prophylaxis was associated with fewer peripheral and epidural catheter infections, this study finds. The study included 11,307 regional anesthesia patients with single-dose antibiotic prophylaxis and 11,307 controls who did not receive antibiotics. For peripheral catheters, the incidence of infections without antibiotics was 2.4%, compared with 1.1%…

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Editor's Note Double gloving by anesthesia providers was associated with less spread of oral inoculum to the workstation but was not uniformly protective in this simulation study. Between-case cleaning was found to be ineffective in removing contaminants, indicating that biologic material from one patient may still be present for subsequent…

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Editor's Note On July 27, PinnacleHealth (Harrisburg, Pennsylvania) announced the opening of its Surgery Optimization Clinic to support orthopedic patients at high risk for surgical complications. Other high-risk surgical patient service lines will be added by the end of the year. The aim of the program is to improve patient…

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Editor's Note These guidelines were developed to provide a more efficient and cost-effective preoperative workup of patients with diagnosed or suspected obstructive sleep apnea (OSA). They examine the existing evidence-base for preoperative screening and preparation of patients with OSA, as well as the perioperative use of CPAP in patients with…

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Editor's Note Children who have surgery before primary school age are at increased risk of early developmental vulnerability, but the difference between exposed and unexposed children is small, finds this study. The analysis included 28,366 children (age 5-6 years) who had surgery and 55,910 children who did not have surgery…

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Editor's Note Postoperative ischemic optic neuropathy (ION) in spinal fusion patients significantly decreased from 1998 to 2012 by almost 3-fold, this study finds. Age over 50, male gender, blood transfusion during procedure, and obesity significantly increased the risk of ION. The authors attribute the decline in risk to the increasing…

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