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pearl
1
Spinal block for neonatal hernia repair is 80% successful in experienced hands.
Frawley G, Bell G, Disma N et al. Predictors of Failure of Awake Regional Anesthesia for Neonatal Hernia Repair: Data from the General Anesthesia Compared to Spinal Anesthesia Study-Comparing Apnea and Neurodevelopmental Outcomes. Anesthesiology. 2015 Jul 1; 123 (1): 55-65.
  Daniel Jolley
pearl
1
Intravenous dexamethasone does not effect duration of isobaric bupivacaine spinal block.
Guay J, Williams SR, Robin F et al. Effect of Intravenous Dexamethasone on the Regression of Isobaric Bupivacaine Spinal Anesthesia: A Randomized Controlled Trial. Anesth. Analg. 2019 Jun 1; 128 (6): e100e103e100-e103.
  Daniel Jolley
pearl
1
Midazolam administered in the preoperative waiting area produces amnesia of the operating room in 60% of patients.
Chen Y, Cai A, Dexter F et al. Amnesia of the Operating Room in the B-Unaware and BAG-RECALL Clinical Trials. Anesth. Analg. 2016 Apr 1; 122 (4): 1158-68.
  Daniel Jolley
pearl
1
TIVA does not offer better quality recovery than sevoflurane maintenance in ambulatory gynecological surgery.
De GS, Bialek J, Rodes ME et al. The effect of sevoflurane compared to propofol maintenance on post-surgical quality of recovery in patients undergoing an ambulatory gynecological surgery: A prospective, randomized, double-blinded, controlled, clinical trial. J Clin Anesth. 2017 Dec 1; 43: 70-74.
  Daniel Jolley
comment
0
BIS may not correlate well with isolated forearm monitoring of adequacy of depth of general anesthesia for cesarean section.
Zand F, Hadavi SM, Chohedri A et al. Survey on the adequacy of depth of anaesthesia with bispectral index and isolated forearm technique in elective Caesarean section under general anaesthesia with sevoflurane. Br J Anaesth. 2014 May 1;112(5):871-8.
  Daniel Jolley
pearl
1
Epidural fentanyl does not have an effect on breastfeeding initiation.
Wilson MJ, MacArthur C, Cooper GM et al. Epidural analgesia and breastfeeding: a randomised controlled trial of epidural techniques with and without fentanyl and a non-epidural comparison group. Anaesthesia. 2010 Feb 1;65(2):145-53.
  Daniel Jolley
pearl
1
Routine preoperative echocardiography before operative repair of hip fracture does not reduce mortality or postoperative complcayions.
Yonekura H, Ide K, Onishi Y et al. Preoperative Echocardiography for Patients With Hip Fractures Undergoing Surgery: A Retrospective Cohort Study Using a Nationwide Database. Anesth. Analg. 2019 Feb 1; 128 (2): 213-220.
  Daniel Jolley
pearl
1
Perioperative clonidine administration does not reduce mortality or myocardial infraction, but does increase the risk of hypotension and non-fatal cardiac arrest.
Devereaux PJ, Sessler DI, Leslie K et al. Clonidine in patients undergoing noncardiac surgery. N. Engl. J. Med. 2014 Apr 17; 370 (16): 150415131504-13.
  Daniel Jolley
pearl
1
Ondansetron, dexamethasone, droperidol and total intravenous anesthesia (TIVA) all have a roughly similar, productive effect to reduce postoperative nausea and vomiting (PONV) by about one third.
Apfel CC, Korttila K, Abdalla M et al. A factorial trial of six interventions for the prevention of postoperative nausea and vomiting. N. Engl. J. Med. 2004 Jun 10; 350 (24): 244124512441-51.
  Daniel Jolley
pearl
1
BIS monitoring may not reduce the incidence of awareness under general anesthesia.
Avidan MS, Zhang L, Burnside BA et al. Anesthesia awareness and the bispectral index. N. Engl. J. Med. 2008 Mar 13;358(11):1097-108.
  Daniel Jolley