Anesthesia

There was no difference between asleep and awake deep brain stimulation surgery in patients with Parkinson’s disease with regard to cognitive, mood and behavioral adverse effects, according to a study published in JAMA Neurology.

Compared with bupivacaine spinal anesthesia, mepivacaine allowed for faster same-day discharge from an ASC with a minor increase in pain for patients undergoing total hip arthroplasty.

According to published results, spinal anesthesia combined with the use of a tourniquet resulted in increased Oxford Knee Score and favorable outcomes for patients who underwent total knee arthroplasty.

Compared with bupivacaine, patients who had ropivacaine had superior ambulation time and distance, quicker post-anesthesia care unit transition and a similar complication rate during total hip arthroplasty, according to published results.

Playing recordings of soft music or soothing words through earphones when patients are under general anesthesia could help them reduce the need for opioids after surgery, according to a study published in BMJ.

Patients who had a bilateral total knee arthroplasty had an increased risk for complications compared with patients who had a unilateral TKA, suggesting bilateral TKA may not be safe even for healthy patients.

Use of tumescent anesthesia allows for equal anesthetic distribution across large areas while decreasing the likelihood of lidocaine toxicity, according to a presentation at the American Society for Dermatologic Surgery annual meeting.

Using regional anesthesia for patients undergoing arteriovenous fistula creation for dialysis access conferred better patency outcomes at 1 year compared with local anesthesia, according to a recently published study.

Hemidiaphragmatic paresis may occur in patients undergoing upper extremity surgery with supraclavicular block regardless of local anesthesia volume, according to results.

Use of conscious sedation was linked to better outcomes, including mortality, length of stay and discharge to home, compared with general anesthesia in patients who had transcatheter aortic valve replacement, according to data selected for presentation at the American College of Cardiology Scientific Session.