This is being discussed on Gasnet; http://www.aaeditor.org/HWP/Retraction.Notice.pdf February 20, 2009 To our readers: On January 22, 2009 Anesthesia &...
** High Priority ** Spinal anaesthesia has been clearly shown to be at least as safe as GA in preeclampsia and is the way to go unless clearly contraindicated...
... GA in preeclampsia and is the way to go unless clearly contraindicated byt the usual things (severe coag defect, impaired consciousness anatmoical...
CONCLUSION: The rate of fetal acidemia is significantly increased after regional anesthesia. This risk must be judged in light of the risks inherent with...
SUre makes you feel "much better" about believing in the data supported by studies vs your own experience, What? P Kempen, MD, PhD Cleveland literature may be...
** High Priority ** All of the obstetric literature suggests that spinal is preferable to GA for C/S as there is a small difference between the two methods in ...
Reuben has probably written more about the use of Cox inhibitors in orthopedic surgery than anyone else. Where, then does this leave the topic? And who...
Paul please don't make catastrophic conclusions - this is just the kind of talk that propagates myths and sensationalist thinking. Sure you are not saying...
No Ivan, but a healthy dose of skepticism is needed to evaluate the literature. Putting aside the presumed rare instances of outright fraud and dishonesty,...
http://www.bmj.com/cgi/content/full/321/7275/1493 What is already known on this topic Neuraxial blockade with epidural or spinal anaesthesia reduces the...
** High Priority ** Despite my little diatribe, I have just come across a case report of a patient who suffered a haemorrhagic stroke following vasopressor use...
Despite my little diatribe, I have just come across a case report of a patient who suffered a haemorrhagic stroke following vasopressor use in association with...
** High Priority ** Hi Vic I haven't yet read the full report, just the abstract, but I would have thought not with a complex coagulation problem. Mike -- MFM...
Comments, suggestions, etc.: A.J. Wright ajwright@... <mailto:ajwright@...> Crawford Long, M.D. THIS MONTH IN ANESTHESIA HISTORY: MARCH 1712 March 8:...
I would like to point out that the "major" mortality risks in OB remain as Bleeding, Infection, gestosis complications, Pulmonary embolism, cerebral...
Come on Ivan: Studies are done on behalf of companies, people with agendas and many other similarly motivated reasons (i.e. publish or perish). Finding that...
This study below quoted by Ivan in the last mail really brings home the message! All deaths totaled were very questionably "anesthesia related" yet the...
** High Priority ** Paul That depends on where you are. In the third world (like parts of South Africa) anaesthesia is the commonest cause of death in...
Wow. That's a bummer. When it all comes down to it, all we really have is our "word". Tell the truth, or don't say anything at all. James C. DuCanto, M.D. ...
As I said already, you have to be very careful about what you accept--one of the reasons study results need to be duplicated by other groups. And especially...
As you say, be careful what you accept. In recent years, the Silber study, a very slanted work, was accepted for publication. We do need to vet these...
Are you sure Mike, The following "african" studies suggest that as I expect, anesthetic related maternal mortality is a very small number. Can you provide a...
And especially one of the reasons to be at least somewhat sceptical of any industry-supported research, even realizing that other sources of research support...
Scott Groudine
groudis@...
Mar 5, 2009 3:06 pm
3619
** High Priority ** Paul The reference is the report "Saving Mothers" published by the SA Ministry of Health. Interestingly a fairly even split between deaths...
I agree with Dr. Groudine. Silber study itself had good information regarding the abilities of board certified anesthesiologists vs. non-board certified...
Scott, I'm not airing any anti anesthesiologist views, just a widely held view that Silber was flawed, slanted, and yet published unvetted by a responsible and...
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