Browsing by Author "McCutchan, Amy"
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Item Anesthetic Management For Enhanced Recovery After Cardiac Surgery (ERACS)(StatPearls Publishing, 2022) Sofjan, Iwan P.; McCutchan, Amy; Anesthesia, School of MedicineSince the advent of the Enhanced Recovery After Surgery (ERAS) initiative, enhanced recovery protocols exist for many surgical specialties. Many studies have shown the benefits of the ERAS-based approach in improving outcomes, minimizing complications, and reducing costs. Similar protocols were developed to potentially reap these benefits for patients undergoing cardiac surgery and are now known as the Enhanced Recovery After Cardiac Surgery (ERACS). This activity reviews the ERACS guidelines released by the ERAS cardiac society to help the management by an interprofessional team.Item Liposomal bupivacaine addition versus standard bupivacaine alone for colorectal surgery: a randomized controlled trial(Future Medicine, 2022) Yeap, Yar L; Wolfe, John; Stewart, Jennifer; McCutchan, Amy; Chawla, Gulraj; Robb, Bruce; Holcomb, Bryan; Vickery, Ben; Anesthesia, School of MedicineAim: This study evaluated use of liposomal bupivacaine (LB) versus standard bupivacaine (SB) alone in quadratus lumborum (QL) blocks for laparoscopic colorectal surgery. Materials & methods: In this prospective, randomized controlled trial, patients received QL1 blocks with either LB (40 ml 0.125% SB plus 20 ml of LB) or SB (60 ml of 0.25% SB) with 30 ml per side. Opioid usage, pain scores, side effects and other medications were recorded. Results: For 78 patients (38 LB; 40 SB), all parameters were similar between groups, except that the LB group had a higher 48 h need for metoclopramide. Conclusion: LB provided no analgesic benefit over SB alone for QL blocks. Clinical Trials registration number: NCT03702621 Lay abstract This study evaluated use of extended release bupivacaine (LB) versus standard bupivacaine (SB) alone in nerve blocks for laparoscopic colorectal surgery. Patients undergoing colorectal surgery received nerve blocks with either LB combined with SB, or SB alone. Opioid usage, pain scores, side effects and other medications were recorded. For 78 patients (38 LB + SB; 40 SB), all parameters were similar between groups, except that the LB group had a higher 48 h need for anti-nausea medication. LB provided no pain control benefit over SB alone for nerve blocks in colorectal surgery.Item Local Anesthetics In Children(StatPearls Publishing, 2022) Camfield, Angela S.; McCutchan, Amy; Anesthesia, School of MedicineContinuing Education Activity Local anesthetics (LA) consist of amino amide and amino ester medications used for several medical purposes. This activity will cover the indications, mechanism of action, metabolism, adverse effects, and potential toxicity of local anesthetics used in children. It will also discuss the interprofessional team’s role in enhancing care for children who receive local anesthetics.Item Unanticipated Difficult Intubation In An Adult Patient(StatPearls Publishing, 2022) Traylor, Beth Ann; McCutchan, Amy; Anesthesia, School of Medicine