DG Journal Club Thomas Schmoch, Christine Jungk et al. Neurosurg Rev. 2020 Dec Recent data suggest that the type of anesthesia used during the resection of solid tumors impacts the long-term survival of patients favoring total-intravenous-anesthesia (TIVA) over inhalative-anesthesia (INHA). Here we sought to query this impact on survival in patients undergoing resection of glioblastoma […]
Periarticular analgesic injection containing a corticosteroid after total hip arthroplasty may prevent deep venous thrombosis
DG Journal Club Akira Hashimoto, Motoki Sonohata et al. BMC Musculoskelet Disord. 2021 Jan 6; 22(1): 19 BACKGROUND Of late, periarticular analgesic injection (PAI) has become a common alternative treatment for pain following total hip arthroplasty (THA). However, the systemic effects of PAI containing corticosteroids in patients subjected to THA have not been investigated. This […]
Three Risk Stratification Tools and Postoperative Pneumonia After Noncardiothoracic Surgery
DG Journal Club AUTHERS: Mariana L Laporta, S Chandralekha Kruthiventi et al. Am Surg. 2020 Dec BACKGROUND Postoperative in-hospital pneumonia is a serious complication. This study aims to investigate the association between 3 preoperative stratification tools (American Society of Anesthesiologists Physical Status [ASA-PS] score, Charlson Comorbidity Index [CCI], and Rockwood Frailty Deficit Index [FI]) and […]
Burden of increasing opioid use in the treatment of migraine: Results from the Migraine in America Symptoms and Treatment Study
DG Journal Club AUTHORS: Richard B Lipton, Dawn C Buse et al. Headache. 2020 Dec OBJECTIVE We sought to assess factors associated with the frequency of self-reported prescription opioid use in persons with migraine, including demographic variables, comorbidities, headache characteristics, and patterns of consultation. BACKGROUND Despite the dose-dependent effect of opioids on migraine progression and […]
Study identifies factors and characteristics associated with headache in COVID‐19
DG Alerts Findings from a study published in the European Journal of Neurology show that headache was associated with a more benign severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. “We have found that [younger] age and the absence of baseline pathologies such as hypertension, atrial fibrillation and Charlson comorbidities are associated with the presence of headache […]
Perineural Liposomal Bupivacaine Is Not Superior to Nonliposomal Bupivacaine for Peripheral Nerve Block Analgesia
Authors: Nasir Hussain, M.D., M.Sc. et al Anesthesiology February 2021, Vol. 134, 147–164. Background Liposomal bupivacaine is purported to extend analgesia of peripheral nerve blocks when administered perineurally. However, evidence of the clinical effectiveness of perineural liposomal bupivacaine is mixed. This meta-analysis seeks to evaluate the effectiveness of perineural liposomal bupivacaine in improving peripheral nerve block […]
Effects of parental presence during induction of anesthesia on operative and perioperative times in pediatric patients undergoing adenotonsillectomy
DG Journal Club AUTHORS: Sydney L Moseley, Christopher Heine et al. Int J Pediatr Otorhinolaryngol. 2021 Jan; 140 110515 OBJECTIVES To evaluate the overall perioperative times among pediatric patients undergoing adenotonsillectomy (AT) who, in the perioperative period, received either parental presence at induction of anesthesia (PPIA), midazolam, both, or neither. METHODS A retrospective chart review […]
SHOULD YOU CANCEL SURGERY FOR A BLOOD PRESSURE OF 178/108?
Author: Richard Novak, MD The Anesthesia Consultant Clinical Case for Discussion: This month’s question is on hypertension and anesthesia. You are scheduled to anesthetize a 71-year-old male for an arthroscopic rotator cuff repair. His blood pressure when you meet him in pre-op is 178/108 mmHg. The nurses and the surgeon are alarmed. What would you […]
Comparison of the effects of the Feldenkrais method versus core stability exercise in the management of chronic low back pain
DG Journal Club AUTHOR: Hanieh Ahmadi, Hanieh Adib et al. Clin Rehabil. 2020 Dec; 34(12): 1449-1457 OBJECTIVE To investigate the effect of the Feldenkrais method versus core stability exercises on pain, disability, quality of life and interoceptive awareness in patients with chronic non-specific low back pain. DESIGN A single-blinded, randomised, controlled trial. SETTING Outpatient, sports […]
Study finds high prevalence of acute brain dysfunction in critically ill patients with COVID-19
DG Alerts Study data showed that acute brain dysfunction was highly prevalent and prolonged in critically ill patients with coronavirus disease 2019 (COVID-19) and the overuse of benzodiazepine sedative infusions and lack of family visitation were associated with more delirium. These findings, published in The Lancet Respiratory Medicine, came from a study which included 2,088 critically ill […]