DG Journal Club AUTHORS: T Bleeser et al Anaesthesia. 2022 Oct 25 Up to 1% of pregnant women undergo anaesthesia for non-obstetric surgery. This study investigated neurodevelopmental outcomes after prenatal anaesthesia for maternal surgery. A bidirectional cohort study of children born between 2001 and 2018 was performed: neurodevelopmental outcomes of children who had received prenatal […]
Middle Ear Condition at the Time of Pediatric Myringotomy Tube Placement: Pain Associations Following Intraoperative Fentanyl/Ketorolac and Seasonal Variation
AUTHORS: Cohen, William G. BA et al Anesthesia & Analgesia: November 02, 2022 BACKGROUND: Ketorolac-refractory pain behavior following bilateral myringotomy and pressure equalization tube placement (BMT) is associated with the absence of middle ear fluid. Intraoperative fentanyl/ketorolac affords more reliable pain control than ketorolac alone. We hypothesized that middle ear condition would correlate with postoperative pain […]
Effect of Ice Slush on Reducing the Oculocardiac Reflex During Strabismus Surgery
AUTHORS: Qi, Xin MD et al Anesthesia & Analgesia: November 02, 2022 BACKGROUND: The aim of this study was to explore whether ice slush (IS) causing local hypothermia can effectively inhibit the oculocardiac reflex (OCR) during strabismus surgery. METHODS: This prospective, randomized, double-blind study included 58 patients with concomitant strabismus scheduled for lateral rectus (LR) recession […]
Atrial fibrillation: Cannabis and other drugs linked to increased AFib risk
Author: Robby Berman MedicalNewsToday This is important since many states have legalized smoking cannabis An observational study found associations between methamphetamine, cocaine, opiates, and cannabis use and atrial fibrillation (AFib). Compared to non-users, the researchers’ analysis shows that the substances were individually associated with an increased risk of developing AFib after adjusting for cardiovascular risk […]
What to know about an epidural steroid injection
Author: Beth Sissons MedicalNewsToday An epidural steroid injection is a nonsurgical procedure that provides pain relief. A doctor will inject steroids into the epidural space to reduce inflammation due to certain spinal conditions. An epidural steroid injection (ESI) delivers steroids directly into the epidural space around the spinal cord. They may help reduce inflammation and relieve pain […]
Direct Comparison of Peak Bulk Flow Rate of Programmable Intermittent Epidural Bolus and Manual Epidural Bolus Using a Closed-End Multiorifice Catheter
AUTHORS: Younger, Joshua D. MD et al Anesthesia & Analgesia: October 26, 2022 BACKGROUND: The programmable intermittent epidural bolus (PIEB) has been popularized as the optimal delivery technique for labor analgesia. Suggested advantages of this method are less local anesthetic consumption, improved maternal satisfaction, potentially shorter duration of labor, and decreased workload requirements for the anesthesia […]
Laboratory Result Reference Ranges Stratified for Patient-Reported Sex and Ethnicity Are More Closely Associated With Postoperative Outcomes Than Currently Used Reference Ranges
AUTHORS: Hofer, Ira S. MD et al Anesthesia & Analgesia: October 24, 2022 BACKGROUND: A single laboratory range for all individuals may fail to take into account underlying physiologic differences based on sex and genetic factors. We hypothesized that laboratory distributions differ based on self-reported sex and ethnicity and that ranges stratified by these factors better […]
Sugammadex Versus Neostigmine for Recovery of Respiratory Muscle Strength Measured by Ultrasonography in the Postextubation Period
AUTHORS: Huang, Chanyan MD et al Anesthesia & Analgesia: October 24, 2022 BACKGROUND: Although sugammadex is well known for its use in reducing the incidence of residual neuromuscular blockade, this has not always been translated to improved clinical measures of postoperative respiratory muscle strength. Expiratory muscles play an important role in airway clearance and inspiratory muscle […]
The King’s Three Questions: A Short Story I Want My Teams to Understand
AUTHOR: Luedi, Markus M. MD, MBA Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 896-897 Life is not primarily a quest for pleasure, as [Sigmund] Freud believed, or a quest for power, as Alfred Adler taught, but a quest for meaning. The greatest task for any person is to find meaning […]
Efficacy of Presurgical Interventions to Promote Smoking Cessation
AUTHORS: Gavilan, Eva MSN et al Anesthesia & Analgesia: October 24, 2022 Abstract The aim of this study was to evaluate the efficacy of presurgical interventions for promoting smoking cessation in terms of achieving smoking abstinence and reducing surgical complication rates. A systematic review of randomized clinical trials (RCTs) published from March 2009 to April 2021 […]