Month: July 2018

Uncategorized Published - 9 July, 2018    By - Dr Clemens
First Brain Health Initiative Summit Was a Great Success!

Two weeks ago, on Wednesday and Thursday, the ASA, in conjunction with AARP, hosted the first jointly sponsored Brain Health Initiative Summit in Washington. The summit’s goal was to encourage awareness and adoption of perioperative guidelines for care of geriatric patients and to empower patients, their families and caregivers. This summit was designed to promote […]

Read More
Uncategorized Published - 9 July, 2018    By - Dr Clemens
New anesthesia residents start on July 1

To physicians the beginning of July, it means a state of transition and time to reflect. To those in teaching programs, it means graduation of residents, the onboarding of new ones and changing roles for those still in training. Often, for those not in training programs, it means new associates who just finished residency or […]

Read More
Uncategorized Published - 9 July, 2018    By - Dr Clemens
Current Ventilator and Oxygen Management during General Anesthesia: A Multicenter, Cross-sectional Observational Study

Authors: Satoshi Suzuki, M.D., Ph.D. et al    Anesthesiology 7 2018, Vol.129, 67-76. Background: Intraoperative oxygen management is poorly understood. It was hypothesized that potentially preventable hyperoxemia and substantial oxygen exposure would be common during general anesthesia. Methods: A multicenter, cross-sectional study was conducted to describe current ventilator management, particularly oxygen management, during general anesthesia in Japan. All adult […]

Read More
Uncategorized Published - 9 July, 2018    By - Dr Clemens
Comparison of Anterior Suprascapular, Supraclavicular, and Interscalene Nerve Block Approaches for Major Outpatient Arthroscopic Shoulder Surgery: A Randomized, Double-blind, Noninferiority Trial

Authors: David B. Auyong, M.D. et al     Anesthesiology 7 2018, Vol.129, 47-57. Background: The interscalene nerve block provides analgesia for shoulder surgery, but is associated with diaphragm paralysis. One solution may be performing brachial plexus blocks more distally. This noninferiority study evaluated analgesia for blocks at the supraclavicular and anterior suprascapular levels, comparing them individually to the […]

Read More
Uncategorized Published - 9 July, 2018    By - Dr Clemens
Differentiating Drug-related and State-related Effects of Dexmedetomidine and Propofol on the Electroencephalogram

Authors: Annalotta Scheinin, M.D. et al     Anesthesiology 7 2018, Vol.129, 22-36. Background: Differentiating drug-related changes and state-related changes on the electroencephalogram during anesthetic-induced unconsciousness has remained a challenge. To distinguish these, we designed a rigorous experimental protocol with two drugs known to have distinct molecular mechanisms of action. We hypothesized that drug- and state-related changes can be […]

Read More
Uncategorized Published - 9 July, 2018    By - Dr Clemens
Biologic Impact of Mechanical Power at High and Low Tidal Volumes in Experimental Mild Acute Respiratory Distress Syndrome

Authors: Raquel S. Santos, Ph.D. et al   Anesthesiology 6 2018, Vol.128, 1193-1206. Background: The authors hypothesized that low tidal volume (VT) would minimize ventilator-induced lung injury regardless of the degree of mechanical power. The authors investigated the impact of power, obtained by different combinations of VT and respiratory rate (RR), on ventilator-induced lung injury in experimental mild acute […]

Read More
Uncategorized Published - 8 July, 2018    By - Dr Clemens
Transcutaneous Electrical Nerve Stimulation May Not Effectively Relieve Low Back Pain

Transcutaneous electrical nerve stimulation (TENS) may not provide relief from lower back pain, but may be associated with short-term improvement (<6 weeks) in functional disability, according to a literature review published in Regional Anesthesia and Pain Medicine. Investigators evaluated 12 randomized controlled trials examining patients with low back pain undergoing TENS (n=350), control therapy (n=269; eg, placebo, sham, […]

Read More
Uncategorized Published - 6 July, 2018    By - Dr Clemens
Opioid Cessation May Be More Successful When Depression Is Treated

Opioid cessation in patients with non-cancer pain may be more successful when depression is treated to remission, according to a study published in the February 2018 issue of the British Journal of Psychiatry. The study found that patients with chronic prescription opioid use and depression who adhered to antidepressant medications were more likely to stop opioids. […]

Read More
Uncategorized Published - 6 July, 2018    By - Dr Clemens
Transversus abdominis plane (tap) block in laparoscopic colorectal surgery improves postoperative pain management: a meta-analysis

Authors: Hain E et al Colorectal Disease (Jan 2018) AIM Transversus abdominis plane (TAP) block is a locoregional anesthesia technique of growing interest in abdominal surgery. However, its efficacy following laparoscopic colorectal surgery is still debated. This meta-analysis aimed to assess the efficacy of TAP-block after laparoscopic colorectal surgery. METHOD All comparative studies focusing on […]

Read More
Uncategorized Published - 6 July, 2018    By - Dr Clemens
Smoking Only One Cigarette Daily Is Associated with Excess Cardiovascular Risk

This is another interesting article that relates to anesthesia even with it not involving it. Hackshaw A et al. BMJ 2018 Jan 24. Smoking one cigarette daily accounted for one third to one half of excess risk associated with smoking 20 cigarettes daily. Evidence suggests that light smoking (i.e., 1−5 cigarettes daily) increases risk for cardiovascular disease. […]

Read More