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Author: Nikki Kean Anesthesiology News To help prevent the development of chronic pain after acute trauma, clinicians have begun to study the use of continuous ketamine infusion in the ICU. However, preliminary data presented at the 2018 ACCP Global Conference on Clinical Pharmacy indicated problems with such a strategy. In a small retrospective study, Cara […]
Read MoreAuthors: Fleur S. Meijer, M.D. et al Anesthesiology 5 2019, Vol.130, 745-755. What We Already Know about This Topic: The nociception level index (Medasense Biometrics Ltd., Ramat Gan, Israel), is a reliable measure of moderate to intense noxious stimulation during anesthesia and surgery What This Article Tells Us That Is New: In a randomized trial in […]
Read MoreAutors: Michael Essandoh, M.D., F.A.S.E. Anesthesiology February 2019. Discontinuing mechanical circulatory support is often guided by transesophageal echocardiography (TEE).1,2 TEE was used to guide removal of an bicaval dual-lumen catheter (Avalon Elite, Maquet, Rastatt, Germany) after recovery of lung function in a patient supported with venovenous extracorporeal membrane oxygenation. TEE assessment of the right atrium showed […]
Read More“[Is] general anesthesia really a state of communication breakdown across the cortex? [What are] the implications for clinical monitoring?” Author: George A. Mashour, M.D., Ph.D. Anesthesiology 4 2019, Vol.130, 526-527. There is a growing body of evidence to suggest that depression or functional disconnection of frontal–parietal networks occurs during general anesthesia.1 If fully confirmed, this would be […]
Read MoreAuthors: Jean Guglielminotti, M.D., Ph.D. et al Anesthesiology February 2019. What We Already Know about This Topic: Neuraxial anesthesia is recommended in lieu of general anesthesia for cesarean deliveries The association of general anesthesia without a clinical indication with adverse events in cesarean deliveries remains poorly understood What This Manuscript Tells Us That Is New: […]
Read MoreCNN If you use cannabis, you might want to let your doctor know before having procedures needing anesthesia. A new study shows people who reported smoking or using edibles on a daily or weekly basis needed as much as two times the level of sedation than non-users. Researchers in Grand Junction, Colorado looked at 250 […]
Read MoreAuthors: Scherrer JF et al. J Am Heart Assoc 2019 Feb 19 The observed links between PTSD and incident cardiovascular disease are likely due to other common psychiatric and medical risk factors. Post-traumatic stress disorder (PTSD) has been identified as a risk factor for cardiovascular disease (CVD) even in studies controlling for traditional CVD risk factors […]
Read MoreBy E.J. Mundell HealthDay There’s good news for the millions of obese Americans with sleep apnea: Researchers report the use of the CPAP mask may greatly increase their chances for a longer life. Use of the continuous positive airway pressure (CPAP) mask was tied to a 62% decline in the odds for death over 11 […]
Read MoreAuthor: Leah C. Acker, Ph.D., M.D. et al Anesthesiology February 2019. In emergency and critical care medicine, focused cardiac ultrasound is well-established to rapidly narrow the differential diagnosis of hemodynamic instability.1 Although anesthesiologists have traditionally relied upon transesophageal echocardiography for this indication, perioperative providers are recognizing the advantages of focused cardiac ultrasound for crisis management. […]
Read MoreASA Monitor 2 2019, Vol.83, 56-57. You are working in the ambulatory center and learn that your next patient, scheduled for inguinal hernia repair, was chewing gum while entering the building. The admitting nurse asks whether you will delay or cancel the surgery. According to a recent randomized crossover trial of healthy adult volunteers, what effect […]
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