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Patients who are infected with SARS-CoV-2, the virus responsible for the COVID-19 disease, have higher perioperative morbidity and mortality.(1-3) Unexpected progression to acute respiratory distress syndrome, cardiac injury, kidney failure and even deaths has been observed in patients infected with SARS-CoV-2 who have undergone surgical procedures.(1,4) Additionally, aerosolizing procedures place operating room staff at greater risk of […]
Read MoreAUTHORS: Eckerdal, Patricia PhD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 615-624 BACKGROUND: Severe pain has been linked to depression, which raises the question of whether epidural analgesia (EDA) during childbirth is associated with a reduced risk of postpartum depression (PPD). This association has been explored previously, […]
Read MoreAUTHORS: O’Gara, Brian P. MD, MPH et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 586-595 BACKGROUND: Postoperative delirium and postoperative cognitive dysfunction (POCD) are common after cardiac surgery and contribute to an increased risk of postoperative complications, longer length of stay, and increased hospital mortality. Cognitive training (CT) […]
Read MoreAuthor: Gina Shaw Anesthesiology News Some of the most severe cases of COVID-19—and many of those seen in younger patients—appear to be linked to a severe immune system overreaction called “cytokine release syndrome” or “cytokine storm,” and clinicians are scrambling to find treatments that can slow its deadly occurrence. A massive release of cytokine immune […]
Read MoreThe Science Time The survival rate of patients with the Coronavirus Disease 2019 (COVID-19) placed on Extracorporeal Membrane Oxygenation (ECMO) machines was three times higher than those who are a ventilator, according to a study. An ECMO machine allows the heart and lungs of a patient to rest by pumping and oxygenating a patient’s blood […]
Read MoreAnesthesiology News One Community Hospital’s Response Elisa Lund, MD Angela Whitten, CRNA, MSNA Rick Middleton, CRNA, MSN Jill Phlippeau, RN, MSN David N. Flynn, MD, MBA Wayne UNC Health Care Goldsboro, N.C. On April 11, 2020, the United States celebrated a major victory. Based on public health models,1 April 11 was predicted to be the peak […]
Read MoreAuthor: Brian Dunleavy Some influenza strains may trigger the same over-active immune system responses as COVID-19, and it may be determined by how the body metabolizes sugar, a new analysis, published Wednesday by the journal Science Advances, suggests. If true, the findings add to the similarities between the two viruses, which are both highly contagious and […]
Read MoreAuthor: Gina Shaw Anesthesiology News Abnormal clotting, apparently resulting from endothelial damage, has been described in patients with severe COVID-19 disease, and Chinese clinicians recommend initiating prompt anticoagulation therapy in all severe COVID-19 patients. Bin Cao, MD, with the National Clinical Research Center for Respiratory Diseases in Beijing, described “clots in the small vessels of […]
Read MoreAuthor: Katie Looze Bronk The Joint Commision Study in May 2020 issue of The Joint Commission Journal on Quality and Patient Safety Thursday, April 30 2020 A new study in the May issue of The Joint Commission Journal on Quality and Patient Safety details experience over a 10-year period with a surgical quality improvement initiative developed to […]
Read MoreAmerican College of Surgeons American Society of Anesthesiologists Association of periOperative Registered Nurses American Hospital Association Introduction: In response to the COVID-19 pandemic, the Centers for Medicare and Medicaid Services (CMS), the U.S. Surgeon General and many medical specialties such as the American College of Surgeons and the American Society of Anesthesiologists recommended […]
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