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Author: Michael Vlessides Anesthesiology News A secondary analysis of a prospective cohort study has concluded that total knee arthroplasty (TKA) patients with higher baseline pain catastrophizing scores consume more opioids than their counterparts who catastrophize to a lesser degree. The researchers hope their findings prove to be a springboard for early interventions that may prevent […]
Read MoreAuthor: Bob Kronemyer Anesthesiology News An Italian study has found that in obese patients undergoing orthopedic surgery, a hand-held neuraxial guidance instrument (Figure) significantly reduced the number of needle redirections and passes through the skin when performing spinal anesthesia, compared with conventional palpation for spinal anesthesia. The randomized study, published in Regional Anesthesia & Pain Medicine (2020;45:63-66), […]
Read MoreAuthor: Christina Frangou Anesthesiology News In a multicenter, randomized controlled trial involving mechanically ventilated ICU patients, mortality at 90 days did not differ significantly between patients who were assigned to a plan of no sedation and those assigned to light sedation with daily interruption. “The times are changing, and I think we have to move […]
Read MoreBy Amy Orciari Herman Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, DFASAM Here are some of the latest developments on novel coronavirus disease (COVID-19): Early self-proning: Having COVID-19 patients self-prone in the emergency department could help improve oxygen saturation, suggests a study in Academic Emergency Medicine. Fifty patients presenting to a New York City ED […]
Read MoreBy Kristin J. Kelley The FDA has approved the sodium-glucose co-transporter 2 (SGLT2) inhibitor dapagliflozin (Farxiga) to lower the risk for cardiovascular death and heart failure hospitalization in patients with heart failure with reduced ejection fraction. The indication is for adults, regardless of whether they have type 2 diabetes. Approval was based on results from […]
Read MoreAuthor: Michael Vlessides Anesthesiology News In a little more than four months, the novel coronavirus has disrupted lives, financial markets, medical meetings and travel plans around the world. So how can anesthesiologists and the institutions in which they work protect themselves and other patients from the novel virus? In a recent communication, the Anesthesia Patient […]
Read MoreAUTHORS: Burk, Kyle M. MS et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 715-724 BACKGROUND: Supplemental oxygen is administered during procedural sedation to prevent hypoxemia. Continuous flow oxygen, the most widespread method, is generally adequate but distorts capnography. Pulsed flow oxygen is novel and ideally will not distort […]
Read MoreAuthors: Davide Cattano, MD, PhD, FASA et al Anesthesiology News Opioid-induced respiratory depression (OIRD) has been recognized as one of the most dramatic and serious complications from the perioperative use of opioid analgesics. Current international efforts to publicize to the lay public the potential effects of misusing opioids, such as the risk for addiction, have […]
Read MoreAUTHORS: Maheshwari, Kamal MD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 636-643 BACKGROUND: Postoperative delirium is common in critically ill patients, with a reported incidence of 11%–43%, and is associated with significant morbidity and cost. Perioperative hypotension and consequent brain hypoperfusion may contribute. We, therefore, tested the […]
Read MoreBy Amy Orciari Herman Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, DFASAM Findings from several trials of remdesivir for novel coronavirus disease (COVID-19) were announced on Wednesday. The National Institutes of Health reported preliminary findings from a randomized, placebo-controlled trial of intravenous remdesivir in nearly 1100 patients hospitalized with COVID-19 with lung involvement, […]
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