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AUTHORS: Goulooze, Sebastiaan C. MSc et al Anesthesia & Analgesia: March 2021 – Volume 132 – Issue 3 – p 726-734 BACKGROUND: Optimal analgesic treatment following cardiac surgery is crucial for both patient comfort and successful postoperative recovery. While knowledge of both the pharmacokinetics and pharmacodynamics of analgesics is required to predict optimal drug dosing, […]
Read MoreAuthor: Carol J. Peden, M.D ASA A new paper defines the key practical steps that can be taken before, during, and after surgery to reduce patients’ risk of developing delirium and related problems that have long-term implications for brain health. Due to their unique role in perioperative care, physician anesthesiologists are ideally suited to lead […]
Read MoreDG Journal Club AUTHORS: Yu-Hsiang Ling, Ying-Hsuan Tai et al. BMJ Open. 2021 Feb OBJECTIVE The efficacy of parecoxib as pre-emptive analgesia still remains controversial. This study aimed to investigate how pre-emptive analgesia with parecoxib affected postoperative pain trajectories over time in patients undergoing thoracic surgery. DESIGN Retrospective cohort study. SETTING A single medical centre […]
Read MoreAuthor: Tony Mira F1rstNews Summary Medicare has opened up new locations for hundreds of procedures that had previously been relegated to the inpatient or hospital setting, generally. This will have an impact on anesthesia providers as there will be an increasing need for their services in alternate settings. On the move—that’s the story of mankind, […]
Read MoreAuthor: Jessie Hellmann The Hill President Biden and Congress are coming under pressure from advocates to address a public health crisis that has been overshadowed by the coronavirus pandemic: rising drug overdose deaths. While most attention and government resources have been focused on COVID-19, the overdose crisis has worsened as people struggle with job losses, isolation […]
Read MoreDG Journal Club AUTHORS: Jinlei Li, Feng Dai et al. Clin J Pain. 2021 Feb OBJECTIVES Adequate pain control after total hip arthroplasty is essential for patient satisfaction and surgical outcome. METHODS A retrospective study with before and after design was performed in 210 elective total hip arthroplasty patients. Control group (N=132) received spinal anesthesia […]
Read MoreDG Journal Club Mohamad El Moheb, Kelsey Han et al. World J Surg. 2021 Feb BACKGROUND In resource-limited countries, open appendectomy is still performed under general anesthesia (GA) or neuraxial anesthesia (NA). We sought to compare the postoperative outcomes of appendectomy under NA versus GA. METHODS We conducted a post hoc analysis of the International […]
Read MoreDG Journal Club AUTHORS: Yi Chen, Lili Zou et al. Pharmacotherapy. 2021 Feb BACKGROUND Prophylactic norepinephrine infusion effectively lowers the incidence of postspinal anesthesia hypotension. The optimal prophylactic dose of norepinephrine remains undefined. The purpose of this study was to investigate the optimal prophylactic dose of norepinephrine to prevent postspinal anesthesia hypotension in patients undergoing […]
Read MoreAuthor: Kara Grant MedPage Physician mothers are experiencing significant rates of moderate to severe anxiety during the COVID-19 crisis, with frontline workers and informal caregivers reporting the highest rates of anxiety. Of the more than 1,800 respondents surveyed from the Physician Moms Group on Facebook, 41% had scores that put them above the Generalized Anxiety […]
Read MoreDuke University People who have a gene variant associated with an increased risk of developing Alzheimer’s disease also tend to have changes in the fluid around their brain and spinal cord that are detectable years before symptoms arise, according to new research from Duke Health. The work found that in people who carry the APOE4 […]
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