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DG Journal Club AUTHORS: Gabby Napoleone, Klaske van Heusden et al. Anesth Analg. 2021 Feb BACKGROUND Closed-loop control of propofol-remifentanil anesthesia using the processed electroencephalography depth-of-hypnosis index provided by the NeuroSENSE monitor (WAVCNS) has been previously described. The purpose of this placebo-controlled study was to evaluate the performance (percentage time within ±10 units of the […]
Read MoreAuthor: Stephen Freidberg MD The DADesthesiologist Medical specialties, especially within the medical community, are known to be identified as comedic stereotypes of themselves. In addition to (or in conjunction with) being viewed as lazy, anesthesiologists are often stereotyped as being obstructionists to the operating room. A spot-on joke generated during the “first” COVID-19 surge in […]
Read MoreCardiac Anesthesiologist One of the most promising indications for acupuncture is to prevent postoperative nausea and vomiting (PONV). PONV results in patient dissatisfaction, delayed discharge, unanticipated hospital admission, and the use of resources. Drugs have been the mainstay of management, however these have limited effectiveness, are associated with adverse effects, and can be costly. Acupuncture prevents PONV compared with sham acupuncture […]
Read MoreRadius Anesthesia Blog Prevention and management of spinal anesthesia-induced hypotension is essential for preventing complications in the perioperative/peripartum period. In 2018, an international consensus statement was published that detailed guidelines for managing hypotension related to neuraxial anesthesia for cesarean sections. In summary, the publication recommended the following: vasopressors should be used routinely and preemptively, alpha-agonist drugs such as phenylephrine are preferred as first-line agent due to abundance of data on their use, left uterine displacement […]
Read MoreDG Alerts “Previous studies reported that 65% to 70% of patients with acute kidney injury requiring kidney replacement therapy (AKI-KRT) had recovered from dialysis dependency at the time of hospital discharge. However, long-term renal outcomes are unknown, because post-hospital follow-up after COVID-19-associated AKI in previous studies was limited to short observational periods,” wrote Kai M […]
Read MoreAuthor: Eli Cahan KHN As the pandemic sends thousands of recovering alcoholics into relapse, hospitals across the country have reported dramatic increases in alcohol-related admissions for critical diseases like alcoholic hepatitis and liver failure. Alcoholism-related liver disease was a growing problem even before the pandemic, with 15 million people diagnosed with the condition around the country, and […]
Read MoreRadius Anesthesia Blog Ambulatory surgical centers (ASCs) are licensed outpatient facilities that provide same-day surgical care without the need for hospital admission. ASCs offer cost-effective, high-quality services in a less stressful and more efficient environment than what many hospitals are able to provide (Ambulatory Surgery Center Association). While hospitals are often better suited for high-risk surgeries, ASCs can cost […]
Read MoreAuthor: Robert Preidt HEALTHDAY Taking prescription opioid painkillers or a common class of antibiotics during pregnancy doesn’t increase the risk of major birth defects, according to two new studies. Both are often prescribed to pregnant women. Some studies have linked them with certain birth defects, but findings have been inconsistent. These new studies — published […]
Read MoreAuthor: Michael Walter Cardiovascular Business News Nearly one in four hospitalized COVID-19 patients with a recent history of heart failure die, according to a new study published in JACC: Heart Failure. “Patients with underlying heart failure, in whom maladaptive activation of the renin-angiotensin system is common, may be particularly susceptible to COVID-19 complications,” wrote lead author […]
Read MoreDG Alerts Analysis of data from the UK and US registries of pregnancies with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection shows that preterm delivery occurred in a higher proportion of women with SARS-CoV-2 infection compared to contemporaneous and historical national data. Meanwhile, the proportions of pregnancies affected by stillbirth, a small-for-gestational-age infant or […]
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