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The anesthesia consultant You’re a patient scheduled for elective surgery tomorrow. You’re nervous and you’d like to drink a glass of wine (or two) at dinner the night before the surgery. Is this OK? What’s the relationship between alcohol and anesthesia? Alcohol use is common in the United States—fourteen percent of the United States adult […]
Read MoreAuthors:Julie Hallet, MD, MSc et al JAMA Surg. March 17, 2021. Question Is there an association between anesthesiologist volume and adverse perioperative outcomes? Findings In this cohort study of 8096 adults who underwent esophagectomy, pancreatectomy, or hepatectomy for cancer, care provided by anesthesiologists with high procedure volume (≥6 procedures per year) vs care by anesthesiologists with low […]
Read MoreAuthor: Tony Mira Anesthesiallc 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 MoreCardiac Anesthesiologist In case dentist recommends removing wisdom teeth, conventional inferior alveolar nerve block is the most widely used method. But various anesthesia methods are being perfoming. Success rate is not high and it may lead to complications, such as painfulness, aspiration and nerve injury. To perfom anesthesia, the location of the mandibular foramen (MF) must be determined. It is […]
Read MoreBy Robert Preidt HealthDay Screening for prediabetes or type 2 diabetes in people who are overweight or obese should start at age 35 instead of 40, an expert panel now says. Such screening should continue until age 70, according to the U.S. Preventive Services Task Force, an independent, volunteer panel of national experts in prevention and evidence-based medicine. “Health care providers can help people […]
Read MoreAuthors: Qiliang Jiang, M.D. et al Anesthesiology March 2021. Background Whether supplemental oxygen worsens long-term mortality remains unclear, with contradictory trial results. The authors therefore tested the hypothesis that supplemental oxygen (80% vs. 30%) increases the hazard for long-term mortality. Methods The authors conducted a post hoc analysis of a large multiple crossover cluster trial in which more than […]
Read MoreAuthors: Ryan M. Hijazi, D.O. et al Anesthesiology April 2021, Vol. 134, 552–561. Background Recent work suggests that having aortic valve surgery in the morning increases risk for cardiac-related complications. This study therefore explored whether mortality and cardiac complications, specifically low cardiac output syndrome, differ for morning and afternoon cardiac surgeries. Methods The study included adults […]
Read MoreAuthors: Douglas A. Colquhoun, M.B.Ch.B., M.Sc., M.P.H. et al Anesthesiology April 2021, Vol. 134, 562–576. Background Protective ventilation may improve outcomes after major surgery. However, in the context of one-lung ventilation, such a strategy is incompletely defined. The authors hypothesized that a putative one-lung protective ventilation regimen would be independently associated with decreased odds of pulmonary […]
Read MoreAuthor: Aislinn Antrim Pharmacy Times Adverse effects, such as strange dreams, insomnia, and sleep disorders may be more likely for patients with a history of cardiovascular health issues. Although depression may occur during treatment with beta blockers, new research suggests that the drugs are not the likely cause. Beta-blockers are used to reduce heart rate, […]
Read MoreNEJM Journal Watch By Kelly Young Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD Osteopathic manipulative treatment had a statistically significant but small effect on low back pain in a randomized trial in JAMA Internal Medicine. The researchers question the clinical usefulness of the treatment. Some 400 people in France with nonspecific subacute or […]
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