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Authors: Helene Beloeil, M.D., Ph.D. et al Anesthesiology April 2021, Vol. 134, 541–551. Background It is speculated that opioid-free anesthesia may provide adequate pain control while reducing postoperative opioid consumption. However, there is currently no evidence to support the speculation. The authors hypothesized that opioid-free balanced anesthetic with dexmedetomidine reduces postoperative opioid-related adverse events compared […]
Read MoreAuthors: Yujuan Li, M.D., Ph.D. et al Anesthesiology March 2021, Vol. 134, 381–394. Background Delayed neurocognitive recovery after surgery is associated with poor outcome. Most surgeries require general anesthesia, of which sevoflurane and propofol are the most commonly used inhalational and intravenous anesthetics. The authors tested the primary hypothesis that patients with laparoscopic abdominal surgery under […]
Read MoreAuthors: Norddine Zeroual, M.D. et al Anesthesiology March 2021, Vol. 134, 370–380. Background Recent guidelines on transfusion in cardiac surgery suggest that hemoglobin might not be the only criterion to trigger transfusion. Central venous oxygen saturation (Svo2), which is related to the balance between tissue oxygen delivery and consumption, may help the decision process of transfusion. […]
Read MoreScience Daily Source: Columbia University Summary: A body of evidence supports the association between prolonged anesthesia and cognitive impairment, but a new study is among the first to address the effect of the procedure on neural connections. Prolonged anesthesia, also known as medically induced coma, is a life-saving procedure carried out across the globe on millions […]
Read MoreAuthor: Mallory Olson University Of Kentucky Dr. Kevin Hatton, the division chief of Anesthesiology Critical Care Medicine at UK HealthCare, explains the use of HBO (hyperbaric oxygen treatment) as an experimental treatment for traumatic brain injury. The University of Kentucky Department of Emergency Medicine, in collaboration with the University of Kentucky Departments of Neurosurgery and […]
Read MorePatricia Kritek, MD, reviewing Hughes CG et al. N Engl J Med 2021 Feb 2 NEJM Journal Watch Key clinical outcomes were similar with either drug. Current best practice in the intensive care unit (ICU) is to use the least medication necessary to keep patients alert, interactive, and comfortable while they receive mechanical ventilation. Compared with propofol and […]
Read MoreAuthor: Sandra Gordon ASA “Both intraoperative EEG monitoring and preoperative cognitive testing should become more standard.” In this Q&A, Miles Berger, MD, PhD, Associate Professor, Anesthesiology Dept (Neuroanesthesiology Division) and Senior Fellow at the Center for the Study of Aging & Human Development at Duke University Medical Center in Durham, North Carolina, discusses his team’s work […]
Read MoreBy The Associated Press Anyone between ages 50 and 80 who has smoked at least 20 “pack-years” and still smokes or quit within the last 15 years is eligible for annual lung scans. More Americans now qualify for yearly scans to detect lung cancer, according to guidelines released Tuesday that may help more Black smokers […]
Read MoreBY KATE GIBSON CBS News Pulse oximeters — viewed as a critical in the fight against COVID-19 — may not work as advertised for people of color. “The devices may be less accurate in people with dark skin pigmentation,” the U.S. Food and Drug Administration stated in a safety notice posted on Friday. The FDA’s warning offers a toned-down […]
Read MoreAuthors: Hebrew SeniorLife Hinda and Arthur Marcus Institute for Aging Research Medical X Press Results of a study published today in JAMA Surgery reveal the impact post-operative delirium has on health care costs in the U.S. Data from the study shows that if delirium were prevented or made less severe for patients, it could reduce health care […]
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