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AUTHORS: Christensen, Anna L. PhD et al Anesthesia & Analgesia: November 23, 2020 – Volume – Issue – 10.1213 BACKGROUND: Intraoperative hypotension is common and associated with organ injury and death, although randomized data showing a causal relationship remain sparse. A risk-adjusted measure of intraoperative hypotension may therefore contribute to quality improvement efforts. METHODS: The measure […]
Read MoreAUTHORS: Schopfer, Leonore MMSc et al Anesthesia & Analgesia: January 6, 2021 – Volume – Issue – 10.1213 BACKGROUND: Mechanical ventilation interferes with cerebral perfusion via changes in intrathoracic pressure and/or as a consequence of alterations in CO2. Cerebral vascular vasoreactivity is dependent on CO2, and hypocapnia can potentially lead to vasoconstriction and subsequent decrease in […]
Read MoreAUTHORS: Willer, Brittany L. MD et al Anesthesia & Analgesia: March 2021 – Volume 132 – Issue 3 – p 679-685 BACKGROUND: Failure to rescue (FTR) and unplanned reoperation following an index surgical procedure are key indicators of the quality of surgical care. Given that differences in unplanned reoperation and FTR rates among racial groups may […]
Read MoreAUTHORS: Jansen, Gerrit Dr med et al Anesthesia & Analgesia: November 30, 2020 – Volume – Issue – 10.1213 BACKGROUND: Recently, a very low incidence of 3 per 10,000 and a mortality of 30% were reported for pediatric perioperative cardiac arrest (POCA). However, high-risk patients, namely children already anesthetized on the intensive care unit (ICU), were […]
Read MoreAUTHORS: Lankford, Allison S. MD et al Anesthesia & Analgesia: March 2021 – Volume 132 – Issue 3 – p 777-787 BACKGROUND: The use of extracorporeal membrane oxygenation (ECMO) as a rescue therapy for cardiopulmonary failure is expanding in critical care medicine. In this case series, we describe the clinical outcomes of 21 consecutive pregnant or […]
Read MoreAUTHORS: Lee, Seung-Hwa MD et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 960-968 BACKGROUND: Despite an association between obesity and increased risks for various diseases, obesity has been paradoxically reported to correlate with improved mortality in patients with established cardiovascular disease. However, its effect has not been evaluated to […]
Read MoreAUTHORS: Ortved, Milla MD et al Anesthesia & Analgesia: November 20, 2020 – Volume – Issue – 10 BACKGROUND: Diabetes increases the risk of adverse outcomes in surgical procedures, including total hip and knee arthroplasty (THA/TKA), and the prevalence of diabetic patients undergoing these procedures is high, ranging from approximately 8% to 20%. However, there is […]
Read MoreAUTHORS: Liu, Tianyu BSc et al Anesthesia & Analgesia: December 21, 2020 – Volume – Issue – 10 BACKGROUND: The intraoperative 15° left-tilt position during cesarean delivery has more recently been questioned regarding its effect on fetal acid-base balance and is a frequent source of complaints by surgeons. We hypothesized that a 30° left-tilt position during […]
Read MoreAUTHORS: Reeves, J. Jeffery MD et al Anesthesia & Analgesia: November 18, 2020 – Volume – Issue – 10 BACKGROUND: Understanding the impact of key metrics on operating room (OR) efficiency is important to optimize utilization and reduce costs, particularly in freestanding ambulatory surgery centers. The aim of this study was to assess the association between […]
Read MoreDG Journal Club AUTHORS: Philip M Procento, Kevin L Rand et al. J Pain. 2021 Mar 13 The bidirectional relationship between pain and working memory (WM) deficits is well-documented but poorly understood. Pain catastrophizing – exaggerated, negative cognitive and emotional responses toward pain – may contribute to WM deficits by occupying finite, shared cognitive resources. […]
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