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AUTHORS: Matzek, Luke J. MD et al Anesthesia & Analgesia: March 2021 – Volume 132 – Issue 3 – p 836-845 BACKGROUND: Preoperative thrombocytopenia is associated with inferior outcomes in surgical patients, though concurrent anemia may obfuscate these relationships. This investigation assesses the prevalence and clinical significance of preoperative thrombocytopenia with thorough consideration of preoperative anemia […]
Read MoreAUTHORS: Saager, Leif Dr med, MMM et al Anesthesia & Analgesia: March 2021 – Volume 132 – Issue 3 – p 866-877 BACKGROUND: Anesthesiologists typically care for patients having a broad range of procedures. Outcomes might be improved when care is provided by caregivers experienced in particular types of surgery. We tested the hypothesis that intraoperative […]
Read MoreAUTHORS: Boncyk, Christina S. MD et al Anesthesia & Analgesia: January 11, 2021 – Volume – Issue – 10. BACKGROUND: Pharmacologic agents are frequently utilized for management of intensive care unit (ICU) delirium, yet prescribing patterns and impact of medication choices on patient outcomes are poorly described. We sought to describe prescribing practices for management of […]
Read MoreDG Journal Club AUTHORS: M Jarlborg, D S Courvoisier et al. Scand J Rheumatol. 2021 Mar 9 1-7 Objectives: This study aimed to explore whether certain clinical tests or a rapid improvement in lateral hip pain following periarticular injection are predictive of subsequent efficacy of local glucocorticoid (GC) injection in greater trochanteric pain syndrome (GTPS). […]
Read MoreDG Alerts Coronavirus disease 2019 (COVID-19)-associated acute kidney injury (AKI) was associated with a greater rate of estimated glomerular filtration rate (eGFR) decrease after hospital discharge compared with AKI in patients without COVID-19, independent of underlying comorbidities or AKI severity, according to a study published in JAMA Network Open. These findings suggest that patients recovering from […]
Read MoreAUTHORS: Li, Xue-Fei MD et al Anesthesia & Analgesia: January 6, 2021 – Volume – Issue – 10. BACKGROUND: The effect of general anesthetics (propofol and volatile anesthetics) on pulmonary outcome after lung resection surgery with one-lung ventilation (OLV) is yet undetermined. We evaluated the effect of intravenous anesthesia (propofol) and volatile anesthesia (sevoflurane or desflurane) […]
Read MoreAUTHORS: Schopfer, Leonore MMSc et al Anesthesia & Analgesia: January 6, 2021 – Volume – Issue – 10 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 MoreDG News Reducing the standard dose of IV-administered ketamine in half is as effective as the larger, standard dose in reducing pain in adults with acute pain, according to a study published in the journal Academic Emergency Medicine. Ketamine is known to provide pain relief comparable to opioid medications, which are highly addictive. For the current […]
Read MoreAuthor: Marc Arginteanu MD KevinMD.com I consult on many patients because they are suffering from pain. In fact, their pain is so severe that they are considering spinal surgery. More than 100,000 Americans decide to undergo surgery, and millions more have invasive procedures for low back pain or sciatica every year. You almost certainly know […]
Read MoreDG Journal Club AUTHORS: Rui Li, Donna A Kreher et al. J Pain. 2021 Mar 21 Despite emerging evidence of associations between dysmenorrhea, enhanced pain sensitivity, and functional neuroimaging patterns consistent with chronic pain, it is unknown whether dysmenorrhea is prospectively associated with chronic pain development. Gaining a better understanding of this relationship could inform […]
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