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DG Journal Club AUTHORS: Ying Zha, Xun Gong et al. Medicine (Baltimore). 2021 Mar ABSTRACT Recent research has suggested that 6 cm of cervical dilation should be the threshold for the active labor phase, and it has confirmed that epidural analgesia (EA) is a safe method of pain relief during labor. However, the evidence provided for […]
Read MoreAUTHORS: Cobert, Julien MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 512-523 BACKGROUND: Anesthesiologists caring for patients with do-not-resuscitate (DNR) orders may have ethical concerns because of their resuscitative wishes and may have clinical concerns because of their known increased risk of morbidity/mortality. Patient heterogeneity and/or emphasis on […]
Read MoreDG News Most surgical patients with a history of penicillin allergy can safely be given the guideline-recommended antibiotic cefazolin to prevent infection instead of several penicillin alternatives that are less effective and more expensive, according to a study published in JAMA Surgery. The study found that the frequency of allergies to both penicillins and cefazolin was […]
Read MoreDG Alerts Among patients with coronavirus disease 2019 (COVID-19) and moderate-to-severe hypoxemia, treatment with helmet noninvasive ventilation, compared with high-flow nasal oxygen, resulted in no significant difference in the number of days free of respiratory support within 28 days, according to a study published in JAMA. Between October 13 and December 13, 2020, researchers led by […]
Read MoreDG Journal Club AUTHORS: Zhong-En Li, Shi-Bao Lu et al. BMC Musculoskelet Disord. 2021 Mar 17; 22(1): 283 BACKGROUND Enhanced recovery after surgery (ERAS) program is an evidence-based improvement over non-ERAS traditional care. The aim of the present study was to analyze the safety, feasibility, and efficacy of an ERAS program in patients over 70 years […]
Read MoreAUTHORS: Varobieff, Maxime MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 556-565 BACKGROUND: Nerve damage can occur after peripheral nerve block (PNB). Ultrasound guidance does not eliminate the risk of intraneural injection or nerve injury. Combining nerve stimulation and injection pressure (IP) monitoring with ultrasound guidance has been […]
Read MoreDG Journal Club AUTHORS: Amy L Holmstrom, Ryan J Campagna et al. Gastrointest Endosc. 2021 Mar BACKGROUND AND AIMS The functional luminal imaging probe (FLIP) is a novel catheter-based device that measures esophagogastric junction (EGJ) distensibility index (DI) in real-time. Previous studies have demonstrated DI to be a predictor of post-treatment clinical outcomes in patients […]
Read MoreDG Journal Club AUTHORS: Gabriel Ching Ngai Leung, Prudence Wing Hang Cheung et al. BMC Musculoskelet Disord. 2021 Mar 6; 22(1): 251 BACKGROUND There are no clear indicators for predicting return to work for patients with chronic low back pain (LBP). We aim to report the outcomes of a 14-week multidisciplinary programme targeting patients with […]
Read MoreDG Alerts Individuals discharged from hospital after coronavirus disease 2019 (COVID-19) had increased rates of multiorgan dysfunction compared with a matched control group from the general population, according to a study published in The BMJ. In addition, researchers found that the increase in risk was not confined to the elderly and was not uniform across ethnicities. […]
Read MoreBy Louise Gagnon DG News A single infusion of ketamine lessened pain and post traumatic stress disorder (PTSD) symptoms in veterans, without persisting dissociative symptoms or side effects, according to a study presented at the Virtual 2021 Annual Meeting of the Anxiety and Depression Association of American (ADAA). Sonalee Joshi, University of Michigan, Ann Arbor, […]
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