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Author: Corinna J. Yu, MD, FASA ASA Monitor January 2021, Vol. 85, 26. Back in March, when the CDC suggested that health care workers could use a bandana as a makeshift mask for protection against SARS-CoV2, many scoured the shelves of home maintenance stores for personal protective equipment (PPE). “Those who cannot remember the past are condemned […]
Read MoreAuthors: Jashvant Poeran, M.D., Ph.D. et al Anesthesiology July 2021, Vol. 135, 57–68. Background With increasing use of tranexamic acid in total hip and knee arthroplasties, safety concerns remain. Using national claims data, this study examined tranexamic acid use in patients with preexisting comorbidities. The hypothesis was that tranexamic acid use is not associated with increased […]
Read MoreAUTHORS: Joseph Abro, MD et al ASA Monitor January 2021, Vol. 85, 1–19. The COVID-19 pandemic is a once-in-a-lifetime event that has greatly disrupted every aspect of our lives. When the volume of COVID-19 patients initially spiked in spring 2020 in the United States, many hospitals and clinics had to shut down elective surgeries and […]
Read MoreSCP Health As a hospital leader, it’s your responsibility to create a culture that cultivates healthy collaboration and constructive conversations—but conflict at points is inevitable. Use this checklist to handle disagreements smoothly when they do arise. Establish a culture that approaches conflict with action, not avoidance Take conflict discussions into a private location at an […]
Read MoreAuthors: Charles Argoff, MD, and Ben Portal, MD, use a recent chronic headache case to discuss how headache and migraine care are evolving, including primary care assessment tools, imaging, and multitherapy use. Practical Pain Management Volume 21 Issue 3 In PPM’s new Case Chat series, a recent chronic headache case is used to discuss how treatment approaches […]
Read MoreDG Journal Club AUTHORS: Ersin Koksal, Hakan Aygun et al. Int J Clin Pract. 2021 Jun 12 BACKGROUND Quadratus lumborum blocks (QLB) are relatively novel regional anesthesia techniques, and the efficacy of all three types of QLB for postoperative analgesia in cesarean delivery (CD) has been demonstrated in separate studies. The aim of the present […]
Read MoreDG Journal Club AUTHORS: Andrea P Haren, Shrijit Nair et al. Adv Ther. 2021 Jun 5 With the increasing prevalence of obesity in the population, anaesthetists must confidently manage both the pathophysiological and technical challenges presented in bariatric and non-bariatric surgery. The intraoperative period represents an important opportunity to optimise and mitigate risk. However, there […]
Read MoreDG Journal Club AUTHORS: Senthil Packiasabapathy, Xue Zhang et al. Anesth Analg. 2021 May 24 BACKGROUND Safe postoperative pain relief with opioids is an unmet critical medical need in children. There is a lack of objective, noninvasive bedside tool to assess central nervous system (CNS) effects of intraoperative opioids. Proactive identification of children at risk […]
Read MoreAUTHORS: Kouz, Karim MD et al Anesthesia & Analgesia: June 2021 BACKGROUND: It remains unknown what constitutes physiologically relevant intraoperative bradycardia. Intraoperative bradycardia is usually defined using absolute heart rate thresholds, ignoring preoperative baseline heart rates. In contrast, we considered defining intraoperative bradycardia relative to preoperative ambulatory nighttime heart rate. Specifically, we hypothesized that the […]
Read MoreDG Journal Club AUTHORS: Ben Maudlin, Stephen B Gibson et al. Intern Med J. 2021 Jun 6 INTRODUCTION Chronic non-malignant pain is a disabling condition that results in a reduction in function and quality of life when inadequately managed. Sub-lingual ketamine has been shown to be efficacious for use in chronic pain. Despite its use […]
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