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Authors: Jacqueline M. Leung, MD, MPH and Daniel J. Cole, MD, FASA ASA Monitor March 2021, Vol. 85, 1–12. Postoperative delirium is a geriatric syndrome associated with prolonged hospital length of stay and worsened functional and cognitive status after hospital discharge. Despite its prevalence, its pathophysiology is incompletely understood. Delirium is a complex interplay between patient […]
Read MoreAUTHORS: Privratsky, Jamie R. MD, PhD et al Anesthesia & Analgesia: August 2021 BACKGROUND: Both postoperative acute kidney injury (AKI) and preoperative chronic kidney disease (CKD) are associated with significantly worse outcomes following surgery. The relationship of both of these conditions with each other and with CKD progression after surgery remains poorly studied. Our objective was […]
Read MoreDG Journal Club AUTHORS: Darren K Cheng, Ka Sing Paris Lai et al. Pain Med. 2021 Aug OBJECTIVE This review investigated the effectiveness of clinical interventions on depressive symptoms in people with all types of chronic pain. METHODS We searched seven electronic databases and reference lists on September 15, 2020, and included English-language, systematic reviews […]
Read MoreAuthor: Anthony Vecchione Cardiovascular Business Stroke survivors who engage in physical activity three to four hours per week lower their risk of death by 54%, according to new data published in Neurology. For patients younger than 75 years old, researchers added, being active can reduce the mortality risk by as much as 80%. The study’s authors analyzed data from 895 stroke […]
Read MoreAuthors: Miles Berger, MD, PhD and Daniel J. Cole, MD, FASA ASA Monitor July 2021, Vol. 85, 22. “It is exercise alone that supports the spirits, and keeps the mind in vigor.” The great Roman statesman and orator Cicero (106 BC-43 BC) uttered these timeless words over two millennia ago, words that remain relevant today for […]
Read MoreDG Journal Club AUTHORS: Janannii Selvanathan, Rida Waseem et al. Reg Anesth Pain Med. 2021 Aug BACKGROUND There is an increased risk of sleep apnea in patients using opioids for chronic pain. We hypothesized that a simple model comprizing of: (1) STOP-Bang questionnaire and resting daytime oxyhemoglobin saturation (SpO 2 ); and (2) overnight oximetry […]
Read MoreAuthor: Michael Walter Cardiovascular Business Coronary artery calcium (CAC) scoring can provide value as an independent predictor of 30-day or one-year mortality following transcatheter aortic valve replacement (TAVR), according to new findings published in Radiology. The study’s authors tracked data from 309 patients with severe aortic stenosis who underwent CT imaging during the planning process for […]
Read MoreAUTHORS: Lu, Shu Yang MD et al Anesthesia & Analgesia: August 2021 BACKGROUND: The association between obesity, or elevated body mass index (BMI), and outcomes in patients receiving venoarterial extracorporeal membrane oxygenation (VA-ECMO) has not been well established. Recent studies in patients receiving venovenous ECMO did not detect an association between obesity and increased mortality. The […]
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