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Authors: Nadav Y. Schacham, M.D. et al Anesthesiology January 2022, Vol. 136, 93–103. Background Age- and sex-specific reference nomograms for intraoperative blood pressure have been published, but they do not identify harm thresholds. The authors therefore assessed the relationship between various absolute and relative characterizations of hypotension and acute kidney injury in children having noncardiac […]
Read MoreAuthor: Cardiac Anesthesiologist Peripheral and Midline Catheter Recommendations1. In adults, use an upper-extremity site for catheter insertion. Replace a catheter inserted in a lower extremity site to an upper extremity site as soon as possible. Category II2. In pediatric patients, the upper or lower extremities or the scalp (in neonates or young infants) can be used as the catheter […]
Read MoreAuthors: Neha Dasmunshi, MD and Katharine Miles, MD ASA Monitor January 2022, Vol. 86, 22–23. Anesthesiologists practicing social distancing in the hospital breakroom during the COVID-19 pandemic. As anesthesiologists, we are trained to be flexible and adapt our plans to rapidly evolving circumstances. Being an anesthesiologist, however, is only one facet of our identities. We balance our […]
Read MoreDG Alerts Early treatment with molnupiravir, an oral, small-molecule antiviral prodrug, reduced the risk of hospitalisation or death in at-risk, unvaccinated adults with coronavirus disease 2019 (COVID-19), according to a study published in The New England Journal of Medicine. “These data from the MOVe-OUT Phase III trial in nonhospitalised at-risk adults with COVID-19 indicate that molnupiravir, […]
Read Moredoctoryg.blogspot.com Risk Factors of Aspiration Patient: Inadequate fasting Delayed gastric emptying Incompetent Lower Oesophageal Sphincter Emergency Pregnancy Diabetes, Obesity Hiatus Hernia GORD Surgery: Upper GI tract Lithotomy Head down Laparoscopy Cholecystectomy Anaesthetic: Light anaesthesia Supraglottic airways Positive-pressure ventilation Difficult airway Long surgery Management of Aspiration: 1 Call for help, communicate and delegate. 2 Place head […]
Read MoreAuthors: Eva Rivas, M.D. et al Anesthesiology January 2022, Vol. 136, 115–126. Background Early mobilization is incorporated into many enhanced recovery pathways. Inadequate analgesia or excessive opioids may restrict postoperative mobilization. The authors tested the hypotheses that in adults recovering from abdominal surgery, postoperative pain and opioid consumption are inversely related to postoperative mobilization, and […]
Read MoreAuthors: J. Armstrong, P. Jenner, S. Poulose,I. K. Moppett Anesthesia Peri-operative medicine, critical care and pain April 21 Summary The use of cuffed tracheal tubes in paediatric anaesthesia is now common. The use of nitrous oxide in anaesthesia risks excessive tracheal tube cuff pressures, as nitrous oxide can diffuse into the cuff during the course […]
Read MoreAuthor: Michael Walter Cardiovascular Business Older adults with a high resting heart rate may face an increased risk of dementia, according to new findings published in Alzheimer’s & Dementia. The study included data from more than 2,100 participants who were 60 years old and older. All participants lived in Stockholm, Sweden, and they were followed for […]
Read Moredoctoryg.blogspot.com Midazolam, a benzodiazepine, is currently the drug most commonly used to reduce preoperative anxiety and induce sedation. It can be administered intravenously and orally. In adults, it can be used to control preoperative anxiety and, during a procedure alone or in combination with other drugs, for intravenous sedation. For children, oral midazolam in doses as […]
Read MoreAuthors: K. El-Boghdadly et al Anesthesia Peri-operative medicine, critical care and pain June 2020 Summary Healthcare workers involved in aerosol-generating procedures, such as tracheal intubation, may be at elevated risk of acquiring COVID-19. However, the magnitude of this risk is unknown. We conducted a prospective international multicentre cohort study recruiting healthcare workers participating in tracheal […]
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