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AUTHORS: Carsetti, Andrea MD et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 740-750 BACKGROUND: Despite several clinical index tests that are currently applied for airway assessment, unpredicted difficult laryngoscopy may still represent a serious problem in anesthesia practice. The aim of this systematic review and meta-analysis was to evaluate […]
Read MoreAUTHORS: Kandil, Ali I. DO et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 802-809 BACKGROUND: Auditory brainstem response (ABR) testing is considered to be relatively resistant to effects of volatile anesthetics. The impact of newer anesthetics on interpretability of ABR testing is unknown. This study compared sevoflurane versus propofol […]
Read MoreDG News An 8-week mindfulness-based therapy — Mindfulness-Oriented Recovery Enhancement (MORE) — decreased opioid use and misuse while reducing chronic pain symptoms, with effects lasting as long as 9 months, according to a study published in JAMA Internal Medicine. This is the first large-scale clinical trial to demonstrate that a psychological intervention can simultaneously reduce opioid […]
Read MoreDG Journal Club Authors: Ahmad Mousa et al Urology. 2022 Mar Neonatal circumcision is one of the most commonly performed surgical procedures in the world. As with all surgeries, it carries risks, including rare, but devastating complications, such as glans and/or penile shaft amputation. Complete glans amputation with successful replantation has been previously reported. Herein […]
Read MoreDG Journal Club AUTHORS: Lisa Y Sun et al Can J Anaesth. 2022 Mar PURPOSE The high-thoracic erector spinae plane block (HT-ESPB) has been reported as an effective analgesic modality for the shoulder region without phrenic nerve palsy. The goal of this study was to compare the HT-ESPB as a phrenic nerve-sparing alternative to an […]
Read MoreAuthor: Tony Mira F1rstNews Summary Many anesthesia groups have a chronic pain component; but how beneficial is it from an overall financial standpoint? While some make it work, it is very difficult to set up and maintain a profitable pain practice. Some of our anesthesia clients are actively involved in the provision of chronic pain […]
Read MoreAUTHORS: Gómez-Ríos, Manuel Á. MD et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 791-801 BACKGROUND: Some patients still report moderate-to-severe postoperative pain after cesarean delivery. Local anesthetic wound infusion improves acute pain and might act on peripheral and central sensitization mechanisms; however, no studies have proved this hypothesis. We […]
Read MoreAUTHORS: Cronjé, Larissa FCA et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 728-739 BACKGROUND: Severe anesthetic-related critical incident (SARCI) monitoring is an essential component of safe, quality anesthetic care. Predominantly retrospective data from low- and middle-income countries (LMICs) report higher incidence but similar types of SARCI compared to high-income […]
Read MoreDG Journal Club AUTHORS: David Amar et al Anesthesiology. 2022 Mar BACKGROUND Postoperative atrial fibrillation (AF) may identify patients at risk of subsequent AF, with its greater risk of stroke. We hypothesized that N-acetylcysteine mitigates inflammation and oxidative stress to reduce the incidence of postoperative AF. METHODS In this double-blind, placebo-controlled trial, patients at high […]
Read MoreAUTHORS: Murugesan, Saravanakumar PhD et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 713-723 BACKGROUND: Preeclampsia (PE) manifesting as hypertension and organ injury is mediated by vascular dysfunction. In biological fluids, extracellular vesicles (EVs) containing microRNA (miRNA), protein, and other cargo released from the placenta may serve as carriers to […]
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