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AUTHORS: Trentino, Kevin M. PhD Anesthesia & Analgesia: September 2022 – Volume 135 – Issue 3 – p 586-591 BACKGROUND: Most patients transfused red blood cells in elective surgery receive small volumes of blood, which is likely to be discretionary and avoidable. We investigated the outcomes of patients who received a single unit of packed red […]
Read MoreAUTHORS: Mazzeffi, Michael A. MD, MPH, MSc, FASA et al Anesthesia & Analgesia: September 2022 – Volume 135 – Issue 3 – p 558-566 BACKGROUND: Coronary artery bypass grafting (CABG) is the most common cardiac surgical procedure in the world and up to one-third of patients are transfused red blood cells (RBCs). RBC transfusion may increase […]
Read MoreDG Journal Club AUTHORS: Zhihong Lu et al JAMA Surg. 2022 Aug 10 Importance Older patients may benefit from the hemodynamic stability of etomidate for general anesthesia. However, it remains uncertain whether the potential for adrenocortical suppression with etomidate may increase morbidity. Objective To test the primary hypothesis that etomidate vs propofol for anesthesia does […]
Read MoreAuthors: Ajayan, Neeraja MD, DM A & A Practice: June 2022 – Volume 16 – Issue 6 Abstract Arterial tortuosity syndrome is a rare hereditary autosomal recessive connective tissue disorder characterized by elongation and tortuosity of the large- and medium-sized arteries. We present the case of a 13-year old child with arterial tortuosity syndrome who underwent […]
Read MoreAuthors: Sarmiento, Ignacio A. MD et al A & A Practice: June 2022 – Volume 16 – Issue 6 – p e01594 Abstract The surgical procedure to separate conjoined twins represents a rare and major challenge. One of the most feared perioperative scenarios is the presence of coagulopathy secondary to bleeding. We present a case of […]
Read MoreAuthors: Matzek, Luke J. MD et al Anesthesia & Analgesia: September 2022 – Volume 135 – Issue 3 – p 501-510 Abstract BACKGROUND: Anemia is common in critically ill patients and may be exacerbated through phlebotomy-associated iatrogenic blood loss. Differences in phlebotomy practice across patient demographic characteristics, clinical features, and practice environments are unclear. This investigation […]
Read MoreAuthor: Goobie, Susan M. MD, FRCPC Anesthesia & Analgesia: September 2022 – Volume 135 – Issue 3 – p 443-446 Patient blood management (PBM) encompasses all aspects of optimizing a patient’s blood health. Blood is the body’s liquid organ. Responsible for oxygen delivery, blood has many functions, including maintaining the delicate balance between hemostasis and […]
Read MoreDG Journal Club AUTHORS: Phillip E Vlisides et al Anesthesiology. 2022 Aug 12 BACKGROUND The relationship between intraoperative physiology and postoperative stroke is incompletely understood. Preliminary data suggest that either hypo- or hypercapnia coupled with reduced cerebrovascular inflow (e.g., due to hypotension) can lead to ischemia. This study tested the hypothesis that the combination of […]
Read MoreAuthors: Blacker, Samuel N. MD, FASA et al Journal of Neurosurgical Anesthesiology: July 2022 – Volume 34 – Issue 3 – p 257-276 Abstract Evidence-based standardization of the perioperative management of patients undergoing complex spine surgery can improve outcomes such as enhanced patient satisfaction, reduced intensive care and hospital length of stay, and reduced costs. The […]
Read MoreAuthors: Dermot P. Maher, M.D., M.S., M.H.S. et al Anesthesiology August 2022, Vol. 137, 243–251. Background The authors estimate the probability of successful development and duration of clinical trials for medications to treat neuropathic and nociceptive pain. The authors also consider the effect of the perceived abuse potential of the medication on these variables. Methods This […]
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