Month: October 2022

Carbon Dioxide, Blood Pressure, and Perioperative Stroke: A Retrospective Case–Control Study

Authors: Phillip E. Vlisides, M.D. et al  Anesthesiology October 2022, Vol. 137, 434–445. 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 intraoperative […]

Circadian effect of time of anaesthesia on postoperative outcomes in major elective and urgent intervention

AUTHORS:  Hoogma, Danny Feike et al European Journal of Anaesthesiology and Intensive Care: June 2022 BACKGROUND A recent prospective study reported a decrease in postoperative mortality when cardiac surgery was started in the afternoon instead of in the morning. In contrast, several large retrospective analyses have not confirmed this finding. Larger prospective studies are required to […]

Authors: Alicino, Ilaria MDa et al Journal of Head & Neck Anesthesia: May 2021 – Volume 5 – Issue 1 Background: Drug-induced sleep endoscopy (DISE) has become a routine diagnostic tool to assess the upper airway in obstructive sleep apnea patients, enabling effective diagnosis and appropriate treatment of the obstruction site. A number of protocols with […]

An Unexpected Magnet Response of a Biotronik Pacemaker in Automatic Mode: A Case Report

Authors: Jaiyeola, Christabel MD et al  A & A Practice: September 2022 – Volume 16 – Issue 9 Abstract In patients with cardiovascular implantable electronic devices, asynchronous pacing is necessary for surgeries with a risk of electromagnetic interference. Magnets are often used for asynchronous pacing. In this case report, magnet application to a Biotronik Evia DR-T […]

Changes in pain scores and walking distance after epidural steroid injection in patients with lumbar central spinal stenosis

Authors: Kim, Minsoo MD, PhD et al  Medicine: June 17, 2022 – Volume 101 – Issue 24 Abstract Lumbar spinal stenosis is a common degenerative disorder that is characterized by pain and neurogenic claudication. Previous studies have evaluated the effects of an epidural steroid injection (ESI) on spinal stenosis, based on changes to the spinal canal […]

General Anesthesia for Cesarean Delivery for Thrombocytopenia in Hypertensive Disorders of Pregnancy

AUTHORS: Seymour, Lisa M. MBChB et al  Anesthesia & Analgesia: October 13, 2022 BACKGROUND: In resource-limited environments, spinal anesthesia (SA) is preferred for cesarean delivery. In women at risk of spinal epidural hematoma, particularly those with hypertensive disorders of pregnancy, thrombocytopenia should be excluded before neuraxial blockade. In the context of emergency surgery for fetal distress, […]

Why might a person experience frequent migraine headaches?

Author: Helen Millar MedicalNewsToday Some people may experience frequent migraine episodes, or “chronic” migraine, which can severely affect their quality of life. This may occur due to genetic factors or underlying physical or mental health conditions. A person who experiences chronic migraine may benefit from preventive medications and therapies to reduce the frequency of migraine episodes. They […]

Patient and Operative Factors Predict Risk of Discretionary Prolonged Postoperative Mechanical Ventilation in a Broad Surgical Cohort

AUTHORS: Clark, Michael G. BS et al  Anesthesia & Analgesia: October 13, 2022 BACKGROUND: Patients undergoing surgery with general anesthesia and endotracheal intubation are ideally extubated upon case completion, as prolonged postoperative mechanical ventilation (PPMV) has been associated with poor outcomes. However, some patients require PPMV for surgical reasons, such as airway compromise, while others remain […]

Are Viscoelastic Tests Clinically Useful to Identify Platelet-Dependent Bleeding in High-Risk Cardiac Surgery Patients?

AUTHORS: Baryshnikova, Ekaterina PhD et al  Anesthesia & Analgesia: October 13, 2022 BACKGROUND: Postoperative use of platelet function testing to rule out microvascular bleeding due to platelet dysfunction after cardiac surgery still lacks strong reference data and reliable cutoff values, yielding a clinically adequate sensitivity and specificity. The present study aims to investigate the performance of […]

Investigating the Association Between a Risk-Directed Prophylaxis Protocol and Postoperative Nausea and Vomiting: Validation in a Low-Income Setting

AUTHORS: Tuyishime, Jean de Dieu H. MD, MMed et al  Anesthesia & Analgesia: October 12, 2022 BACKGROUND: The efficacy of postoperative nausea and vomiting (PONV) prevention protocols in low-income countries is not well known. Different surgical procedures, available medications, and co-occurring diseases imply that existing protocols may need validation in these settings. We assessed the association […]