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AUTHORS: Lei, Dong-Xu et al European Journal of Anaesthesiology: November 2022 – Volume 39 – Issue 11 – p 858-867 BACKGROUND Emergence agitation is a common paediatric complication after inhalational anaesthesia. Intranasal dexmedetomidine can prevent emergence agitation effectively, but the optimal dose is uncertain. OBJECTIVE The aim of our study was to investigate the 95% effective […]
Read MoreDG News For patients who are very frail, it may be better to adopt a “watch and wait” approach rather than proceeding to emergency surgery for 5 common medical emergencies, according to a study published in Anaesthesia. The study analysed hospital inpatient data for adult patients with common acute conditions who had emergency admissions to 175 […]
Read MoreDG Journal Club AUTHORS: Graham Rector et al Curr Probl Cardiol. 2022 Sep 28 BACKGROUND The clinical significance of right bundle branch block (RBBB) or bifascicular block (BFB) in the setting of acute myocardial infarction (AMI) is uncertain. METHODS AND RESULTS RBBB was found in 211 of 7,626 patients (2.8%), presenting to the ED (emergency […]
Read MoreAuthor: Zawn Villines MedicalNewsToday Tinnitus is a condition that causes a high-pitched ringing in the ears. Sometimes, it occurs at the same time as migraine, which is a neurological condition that can cause headaches, nausea, and sometimes, aura. Aura refers to sensory changes that some people with migraine experience as an episode begins. They can […]
Read MoreThis is for our readers who treat chronic pain patients. DG News New research published in the Journal of Bone and Mineral Research suggests that non-steroidal anti-inflammatory drugs (NSAIDs) may block the beneficial effects of bisphosphonates. In the study of 5,212 community-dwelling women aged 75 years and older, the use of NSAIDs did not seem to have […]
Read MoreDG Journal Club Authors: Dhivya Perumal et al JAMA Intern Med. 2022 Oct 3 Importance Cataract surgery in the US is routinely performed with anesthesia care, whereas anesthesia care for other elective, low-risk, outpatient procedures is applied more selectively. Objective To identify predictors of anesthesia care in Medicare beneficiaries undergoing cataract surgery and evaluate anesthesia […]
Read MoreDG News Spinal anaesthesia was associated with more pain in the first 24 hours after hip fracture surgery and more prescription analgesic use at 60 days compared with general anaesthesia, according to a study published in the Annals of Internal Medicine. “In our study, patients who got spinal anaesthesia did get fewer opioids in the operating […]
Read MoreAUTHORS: Roberts, Derek J. MD, PhD, FRCSC et al Anesthesia & Analgesia: October 11, 2022 BACKGROUND: Although neuraxial anesthesia may promote improved outcomes for patients undergoing lower limb revascularization surgery, its use is decreasing over time. Our objective was to estimate variation in neuraxial (versus general) anesthesia use for lower limb revascularization at the hospital, anesthesiologist, […]
Read MoreDG Journal Club AUTHORS: Karissa Johnston, Lauren Powell, Evan Popoff, Linda Harris Clin J Pain. 2022 Sep 26 OBJECTIVES To develop and compare benefit-risk profiles for rimegepant, ubrogepant, and lasmiditan based on a network meta-analysis (NMA) of published clinical trials. METHODS A fixed-effects Bayesian NMA of randomized controlled trials (RCTs) of lasmiditan, rimegepant, and ubrogepant […]
Read MoreAuthor: Michael Walter Cardiovascular Business Surgeons with Duke Health in Durham, North Carolina, have made a bit of history, performing what is believed to be the world’s very first partial heart transplant in a neonate congenital heart patient. The patient was a newborn baby, Owen Monroe, who was born with truncus arteriosus. Owen’s two main […]
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