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AUTHORS: van Dijk, Huib MD et al Anesthesia & Analgesia: September 23, 2022 Background: Procedural sedation and analgesia (PSA) for diagnostic and minimally invasive therapeutic procedures has become common practice in children of all ages. Based on our clinical experience, we suspected an inverse relation between age and dosage. However, a schedule for age-stratified propofol induction […]
Read MoreDG Journal Club Authors: V Vermot-Desroches, F Pollet-Villard J Fr Ophtalmol. 2022 Sep 19 We report the case of an 85-year-old patient who developed trifascicular block with syncope, triggered by preoperative eye drops for cataract surgery. This life-threatening situation reopens the debate over the necessity of having an anesthesiologist present during cataract surgery.
Read MoreDG Journal Club AUTHORS: Chan Mi Park et al JAMA Intern Med. 2022 Sep 19 Importance Gabapentin has been increasingly used as part of a multimodal analgesia regimen to reduce opioid use in perioperative pain management. However, the safety of perioperative gabapentin use among older patients remains uncertain. Objective To examine in-hospital adverse clinical events […]
Read MoreAUTHORS: Khodaei, Shahin HBSc et al Anesthesia & Analgesia: September 30, 2022 BACKGROUND: Perioperative neurocognitive disorders (PNDs) are complex, multifactorial conditions that are associated with poor long-term outcomes. Inflammation and exposure to general anesthetic drugs are likely contributing factors; however, the relative impact of each factor alone versus the combination of these factors remains poorly understood. […]
Read MoreThis is so when we see a pt with ADHD preop we know of the increase risk. Author: Deep Shukla MedicalNewsToday A large population-based study in Sweden recently showed that individuals with attention deficit hyperactivity disorder (ADHD) were at a two-fold higher risk of all types of cardiovascular diseases than those without ADHD. Among adults […]
Read MoreAuthors: W Jonathan Dunkman et al Semin Cardiothorac Vasc Anesth. 2022 Oct 6 Transesophageal echocardiography is frequently but not always used to guide anesthetic management during liver transplantation. We performed a systematic review of the literature to identify and summarize any studies reporting on the frequency and characteristics of TEE use for liver transplantation. Studies […]
Read MoreAUTHORS: Lee, Chen-Tse MD et al Anesthesia & Analgesia: September 22, 2022 BACKGROUND: Perioperative cerebral desaturation events (CDEs) and delayed neurocognitive recovery are common among patients undergoing beach chair position (BCP) shoulder surgery and may be caused by cerebral hypoperfusion. This study tested the hypothesis that the application of goal-directed hemodynamic therapy (GDHT) would attenuate these […]
Read MoreAUTHORS: Tschoellitsch, Thomas et al European Journal of Anaesthesiology: September 2022 – Volume 39 – Issue 9 – p 766-773 BACKGROUND Massive perioperative allogeneic blood transfusion, that is, perioperative transfusion of more than 10 units of packed red blood cells (pRBC), is one of the main contributors to perioperative morbidity and mortality in cardiac surgery. Prediction […]
Read MoreAUTHORS: Dalia, Adam A. MD, MBA, FASE et al Anesthesia & Analgesia: September 23, 2022 Abstract Increasing cardiac procedural volume, a shortage of practicing cardiac anesthesiologists, and growth in specialist physician compensation would be expected to increase cardiac anesthesiologist compensation and work load. Additionally, more cardiac anesthesiologists are graduating from accredited fellowships and completing echocardiography […]
Read MoreAUTHORS: Guinot, Pierre-Grégoire et al European Journal of Anaesthesiology and Intensive Care: April 2022 – Volume 1 – Issue 2 – p e004 Abstract As an extension of the traditional heart-centred pressure-flow model, the ventriculo-arterial coupling concept is based on the pressure–volume relationship of the left ventricle and the vascular system. Even though ventriculo-arterial coupling has […]
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