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AUTHORS: Richards, Justin E. MD et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 68-79 Abstract Vasopressor use in severely injured trauma patients is discouraged due to concerns that vasoconstriction will worsen organ perfusion and result in increased mortality and organ failure in hypotensive trauma patients. Hypotensive resuscitation is advocated […]
Read MoreAUTHORS: James Xie, MD et al Anesthesia Patient Safer Foundation Volume 37, No. 3 • October 2022 Dear Rapid Response: Transporting patients is a high-risk process, accounting for up to 5% of pediatric anesthesia adverse events.1 Studies have identified respiratory and airway adverse events as some of the most common complications, along with the role of transport […]
Read MoreAuthors: Singley, Patrick M. MD et al A & A Practice: May 2022 – Volume 16 – Issue 5 – p e01586 Abstract One-lung ventilation (OLV) can be accomplished utilizing a double-lumen tube (DLT) and an endobronchial blocker (EBB) or intentionally placing a standard endotracheal tube (ETT) into a mainstem bronchus. However, secondary options must be […]
Read MoreDG Journal Club Authors: Getaw Worku Hassen et al J Emerg Med. 2022 Aug 28 BACKGROUND Anterior shoulder dislocation is a common presentation to the emergency department (ED). Dislocations are spontaneous or traumatic. Generally, a reduction is performed under procedural sedation and analgesia (PSA). Other approaches include the use of intra-articular lidocaine or, in rare […]
Read MoreAUTHORS: Barreto Chang et al Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 BACKGROUND: Ketamine is typically used by anesthesiologists as an adjunct for general anesthesia and as a nonopioid analgesic. It has been explored for prevention of postoperative delirium, although results have been contradictory. In this study, we investigated the association of […]
Read MoreAuthors: Calderone, Alexander MD et al Anesthesia & Analgesia: September 08, 2022 Abstract Regional cerebral oxygen saturation (rSo2) obtained from near-infrared spectroscopy (NIRS) provides valuable information during cardiac surgery. The rSo2 is calculated from the proportion of oxygenated to total hemoglobin in the cerebral vasculature. Root O3 cerebral oximetry (Masimo) allows for individual identification of changes in […]
Read MoreDG Journal Club AUTHORS: Sanjeet Singhota et al J Headache Pain. 2022 Sep 3; 23(1): 114 BACKGROUND Trigeminal neuralgia is an episodic severe neuralgic pain and can be managed both medically and surgically. If possible, this should be directed by a Multidisciplinary Team (MDT) of specialised surgeons, physicians, dentists, psychologists and specialist nurses with access […]
Read MoreDG Journal Club Authors: Talha Mubashir et al Clin Transplant. 2022 Aug 27 INTRODUCTION Delirium occurs frequently after lung transplantation and is associated with poor clinical outcomes. Significantly prolonged jugular venous congestion (JVC) occurs during off-pump lung transplantation and is thought to impair cerebral perfusion. Our study aimed to test the hypothesis that increased intraoperative […]
Read MoreAuthors: Mullins, Peter M et al PAIN Reports: July/August 2022 – Volume 7 – Issue 4 Introduction: Chronic pain affects more than 1 in 5 American adults, and its effects are not evenly distributed throughout the population. Methods: Using the National Health Interview Survey (NHIS), a household-based annual survey of self-reported health status of U.S. adults, this […]
Read MoreAuthors: Ryan Perlman, Sam Bonge Eur J Trauma Emerg Surg. 2022 Sep 4 Background: Traumatic injury is associated with severe pain that is often inadequately managed. Opioids remain the mainstay of pain management in this population because of their ease of use. However, opioids have significant side effects including nausea, delirium, and respiratory depression. Regional anesthesia […]
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