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Authors: Steven Roth, M.D., F.A.R.V.O. et al Anesthesiology November 2022, Vol. 137, 620–643. The authors reviewed perioperative ocular complications and implications of ocular diseases during nonocular surgeries. Exposure keratopathy, the most common perioperative eye injury, is preventable. Ischemic optic neuropathy, the leading cause of perioperative blindness, has well-defined risk factors. The incidence of ischemic optic neuropathy […]
Read MoreAuthors: Andrew Sedivy, MD et al ASA Monitor October 2022, Vol. 86, 20–21. When adverse outcomes occur postoperatively, anesthesiologists and surgeons often are at odds about the mechanism and may blame each other. If the creatinine changes after cardiac, vascular, or other surgeries, the surgeon may infer that the patient was over- or under-hydrated or there […]
Read MoreA case report of a woman with a history of drug use presenting with fatigue and hypotension whose adrenal insufficiency was likely masked by opioid use. Authors: Bush DA, OMS IV, Erika Barbero MD. Pract Pain Manag. 2022 September/October;22(5). About Opioid Induced Adrenal Insufficiency Opioid induced adrenal insufficiency (OIAI) is a complication of opioid use […]
Read MoreAuthors: Charlotte Martin, M.D. et al Anesthesiology December 2022, Vol. 137, 749–751. To the Editor: The waste produced by an operating room represents on average 20 to 30% of the waste of a health institution.1 At the Toulouse University Hospital (Toulouse, France), more than 100 tons of waste are produced per month. In 2020, only noninfectious […]
Read MoreAuthors: Roger L. Royster, M.D. et al Anesthesiology December 2022, Vol. 137, 733–734. Hypoxic pulmonary vasoconstriction occurs when the microvasculature perfusing hypoxic alveoli vasoconstricts, diverting blood to oxygenated alveoli to match ventilation with perfusion. Hypoxic pulmonary vasoconstriction can occur within seconds and reach a maximum intensity within minutes of hypoxia developing. It appears to be triggered by […]
Read MoreAuthor: David O. Warner, M.D. Anesthesiology October 2022, Vol. 137, 484–508. Tobacco use will kill a projected 1 billion people in the 21st century in one of the deadliest pandemics in history. Tobacco use disorder is a disease with a natural history, pathophysiology, and effective treatment options. Anesthesiologists can play a unique role in fighting this […]
Read MoreAuthor: Igor Kissin, M.D., Ph.D. Anesthesiology October 2022. To the Editor: The state of general anesthesia is often presented with its analgesic component included. An example of this can be found in one of the classic definitions of the anesthetic state by Dr. Edmond Eger. He describes analgesia as an “unmeasurable component (the anesthetized patients cannot […]
Read MoreAuthors: Reed J. Yaras, DO, Jeffrey J. Bettinger, PharmD Practical Pain Management June 22,2022 These new recommendations are based on systematic reviews of the available scientific evidence and intend to provide clinicians with the knowledge they need to weigh the risks and benefits regarding the treatment of pain. When to Schedule Follow-Up Patients Prescribed Opioids […]
Read MoreAuthor: Deep Shukla MedicalNewsToday Due to the risk of addiction associated with the prolonged use of prescription opioids, there is an urgent need for non-opioid alternatives for the treatment of chronic pain. Drugs such as dexmedetomidine that bind to the norepinephrine alpha-2a (α2a) adrenergic receptor are effective analgesics, but their sedative effects limit their widespread […]
Read MoreBy E. Murray Joseph, M.D. Science History Publications/USA for Boston Medical Library, Sagamore Beach, 2001 . Pages: 255. ISBN-10: 0-88135-256-X. ISBN-13: 978-0881352566. Price: $150.00 (Hardcover). Price: $61.89 (Paperback). Science History Publications/USA for Boston Medical Library Kathryn Elizabeth McGoldrick, M.D., F.C.A.I. (Hon.) Anesthesiology December 2022, Vol. 137, 752–753. Joseph E. Murray, M.D. (1919 to 2012), was one […]
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