Month: February 2023

Uncategorized Published - 22 February, 2023    By - Dr Clemens
Hypobaric Unilateral Spinal Anesthesia Versus General Anesthesia for Hip Fracture Surgery in the Elderly

AUTHORS: Simonin, Marine MD et al  Anesthesia & Analgesia 135(6):p 1262-1270, December 2022. BACKGROUND: Hypotension during surgery is frequent in the elderly population and is associated with acute kidney and myocardial injury, which are, themselves, associated with increased 30-day mortality. The present study compared the hemodynamic effects of hypobaric unilateral spinal anesthesia (HUSA) to general anesthesia […]

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Uncategorized Published - 22 February, 2023    By - Dr Clemens
Completion of an Enhanced Recovery Program in a Pediatric Ambulatory Surgery Center

AUTHORS: Martin, Lynn D. MD, MBA et al  Anesthesia & Analgesia 135(6):p 1271-1281, December 2022. BACKGROUND: Enhanced Recovery After Surgery (ERAS) was first established in 2001 focusing on recovery from complex surgical procedures in adults and recently expanded to ambulatory surgery. The evidence for ERAS in children is limited. In 2018, recognized experts began developing needed […]

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Uncategorized Published - 22 February, 2023    By - Dr Clemens
Early Vasopressor Utilization Strategies and Outcomes in Critically Ill Patients With Severe Traumatic Brain Injury

AUTHORS: Toro, Camilo BA et al  Anesthesia & Analgesia 135(6):p 1245-1252, December 2022.  BACKGROUND: Early hypotension after severe traumatic brain injury (sTBI) is associated with increased mortality and poor long-term outcomes. Current guidelines suggest the use of intravenous vasopressors, commonly norepinephrine and phenylephrine, to support blood pressure after TBI. However, guidelines do not specify vasopressor […]

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Uncategorized Published - 22 February, 2023    By - Dr Clemens
Predictors and Hospital Outcomes in Pregnant Patients Undergoing Extracorporeal Membrane Oxygenation

AUTHORS: van den Bosch, Oscar F. C. MD et al  Anesthesia & Analgesia 135(6):p 1172-1179, December 2022. Abstract BACKGROUND: Extracorporeal membrane oxygenation (ECMO) is increasingly used in patients with severe cardiorespiratory collapse. Although prior large database reviews of ECMO use in the peripartum population exist, they do not stratify by ECMO indication nor do they include […]

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Uncategorized Published - 22 February, 2023    By - Dr Clemens
Ultrasound-guided genicular nerves block vs. local infiltration analgesia for total knee arthroplasty

DG Journal Club Authors: T Cuñat, J Mejía, I Tatjer, O Comino Anaesthesia. 2022 Nov 9 Genicular nerves block is a promising technique to treat acute postoperative pain in total knee arthroplasty. Similar to surgeon-administered local infiltration analgesia, it targets sensory branches from the knee capsule, but through a selective ultrasound-guided injection that reduces local […]

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Uncategorized Published - 21 February, 2023    By - Dr Clemens
Maternal Fever Associated With Continuous Spinal Versus Epidural Labor Analgesia

AUTHORS: Seiler, F. Arran MD et al  Anesthesia & Analgesia 135(6):p 1153-1158, December 2022. BACKGROUND: Neuraxial labor analgesia is associated with elevations in maternal temperature; the mechanism responsible is unknown. Proposed mechanisms have included infection, altered thermoregulation, and inflammation, potentially triggered by local anesthetics. Studies of the association between neuraxial labor analgesia and maternal fever have […]

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Uncategorized Published - 21 February, 2023    By - Dr Clemens
Postoperative Analgesic Efficacy and Safety of Ropivacaine Plus Diprospan for Preemptive Scalp Infiltration in Patients Undergoing Craniotomy

AUTHORS: Han, Xueye MD et al  Anesthesia & Analgesia 135(6):p 1253-1261, December 2022. BACKGROUND: Preemptive injection of local anesthetics can prevent postoperative pain at the incision site, but the analgesic effect is insufficient and is maintained only for a relatively short period of time. Diprospan is a combination of quick-acting betamethasone sodium phosphate and long-acting betamethasone […]

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Uncategorized Published - 21 February, 2023    By - Dr Clemens
Incidence, Outcomes, and Risk Factors for Preincision Cardiac Arrest in Cardiac Surgery Patients

AUTHORS: Geube, Mariya A. MD, FASE et al  Anesthesia & Analgesia 135(6):p 1189-1197, December 2022. BACKGROUND: We examined the incidence, postoperative outcomes, and patient-related factors associated with preincision cardiac arrest in patients undergoing cardiac surgery. METHODS: We retrospectively examined adult patients undergoing elective or urgent cardiac surgery at the Cleveland Clinic between 2008 and 2019. The […]

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Uncategorized Published - 21 February, 2023    By - Dr Clemens
A Systematic Review of The Efficacy and Safety of Ketamine in Total Joint Arthroplasty

DG Journal Club AUTHORS: Charles P Hannon, Yale A Fillingham, Jeremy M Gililland, Scott M Sporer J Arthroplasty. 2022 Oct 31 [Epub ahead of print] BACKGROUND Ketamine is administered intraoperatively to treat pain associated with primary total hip (THA) and knee arthroplasty (TKA). The purpose of this study was to evaluate the efficacy and safety […]

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Uncategorized Published - 21 February, 2023    By - Dr Clemens
Barriers to Quality Perioperative Care Delivery in Low- and Middle-Income Countries

AUTHORS: Bedwell, Gillian J. MScn et al  Anesthesia & Analgesia 135(6):p 1217-1232, December 2022. BACKGROUND: Provision of timely, safe, and affordable surgical care is an essential component of any high-quality health system. Increasingly, it is recognized that poor quality of care in the perioperative period (before, during, and after surgery) may contribute to significant excess mortality […]

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