Month: March 2023

Uncategorized Published - 31 March, 2023    By - Dr Clemens
Complications and Technical Consideration of Ultrasound-Guided Rectus Sheath Blocks 2023

AUTHORS: Kwon, Hyun-Jung MD et al Anesthesia & Analgesia 136(2):p 365-372, February 2023. BACKGROUND: Although the ultrasound-guided rectus sheath block (RSB) is usually regarded as an easy and safe procedure in clinical settings, there is currently no report on complications incidence. Therefore, the present study investigated complications in a large cohort and described the technical considerations […]

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Uncategorized Published - 31 March, 2023    By - Dr Clemens
Effect of 5% EMLA Cream on Postoperative Sore Throat in Adults Following General Endotracheal Anesthesia 2023

AUTHORS: Murugaiyan, Abishek MD et al  Anesthesia & Analgesia 136(2):p 338-345, February 2023. BACKGROUND: Postoperative sore throat (POST) is a distressing complaint in adults after endotracheal intubation. This study aimed to evaluate the effect of topical application of a eutectic mixture of local anesthetics (EMLA) cream over the endotracheal tube (ETT) cuff on the incidence and […]

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Uncategorized Published - 31 March, 2023    By - Dr Clemens
Effects of Goal-Directed Hemodynamic Therapy Using a Noninvasive Finger-Cuff Monitoring Device on Intraoperative Cerebral Oxygenation and Early Delayed Neurocognitive Recovery in Patients Undergoing Beach Chair Position Shoulder Surgery 2023

AUTHORS: Lee, Chen-Tse MD et al  Anesthesia & Analgesia 136(2):p 355-364, February 2023. 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 […]

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Uncategorized Published - 31 March, 2023    By - Dr Clemens
Always Assess the Raw Electroencephalogram: Why Automated Burst Suppression Detection May Not Detect All Episodes 2023

AUTHORS: Fleischmann, Antonia MD et al  Anesthesia & Analgesia 136(2):p 346-354, February 2023. BACKGROUND: Electroencephalogram (EEG)-based monitors of anesthesia are used to assess patients’ level of sedation and hypnosis as well as to detect burst suppression during surgery. One of these monitors, the Entropy module, uses an algorithm to calculate the burst suppression ratio (BSR) that […]

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Uncategorized Published - 31 March, 2023    By - Dr Clemens
Health Care Burden Associated With Adolescent Prolonged Opioid Use After Surgery 2023

AUTHORS: Cummings Joyner et al  Anesthesia & Analgesia 136(2):p 317-326, February 2023. BACKGROUND: Prolonged opioid use after surgery (POUS), defined as the filling of at least 1 opioid prescription filled between 90 and 180 days after surgery, has been shown to increase health care costs and utilization in adult populations. However, its economic burden has not […]

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Uncategorized Published - 30 March, 2023    By - Dr Clemens
Prevalence and Outcomes of Opioid Use Disorder in Pediatric Surgical Patients 2023

AUTHORS: Alalade, Emmanuel MD et al  Anesthesia & Analgesia 136(2):p 308-316, February 2023. BACKGROUND: Chronic opioid use among adolescents is a leading preventable public health problem in the United States. Consequently, a sizable proportion of surgical patients in this age group may have a comorbid opioid use disorder (OUD). No previously published study has examined the […]

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Uncategorized Published - 30 March, 2023    By - Dr Clemens
Pulmonary Vasodilator Response of Combined Inhaled Epoprostenol and Inhaled Milrinone in Cardiac Surgical Patients

AUTHORS: Elmi-Sarabi, Mahsa MSc et al  Anesthesia & Analgesia 136(2):p 282-294, February 2023. BACKGROUND: Pulmonary hypertension (PH) and right ventricular (RV) dysfunction are major complications in cardiac surgery. Intraoperative management of patients at high risk of RV failure should aim to reduce RV afterload and optimize RV filling pressures, while avoiding systemic hypotension, to facilitate weaning […]

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Uncategorized Published - 30 March, 2023    By - Dr Clemens
Pro-Con Debate: Are Patients With Coronary Stents Suitable for Free-Standing Ambulatory Surgery Centers? 2023

AUTHORS: Rosero, Eric B. MD, MSc et al  Anesthesia & Analgesia 136(2):p 218-226, February 2023. Abstract With increasing implantation of coronary artery stents over the past 2 decades, it is inevitable that anesthesiologists practicing in the outpatient setting will need to determine whether these patients are suitable for procedures at a free-standing ambulatory surgery center (ASC). […]

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Uncategorized Published - 30 March, 2023    By - Dr Clemens
Reducing Volatile Anesthetic Waste Using a Commercial Electronic Health Record Clinical Decision Support Tool to Lower Fresh Gas Flows 2023

AUTHORS: Olmos, Andrea V. MD et al  Anesthesia & Analgesia 136(2):p 327-337, February 2023. BACKGROUND: Volatile anesthetic consumption can be reduced by minimizing excessive fresh gas flows (FGFs). Currently, it is unknown whether decision support tools embedded within commercial electronic health record systems can be successfully adopted to achieve long-term reductions in FGF rates. The authors […]

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Uncategorized Published - 30 March, 2023    By - Dr Clemens
The Anesthesia Workforce Crisis Revisited 2023

AUTHORS: Morriss, Wayne W. MBChB, FANZCA et al  Anesthesia & Analgesia 136(2):p 227-229, February 2023. The coronavirus disease 2019 (COVID-19) pandemic has focused attention on the anesthesia workforce around the world. In many countries, anesthesiologists have had to work in critical care units as well as the operating room, and deficiencies in the number of anesthesiologists […]

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