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AUTHORS: Chowdhury, Tumul MD, DM, FRCPC et al Journal of Neurosurgical Anesthesiology 34(4):p 392-400, October 2022. Background: High-grade gliomas impose substantial morbidity and mortality due to rapid cancer progression and recurrence. Factors such as surgery, chemotherapy and radiotherapy remain the cornerstones for treatment of brain cancer and brain cancer research. The role of anesthetics on glioma progression is largely unknown. Methods: This […]
Read MoreAUTHORS: Peska, Emil MD et al Anesthesia & Analgesia December 08, 2022. BACKGROUND: Multiple pregnancy is associated with higher risk of uterine atony, postpartum hemorrhage (PPH), blood transfusion, hysterectomy, and death. The optimal dose of oxytocin at cesarean delivery in people with twin pregnancy is unknown. We sought to determine the effective bolus dose of […]
Read MoreAUTHORS: Dickerson, Shane C. MD et al Journal of Head & Neck Anesthesia 6(1):p e41, May 2022. Abstract Tracheal stenosis involving >5 cm of trachea is debilitating for patients, impedes their quality of life and may even become life-threatening. Large, open defects often result in these patients because of multiple failed tracheal resections and endoscopic dilatations. Tracheal transplantation […]
Read MoreAUTHORS: Dannatt, Peter J. et al European Journal of Anaesthesiology 1(5):p e008, October 2022. The Cric-Guide is a device in development that aims to increase the success of bougie insertion into the trachea during emergency front of neck access (eFONA), a step that can present difficulties with the Scalpel-Bougie-Tube (SBT) technique. The Cric-Guide features a ‘U-shaped’ […]
Read MoreAuthor: Goldeberg D. Pract Pain Manag. 2023 March/April;22(2). An abrupt onset of widespread musculoskeletal pain is commonly seen in primary care and specialty medicine. There are multiple potential causes for such pain, including brief self-limited disorders and life-threatening emergencies. This paper discusses the most common and important acute generalized musculoskeletal (MSK) pain scenarios, with five […]
Read MoreAUTHORS: Bright, Matthew R. MD et al Anesthesia & Analgesia 136(3):p 483-493, March 2023. BACKGROUND: Obese patients desaturate rapidly during the apneic period after induction of anesthesia for elective surgery. Administration of oxygen using high-flow nasal cannulae (HFNCs) may prevent desaturation in nonobese patients compared to facemask (FM) preoxygenation. The aim of this meta-analysis was to […]
Read MoreNEJM Journal Watch Bruce Soloway, MD, reviewing Ly DP et al. BMJ 2023 Mar 1 Mortality after elective procedures was 1.30% for Black men vs. 0.85% for white men. Black patients have higher overall postoperative mortality than do white patients. To further understand this excess risk, researchers analyzed records for 1.8 million Black and white U.S. Medicare fee-for-service […]
Read MoreAuthor: Heidi Splete Pract Pain Manag. 2023 March/April;22(2). FDA is creating a regulatory pathway for safe cannabidiol products, but more research is needed considering that nearly one-third of people with chronic pain report cannabis use. It is well known that people with chronic pain often use cannabis to help relieve pain and related symptoms. However, […]
Read Moreby SmartTots Purpose: To evaluate the impact of clinical protocol change via active minimisation on the number of general anaesthetic (GA)/sedation episodes for diagnostic ophthalmic purposes at Children’s Health Ireland at Temple Street (CHI-TS), Dublin, Ireland, from 2016 to 2019, inclusive. Change was implemented following published cautionary principles in 2016 by the FDA regarding the potential neurotoxic […]
Read MoreAuthors: Woodworth, Glenn E. MD et al Anesthesia & Analgesia 136(3):p 458-469, March 2023. In this Pro-Con commentary article, we debate the importance of anterior thigh block locations for analgesia following total knee arthroplasty. The debate is based on the current literature, our understanding of the relevant anatomy, and a clinical perspective. We review the anatomy […]
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