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DG News Some antidepressant drugs are effective for some pain conditions, but most are either ineffective or the evidence is inconclusive, despite being used for a range of pain conditions, according to an overview of the latest evidence published by The BMJ today. To explore this further, Giovanni Ferreira, University of Sydney, Sydney, Australia, and colleagues searched […]
Read MoreDG Journal Club AUTHORS: Xi Zhang et al Trials. 2023 Jan 29; 24(1): 67 BACKGROUND The double-lumen tube (DLT) is an essential equipment for thoracic anesthesia and the precise position of DLT placement is particularly important for anesthesia and surgery. However, the incidence of DLT malposition remains high and it leads to lung isolation failure […]
Read MoreAUTHORS: Schnetz, Michael P. MD, PhD et al Anesthesia & Analgesia 136(2):p 194-203, February 2023. BACKGROUND: Intraoperative hypotension (IOH) is strongly linked to organ system injuries and postoperative death. Blood pressure itself is a powerful predictor of IOH; however, it is unclear which pressures carry the lowest risk and may be leveraged to prevent subsequent hypotension. […]
Read MoreAUTHORS: Jonathan M. Tan, MD, MPH, MBI, FASA et al Anesthesia Patient Safety Foundation Feb 2023 INTRODUCTION Anesthesiology as a specialty has a long history of innovation in technology development linked to improvements in patient safety. However, the speed of technological development in the past 20 years has been unprecedented. This is mostly related to […]
Read MoreAuthors: Molly Kraus, MD; Karl Poterack, MD Anesthesia Patient Safety Foundation Oct 22 In May of 2022, a former Vanderbilt nurse was convicted of gross neglect of an impaired adult and criminally negligent homicide for the death of her patient in 2017. While she had intended to give her patient midazolam (Versed) for sedation during […]
Read MoreAUTHORS: Hamwi, Sousan BDS, MPH et al Anesthesia & Analgesia January 30, 2023. BACKGROUND: Neuraxial analgesia (NA) is the most effective modality in managing labor pain with widespread availability in high-income countries. Previous research has reported a differential obstetric NA use among migrant and native women, but the contribution of language barriers is not well […]
Read MoreAUTHORS: Ruetzler, Kurt MD, PhD, FAHA et al Anesthesia & Analgesia 136(4):p 761-771, April 2023. BACKGROUND: Nociception is the physiological response to nociceptive stimuli, normally experienced as pain. During general anesthesia, patients experience and respond to nociceptive stimuli by increasing blood pressure and heart rate if not controlled by preemptive analgesia. The PMD-200 system from Medasense […]
Read MoreToday is the 247th commemoration of the day the Declaration of Independence was adopted by the Second Continental Congress. Happy Birthday America the Greatest Country Ever
Read MoreDG Journal Club AUTHORS: Sylvain Bise et al Skeletal Radiol. 2023 Feb 2 OBJECTIVE To compare the efficacy of the transforaminal approach (TFA) versus the interlaminar approach (ILA) for CT-guided epidural steroid injection (CTESI) in the treatment of persistent lumbosacral radicular pain (LRP > 6 weeks) with long-term follow-up. METHODS Patients were prospectively assessed for pain by visual […]
Read MoreDG Journal Club AUTHORS: Joseph P Connor et al BMC Cancer. 2023 Jan 28; 23(1): 99 BACKGROUND Both Red Blood Cell (RBC) transfusion and anemia are thought to negatively impact cancer survival. These effects have been reported with mixed findings in cancer of the esophagus. The potential impact of the application of restrictive transfusion strategies […]
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