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Author: Dr Nikesh Seth Feedspot The opioid crisis has cast a shadow over pain management practices, highlighting the urgent need for safer, effective alternatives. With millions of people struggling with chronic pain, finding methods to alleviate discomfort without the risks associated with opioids has become crucial. This blog delves into various non-opioid pain management techniques […]
Read MoreAuthors: Hyo Jung Hong, M.D., M.B.A et al Anesthesiology September 2024, Vol. 141, 608–610. To the Editor: The American Society of Anesthesiologists holds the anesthesiologist responsible for optimizing a patient’s preoperative medications, which includes enabling the patient to understand and adhere to preoperative instructions. Based on the National Assessment of Adult Literacy, nearly 40% of adults in […]
Read MoreCardiac Anesthesiologist Feedspot Continuous Normokalemic Coronary Perfusion: Empty Beating Heart Early intracardiac procedures were performed on normothermic, perfused, empty beating hearts. Experimental studies initially suggested that this method maintained “normal left ventricular function” for up to 3 hours of cardiopulmonary bypass (CPB) with the heart empty and beating. However, current evidence shows this approach has […]
Read MoreAnesthesiology September 2024, Vol. 141, A13–A15. Trial of early minimally invasive removal of intracerebral hemorrhage. N Engl J Med 2024; 390:1277–89. PMID: 38598795. It is widely accepted that the evacuation of acute supratentorial intracerebral hemorrhages does not improve patient outcomes. However, recent advances in minimally invasive neurosurgical techniques (such as trans-sulcal parafascicular surgery) enable effective hematoma […]
Read MoreWe are seeking a dedicated anesthesiologist to join our all-anesthesiologist group. Our team will consist of 4 full-time providers and 1 for vacation relief, managing 3 operating rooms. Position Highlights: Zero call for 3 weeks, followed by 1 week of call without daytime work only call after 7 PM therefore you may not work the […]
Read MoreAuthors: Bing-Cheng Zhao, M.D. et al Anesthesiology September 2024, Vol. 141, 475–488. Background Patients undergoing noncardiac surgery have varying risk of cardiovascular complications. This study evaluated preoperative N-terminal pro–B-type natriuretic peptide (NT-proBNP) and high-sensitivity cardiac troponin T to enhance cardiovascular events prediction for major noncardiac surgery. Methods This prospective cohort study included adult patients with cardiovascular […]
Read MoreCardiac Anesthesiologist Feedspot Moderately Hypothermic Intermittent Global Myocardial Ischemia Intermittent cardiac ischemia with moderate cardiac hypothermia requires performing cardiopulmonary bypass (CPB) with a perfusate temperature between 25°C and 30°C. During this method, the surgeon operates on or in the heart for 10 to 15 minutes while the ascending aorta is clamped (stopping coronary perfusion) or individual […]
Read MoreAuthors: Adam Warrick, M.D. et al Anesthesiology August 2024. These images demonstrate sublingual hematoma progression in a patient presenting for repeat laparoscopy after cholecystectomy complicated by incomplete hemostasis (fig.1, A to C, arrows). On postoperative day one, the patient reported frenulum tenderness, purpura, and an expanding mass beneath her tongue (fig.1, A). Otolaryngology evaluation was obtained, […]
Read MoreAuthors: Douglas A. Colquhoun, M.B., Ch.B., M.Sc., M.P.H. et al Anesthesiology September 2024, Vol. 141, 602–607. To the Editor: Cisatracurium has traditionally been utilized in patients with severe renal impairment due to its clearance by Hoffman elimination. However, cisatracurium cannot be antagonized by sugammadex, which is specific to rocuronium and vecuronium. Sugammadex, compared to neostigmine, reduces […]
Read MoreAnesthesiology September 2024, Vol. 141, A13–A15. Large language model capabilities in perioperative risk prediction and prognostication. JAMA Surg 2024; e241621 Large language models (LLMs) like ChatGPT are widely used, but their use for perioperative care applications is uncertain. This retrospective prognostic study studied six different “prompting strategies” for question-and-answer tasks using GPT-4 Turbo (OpenAI) on 133,500 […]
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