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Authors: Aaron A. Berg, D.O. et al Anesthesiology April 2022, Vol. 136, 531–541. Background Interscalene blocks provide analgesia for shoulder surgery but also cause phrenic nerve paralysis. Liposomal bupivacaine is approved for use in interscalene blocks with the potential to provide longer pain control. However, the impact of liposomal bupivacaine on the phrenic nerve has not […]
Read MoreAuthors: Ting Yan, M.D. et al Anesthesiology April 2022, Vol. 136, 551–566. Background Postoperative pulmonary complications are common. Aging and respiratory disease provoke airway hyperresponsiveness, high-risk surgery induces diaphragmatic dysfunction, and general anesthesia contributes to atelectasis and peripheral airway injury. This study therefore tested the hypothesis that inhalation of penehyclidine, a long-acting muscarinic antagonist, reduces the […]
Read MoreAuthors: Stacey Watt, MD, MBA, MHPE, FASA et al ASA Monitor April 2022, Vol. 86, 26–30. Any hospital can be impacted by a mass casualty event regardless of the size, location, or capabilities of the facility. A coordinated response cannot be developed between the first warning of a mass casualty event and the arrival of the […]
Read MoreThis is important because we often have to give an anesthetic to a pt who uses cocaine. Author: Mate Jarai MedicalNewsToday The length of time cocaine stays in a person’s system depends on the dosage, how often a person uses it, and other factors. Cocaine has a shorter half-life than many other drugs, which means that the […]
Read MoreASA Monitor April 2022, Vol. 86, 22. Trends NIH-sponsored mix-and-match trial finds additional COVID-19 dose safe and immunogenic A new report published in The New England Journal of Medicine (N Engl J Med January 2022) found that for adults who had previously received a full COVID-19 vaccine regimen of either Moderna, Pfizer, or Johnson & Johnson, an additional […]
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