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Author: Cardiac Anesthesiologist Generally, in obese patients, the blood distributes more to nonadipose than to adipose tissues, resulting in higher plasma drug concentrations in obese patients with mg/kg dosing than in normal patients with less adipose mass. Furthermore, propofol clearance increases because of the increased liver volume and liver blood flow associated with obesity (and increased cardiac […]
Read MoreThis is for our readers who treat pain patients. Author: Jenna Fletcher Medical News Today Many preventive migraine medications exist. Some examples include angiotensin-converting enzyme (ACE) inhibitors, anticonvulsants, beta-blockers, and calcium channel blockers. Not every medication is right for every person, so individuals should always talk with a doctor to determine which migraine prevention method might work […]
Read MoreAuthor: Richard Novak, MD The Anesthesia Consultant What is a difficult anesthetic? Most people have no real idea what anesthesiologists do. Many imagine an anesthesiologist’s job is to give a patient some “gas” which to keep the patient asleep, while the surgeon (the real doctor) heals the patient. This image is oversimplified and wrong. Anesthesiologists […]
Read MoreDG Journal Club AUTHORS: Philippe Beauchamp-Chalifour, Alana M Flexman et al. J Neurosurg Spine. 2021 Aug OBJECTIVE Frailty has been shown to be a risk factor of perioperative adverse events (AEs) in patients undergoing various types of spine surgery. However, the relationship between frailty and patient-reported outcomes (PROs) remains unclear. The primary objective of this […]
Read MoreAuthors: Yassir Aarab, M.D., M.Sc. et al Anesthesiology September 2021, Vol. 135, 442–453. Background Pectoral nerve blocks have been proposed for analgesia during and after breast cancer surgery, but data are conflicted in aesthetic breast surgery. This trial tested the primary hypothesis that adding a preincisional pectoral nerve block is superior to systemic multimodal analgesic […]
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