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Authors: Zhen-Zhen Xu, M.D. et al Anesthesiology September 2021, Vol. 135, 419–432. Background Regional anesthesia and analgesia reduce the stress response to surgery and decrease the need for volatile anesthesia and opioids, thereby preserving cancer-specific immune defenses. This study therefore tested the primary hypothesis that combining epidural anesthesia–analgesia with general anesthesia improves recurrence-free survival after […]
Read MoreAuthor: Richard Novak, MD The Anesthesia Consultant Clinical Case for Discussion: This month’s question is on hypertension and anesthesia. You are scheduled to anesthetize a 71-year-old male for an arthroscopic rotator cuff repair. His blood pressure when you meet him in pre-op is 170/99 mmHg. The nurses and the surgeon are alarmed. What would you […]
Read MoreDG Journal Club Authors: Bronagh Blackwood, Lyvonne N Tume et al. JAMA. 2021 Aug 3; 326(5): 401-410 Importance There is limited evidence on the optimal strategy for liberating infants and children from invasive mechanical ventilation in the pediatric intensive care unit. Objective To determine if a sedation and ventilator liberation protocol intervention reduces the duration […]
Read MoreAuthor: Cardiac Anesthesiologist A number of local anesthetic formulations are available for topical anesthesia , lidocaine, dibucaine, tetracaine, and benzocaine being the drugs used most commonly. In general, these preparations provide effective but relatively short durations of analgesia when applied to mucous membranes or abraded skin. Their efficacy is determined by drug form, melting point, concentration, and […]
Read MoreAuthors: Stephen C. Haskins, M.D. et al Anesthesiology September 2021, Vol. 135, 433–441. Background Hip arthroscopy is associated with moderate to severe postoperative pain. This prospective, randomized, double-blinded study investigates the clinically analgesic effect of anterior quadratus lumborum block with multimodal analgesia compared to multimodal analgesia alone. The authors hypothesized that an anterior quadratus lumborum […]
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