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Authors: Brandon Goodwin, B.A. et al Anesthesiology August 2023. To the Editor: We read with great interest, “Postoperative Delirium after Dexmedetomidine versus Propofol Sedation in Healthy Older Adults Undergoing Orthopedic Lower Limb Surgery with Spinal Anesthesia: A Randomized Controlled Trial” by Shin et al. It reported that the incidence of delirium was less in the group receiving propofol versus dexmedetomidine. The […]
Read MoreAuthors: TMarovino T, Tassone E. Practical Pain Manag. 2023 July/August;23(4). Science of PEMF Pulsed electro-magnetic field (PEMF) science has evolved over the years, and dedicated research on this topic, specifically as it applies to pain management, has been growing. Independent research on PEMF has consistently demonstrated meaningful physiological treatment effects in three areas: pain, inflammation, […]
Read MoreAuthors: Jean Guglielminotti, MD, PhD et al Anesthesiology August 2023. Background Labor neuraxial analgesia may reduce the odds of postpartum hemorrhage, the leading indication for maternal blood transfusion during childbirth. This study tested the hypothesis that labor neuraxial analgesia is associated with reduced odds of maternal blood transfusion overall. Methods US birth certificate data in […]
Read MoreAuthors: Silvia Coppola, M.D. et al Anesthesiology August 2023. To the Editor: We would like to thank Hess and Long for their comments on our article who emphasized the role of acidemia-associated coagulopathy in terms of decreasing fibrinogen concentration, reducing coagulation factors and promoting a state of hypocoagulability. Furthermore, the correction of the state of […]
Read MoreAuthors: Aaron S. Hess, M.D., Ph.D.; Micah T. Long, M.D. Anesthesiology August 2023. To the Editor: We deeply appreciated Dr. Coppola et al.’s thorough yet concise review of acid-base physiology and the clinical indications for sodium bicarbonate. One more complication of acidosis deserves mention: coagulopathy. Although acidosis is often a secondary effect of injury and […]
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