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Uncategorized Published - 15 August, 2023    By - Dr Clemens
Respiratory Syncytial Virus and Immunity Debt

Author: Richard Simoneaux; Steven L. Shafer, MD, FASA, Editor-in-Chief ASA Monitor March 2023, Vol. 87, 1–6. We can’t get a break! Having battled SARS-CoV-2 for the past two years, the past few months have seen health care systems facing a “tridemic” comprising COVID, respiratory syncytial virus (RSV), and influenza. The national surge in RSV has been widely […]

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Uncategorized Published - 15 August, 2023    By - Dr Clemens
Comparative Study of Opioid Initiation With Tramadol, Short-acting Hydrocodone, or Short-acting Oxycodone on Opioid-related Adverse Outcomes Among Chronic Noncancer Pain Patients

Authors: Acharya, Mahip PhD et al  The Clinical Journal of Pain 39(3):p 107-118, March 2023. Objective: To compare the safety profiles of low and high-dose tramadol, short-acting hydrocodone, and short-acting oxycodone therapies among chronic noncancer pain individuals. Materials and Methods: A retrospective cohort study of individuals with back/neck pain/osteoarthritis with an initial opioid prescription for tramadol, hydrocodone, or oxycodone was conducted using IQVIA PharMetrics […]

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Uncategorized Published - 14 August, 2023    By - Dr Clemens
Manually Controlled, Continuous Infusion of Phenylephrine or Norepinephrine for Maintenance of Blood Pressure and Cardiac Output During Spinal Anesthesia for Cesarean Delivery

AUTHORS: Belin, Olivier MD et al  Anesthesia & Analgesia 136(3):p 540-550, March 2023. BACKGROUND: To counteract the vasoplegia induced by spinal anesthesia (SA) and maintain blood pressure (BP) during cesarean delivery, phenylephrine is currently recommended, but norepinephrine might offer superior preservation of cardiac output. We aimed to compare the hemodynamic effects of phenylephrine and norepinephrine administered […]

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Uncategorized Published - 14 August, 2023    By - Dr Clemens
Tracheostomy, Feeding-Tube, and In-Hospital Postoperative Mortality in Children

AUTHORS: Brown, Sydney E. S. MD, PhD et al  Anesthesia & Analgesia 136(6):p 1133-1142, June 2023. BACKGROUND: Neuromuscular/neurologic disease confers increased risk of perioperative mortality in children. Some patients require tracheostomy and/or feeding tubes to ameliorate upper airway obstruction or respiratory failure and reduce aspiration risk. Empiric differences between patients with and without these devices and […]

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Uncategorized Published - 14 August, 2023    By - Dr Clemens
Intraoperative Electroencephalography Alpha-Band Power Is a Better Proxy for Preoperative Low MoCA Under Propofol Compared With Sevoflurane

AUTHORS: Guessous, K. MD et al   Anesthesia & Analgesia April 03, 2023. BACKGROUND: Preoperative abnormal cognitive status is a risk factor for postoperative complications yet remains underdiagnosed. During propofol general anesthesia, intraoperative electroencephalography (EEG) variables, such as alpha band power (α-BP), correlate with cognitive status. This relationship under sevoflurane is unclear. We investigated whether […]

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