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Author: Richard Novak, MD The Anesthesia Consultant There are hundreds of anesthesia textbooks, but which current books are the gold standards for anesthesia knowledge? Should you buy these books, or should you advocate that your hospital purchase them for the medical library? When I was in residency training, I bought earlier editions of many of […]
Read MoreAuthors: Hyke Algera, M.D. et al Anesthesiology August 2022. Background Animal data suggest that the antidepressant and α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor modulator tianeptine is able to prevent opioid-induced respiratory depression. The hypothesis was that oral or intravenous tianeptine can effectively prevent or counteract opioid-induced respiratory depression in humans. Methods Healthy male and female volunteers participated in […]
Read MoreAuthors: Felipe Muñoz-Leyva, M.D. et al Anesthesiology August 2022. Background An optimal opioid-sparing multimodal analgesic regimen to treat severe pain can enhance recovery after total knee arthroplasty. The hypothesis was that adding five recently described intravenous and regional interventions to multimodal analgesic regimen can further reduce opioid consumption. Methods In a double-blinded fashion, 78 patients […]
Read MoreAUTHORS: Emily L. Sturgill, M.D. et al Anesthesiology September 2022, Vol. 137, 340. A 74-yr-old woman undergoing esophagogastroduodenoscopy experienced severe airway obstruction after initiation of sedation. This rapidly progressed to profound hypoxia resistant to jaw thrust, two-provider mask ventilation, paralysis, and intubation. We present an incidental computed tomography finding in this intubated and sedated patient with […]
Read MoreAUTHORS: Alexander B. Shulman, M.D. et al Anesthesiology July 2022. Cryoprecipitate contains fibrinogen, factor VIII, factor XIII, von Willebrand factor, and fibronectin. Cryoprecipitate production involves cold thawing of plasma to create a supraphysiologic concentrate of these cold-insoluble factors. Up to 20% of cryoprecipitate units are discarded during production because of precipitation or clotting, and careful […]
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