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Authors: Stephan G. Frangakis, M.D., Ph.D. et al Anesthesiology December 2023, Vol. 139, 827–839. Background Postsurgical pain is a key component of surgical recovery. However, the genetic drivers of postsurgical pain remain unclear. A broad review and meta-analyses of variants of interest will help investigators understand the potential effects of genetic variation. Methods This article is […]
Read MoreAUTHORS: Xiao, Fei MD et al Anesthesia & Analgesia 137(6):p 1233-1240, December 2023. BACKGROUND: The dural puncture epidural (DPE) and the programmed intermittent epidural bolus (PIEB) techniques are recent innovations for labor analgesia. The optimal volume of PIEB during traditional epidural analgesia has been investigated previously but it is unknown whether these findings are applicable to […]
Read MoreAUTHORS: Engoren, Milo MD, FCCM et al Anesthesia & Analgesia 137(6):p 1216-1225, December 2023. BACKGROUND: After hospital discharge, patients who had sepsis have increased mortality. We sought to estimate factors associated with postdischarge mortality and how they vary with time after discharge. METHODS: This was a retrospective study of hospital survivors of sepsis using time-varying Cox […]
Read MoreAUTHORS: Yagani, Seshagiribabu MD et al Anesthesia & Analgesia 137(6):p 1158-1166, December 2023. BACKGROUND: Lung interstitial edema is a clinically silent pathology that develops before overt pulmonary edema among pre-eclamptic women with severe features. Point-of-care lung ultrasonography (LUS) has been suggested as an accessible bedside tool that may identify lung interstitial edema before developing clinical signs […]
Read MoreAUTHORS: Sadjadi, Mahan MD et al Anesthesia & Analgesia 137(6):p 1226-1232, December 2023. BACKGROUND: Sepsis remains the leading cause of mortality in critically ill patients, and mortality is increased when acute kidney injury (AKI) occurs. The Kidney Disease: Improving Global Outcomes (KDIGO) guideline recommends the implementation of supportive measures in patients at high risk for AKI. […]
Read MoreAUTHORS: Mases, Anna MD et al Anesthesia & Analgesia 137(6):p 1116-1126, December 2023. BACKGROUND: The best use of perioperative cardiac biomarkers assessment is still under discussion. Massive postoperative troponin surveillance can result in untenably high workloads and costs for health care systems and potentially harmful interventions for patients. In a cohort of patients at risk for […]
Read MoreAuthors: Jean Guglielminotti, M.D., Ph.D. et al Anesthesiology December 2023, Vol. 139, 734–745. 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 U.S. birth certificate […]
Read MoreAuthors: Pietro Arina, M.D. et al Anesthesiology November 2023. Background The utilization of artificial intelligence and machine learning as diagnostic and predictive tools in perioperative medicine holds great promise. Indeed, many studies have been performed in recent years to explore the potential. The purpose of this systematic review is to assess the current state of […]
Read MoreAUTHORS: Simkin, Sarah MD et al Anesthesia & Analgesia 137(6):p 1128-1134, December 2023. BACKGROUND: A robust anesthesia workforce is essential to the provision of safe surgical, obstetrical, and critical care but information describing the physician anesthesia workforce and volume of clinical services delivered in Canada is limited. This study examines the Canadian physician anesthesia workforce, exploring […]
Read MoreASA Monitor December 2023, Vol. 87, 18. Implant for thought-driven movement after spinal cord injury ONWARD Medical has conducted its first-in-human implant of the ARC-IM Stimulator, designed to restore upper-extremity movement and function in individuals with spinal cord injury (SCI). This new technology involves the use of a wireless brain-computer interface (BCI) to enable thought-driven movement […]
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