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Authors: Paul Bramley and Andrew Klein TheAnesthesiaBlog June 2023 The effect of COVID-19 infection on peri-operative mortality was characterised by the first CovidSurg study, which found an increased postoperative mortality across an international cohort if surgery was undertaken within the first 7 weeks following infection. In this issue, a service evaluation examined perioperative mortality in an English […]
Read MoreAuthors: Oladinni D et al Pract Pain Manag. 2023 May/June;23(3). Background There are approximately 100,000 people living with sickle cell disease in the United States and millions more globally. Sickle cell trait (SCT) is even more prevalent and occurs in 1 million to 3 million US adults, with an occurrence rate of 8% to 10% […]
Read MoreAuthor: Tetef S. Pract Pain Manag. 2023 May/June;23(3). There is a compelling connection between EDS and chronic pain syndromes, and the missing link may be connective tissue disease. A clinical perspective and review. Introduction The primary objective of this review is to provide a connection between Ehler’s-Danlos syndrome (EDS) and Complex Regional Pain Syndrome (CRPS). […]
Read MoreAuthors: Sergio Lassola, M.D. et al Anesthesiology May 2023. To the Editor: Recently, evaluation of the diaphragm by means of ultrasound has become popular. The increase in diaphragm thickness during inspiration (thickening fraction) has been proposed as a noninvasive bedside measure of diaphragm function although previous studies have reported wide variability between thickening, inspiratory effort, and […]
Read MoreAuthors: Aiman Suleiman, M.D., M.Sc.; et al Anesthesiology May 2023. To the Editor: We read the article by Turan et al. with great interest and would like to congratulate the authors on conducting this large, important, factorial trial. The authors found that neither a “high” (8 cm H2O) positive end-expiratory pressure (PEEP), nor a low (6 ml/kg) tidal volume […]
Read MoreAuthors: Alparslan Turan, M.D. et al Anesthesiology May 2023. In Reply: Suleiman et al. assert that driving pressure and mechanical power (because of increased respiratory rate in low tidal volume groups) may be more important determinants of perioperative lung injury and postoperative pulmonary complications than tidal volume and positive end-expiratory pressure (PEEP). We used a factorial cluster […]
Read MoreAuthor: Avery Hurt Practical Pain Management April 2023 Understanding how pain changes over time could help clinicians evaluate and treat pain in the elderly. Researchers identify four potential pathways. Pain among individuals in nursing homes is common, with 85% of residents experiencing pain and nearly 60% reporting persistent pain. Consequently, there has been a great […]
Read MoreAuthors: Joseph C. Goldstein, M.D.; Heidi V. Goldstein, M.D. Anesthesiology May 2023. The interview was about to start. I found myself in a simulated meeting room environment. The selection panel introduced themselves and explained that I had been brought here because my special training made me an “extraordinarily qualified and promising candidate for this mission.” Dealing […]
Read MoreAuthors: Gabor Erdoes, M.D., Ph.D. et al Anesthesiology May 2023, Vol. 138, 535–560. Inherited and acquired coagulopathy are frequently associated with major bleeding in severe trauma, cardiac surgery with cardiopulmonary bypass, and postpartum hemorrhage. Perioperative management is multifactorial and includes preoperative optimization and discontinuation of anticoagulants and antiplatelet therapy in elective procedures. Prophylactic or therapeutic use […]
Read MoreAuthors: Jamie W. Sleigh, M.D.; Rebecca M. Pullon, Ph.D. Anesthesiology May 2023, Vol. 138, 563–566. To the Editor: We wish to report on a serendipitous technical observation regarding the calculation of the Granger causality between electroencephalogram (EEG) channels in subjects given propofol, as reported by Pullon et al. From subsequent application of this analysis to a separate […]
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