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Authors: Mike Charlesworth and Andrew Klein #TheanesthesiaBlog April 2023 This month, we are delighted to publish a narrative review and guideline on human factors in anaesthesia. The guideline recently received > 11k downloads after being shared widely by Martin Bromiley and holds an Altmetric score of > 200, having been tweeted by 250 users and reported by two news […]
Read MoreAuthor: Bettinger J. Pract Pain Manag. 2023 March/April;23(2). From novel synthetic opioids to psychedelics and cocaine, a guide to today’s illicit substance market, including the underlying mechanisms and physiologic effects that can lead to severe interactions and interrupt care. Polysubstance and Illicit Substance Use Continue to Rise Drug-related overdose deaths have continued to climb over […]
Read MoreAuthor: Amarquaye W. Pract Pain Manag. 2023 March/April;23(2). When a patient asks about side effects from his medication patch, clinical hospital pharmacist William Amarquaye advises on proper placement and skin care. Buprenorphine patch helps with back pain, but rash and blistering develop The Patient A patient called our specialty pharmacy inquiring about side effects from […]
Read MoreAuthors: Timothy G. Gaulton, M.D., M.Sc. et al Anesthesiology April 2023. Background Surgery causes transient impairment in cognition and function, which may impact driving safety. The authors hypothesized that the risk of a motor vehicle crash would increase after compared to before surgery. Methods The authors performed a nested case-crossover study within population-based observational data […]
Read MoreAuthors: Mathias Maagaard, MD et al Anesthesiology March 2023. Background We hypothesized that both perineural and systemic dexamethasone as adjuncts to bupivacaine increase the duration of an ulnar nerve block compared with bupivacaine alone, and that systemic dexamethasone is non-inferior to perineural dexamethasone. Methods We performed bilateral ulnar nerve blocks with 3 ml bupivacaine 5 […]
Read MoreAuthor: Avery Hurt Practical Pain Management March 2023 The device’s dual-use approval opens up new options for migraine care in adolescents and adults. The FDA has approved Nerivio as a preventive treatment for migraine, with or without aura, in adults and children 12 years old and older, according to a February 28, 2023, press release from […]
Read MoreAuthor: Riz Hatton Becker’s ASC Review Here are eight anesthesia updates reported on March 3: 1. There are 42,264 total active anesthesiologists in the country, according to the Association of American Medical College’s “2022 Physician Specialty Data Report.” 2. New York City-based Columbia University is the most expensive top-ranked medical university for anesthesiologists in 2023, costing students $66,816 a […]
Read MoreAuthors: Jamie W. Sleigh, M.D.; Rebecca M. Pullon, Ph.D. Anesthesiology March 2023. 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 patient dataset in […]
Read MoreAuthors: Hao Xiao, M.S. et al Anesthesiology April 2023, Vol. 138, 364–371. Background Chlorhexidine generally has a good safety profile. However, allergic reactions are reported with increasing frequency. In China, it is rarely reported, and its characteristics are unknown. The purpose of this study was to summarize the experience of a Chinese allergy center with chlorhexidine […]
Read MoreAuthors: Philip J. Peyton, M.D., Ph.D., M.B.B.S., F.A.N.Z.C.A. et al Anesthesiology April 2023, Vol. 138, 354–363. Background Nitrous oxide promotes absorption atelectasis in poorly ventilated lung segments at high inspired concentrations. The Evaluation of Nitrous oxide In the Gas Mixture for Anesthesia (ENIGMA) trial found a higher incidence of postoperative pulmonary complications and wound sepsis with […]
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