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SmartTots Nov 2, 2022 Abstract Background: Millions of children experienced surgery procedures requiring general anesthesia (GA). Any potential neurodevelopmental risks of pediatric anesthesia can be a serious public health issue. Various animal studies have provided evidence that commonly used GA induced a variety of morphofunctional alterations in the developing brain of juvenile animals. Methods: We conducted a […]
Read MoreAUTHORS: Im, Mary MD et al Anesthesia & Analgesia 135(6):p 1142-1150, December 2022. BACKGROUND: Optimal workload and staffing for obstetric anesthesia services have yet to be determined. We surveyed Society of Obstetric Anesthesia and Perinatology (SOAP) Centers of Excellence (COE) for Obstetric Anesthesia Care institutions to evaluate procedure-based obstetric anesthesia workload and facility use. METHODS: After […]
Read MoreAuthors: Liu, Wenjun MD, PhD et al Medicine 101(44):p e31624, November 04, 2022. Background: Safety and efficacy were assessed of different S(+)-ketamine doses combined with propofol administered as anesthesia to common pediatric congenital heart disease (CHD) patients undergoing cardiac interventional surgery to provide reference data as guidance for use in clinical settings. Methods: Sixty CHD children […]
Read MoreAUTHORS: Schnetz, Michael P. MD, PhD et al Anesthesia & Analgesia 136(2):p 194-203, February 2023. BACKGROUND: Intraoperative hypotension (IOH) is strongly linked to organ system injuries and postoperative death. Blood pressure itself is a powerful predictor of IOH; however, it is unclear which pressures carry the lowest risk and may be leveraged to prevent subsequent hypotension. […]
Read MoreAuthors: Raeder, Johan Current Opinion in Anaesthesiology 35(6):p 684-690, December 2022. Purpose of review Also in ambulatory surgery, there will usually be a need for analgesic medication to deal with postoperative pain. Even so, a significant proportion of ambulatory surgery patients have unacceptable postoperative pain, and there is a need for better education in how to provide […]
Read MoreAuthors: Klimek, Markus et al Current Opinion in Anaesthesiology 35(5):p 537-542, October 2022. Purpose of review The concept of ‘brain-body cross-talking’ has gained growing interest in the last years. The understanding of the metabolic disturbances (e.g., hypernatraemia/hyponatraemia and hyperlactatemia) in neurosurgical patients has improved during the last years. Recent findings The impact of elevated lactate without […]
Read MoreDG Journal Club AUTHORS: Bandari Mahesh, Varun Kumar Singh, Abhishek Pathak, Anand Kumar Pain Med. 2022 Nov 21 OBJECTIVE Central post-stroke pain (CPSP) refers to neuropathic pain in areas of the body corresponding to stroke lesions. Duloxetine, a serotonin-norepinephrine reuptake inhibitor, is safe and effective against neuropathic pain. In this randomized double-blind placebo-controlled study, we […]
Read MoreAuthors: Matthew T. Popovich, PhD; Katie Wochos, MPPA ASA Monitor March 2023, Vol. 87, 29. Much attention has been placed upon participation in the Quality Payment Program (QPP), including reporting quality measures for the Merit-based Incentive Payment System (MIPS) or joining an Alternative Payment Model (APM). But for many anesthesiologists, the need to participate and do well […]
Read MoreAuthor: Kelly Wolfgang ASA Monitor March 2023, Vol. 87, 24–32. “When patients are bleeding, they’re bleeding whole blood. We need to give them back what they’re bleeding.” It’s a simple concept, but one that hasn’t been widely used since blood component therapy became the norm during the Vietnam War. For Justin Richards, MD, and a growing […]
Read MoreASA Monitor March 2023, Vol. 87, e2. The Anesthesia Patient Safety Foundation (APSF), in collaboration with ASA, has launched an online course on low-flow anesthesia using guided simulation to help the learner develop the mental models needed to comfortably embark on a practice of low-flow anesthesia. The course is free to all anesthesia professionals and offers […]
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