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AUTHORS: Rosero, Eric B. MD, MSc et al Anesthesia & Analgesia 136(6):p 1030-1038, June BACKGROUND: Major disparities in complications and mortality after appendectomy between countries with different income levels have not been well characterized, as comparative studies at patient level between countries are scant. This study aimed to investigate variations in postoperative complications, mortality, and failure […]
Read MoreAuthor: Vetter, Thomas R. MD, MPH, MFA Anesthesia & Analgesia 136(4):p 665-674, April 2023. Abstract Perioperative medicine remains an evolving, interdisciplinary subspecialty, which encompasses the unique perspectives and incorporates the respective vital expertise of numerous stakeholders. This integrated model of perioperative medicine and care has a wide-ranging set of clinical, strategic, and operational goals. Among […]
Read MoreAUTHORS: Levy, Dominique T. BS et al Anesthesia & Analgesia 136(5):p 905-912, May 2023. BACKGROUND: There is a lack of reported clinical outcomes after opioid use in acute trauma patients undergoing anesthesia. Data from the Pragmatic, Randomized, Optimal Platelet and Plasma Ratios (PROPPR) study were analyzed to examine opioid dose and mortality. We hypothesized that higher […]
Read MoreAuthors: Blaine, Kevin P. MD, MPH, FASA et al Anesthesia & Analgesia 136(5):p 861-876, May 2023. Abstract Training and education for trauma anesthesiology have been predicated on 2 primary pathways: learning through peripheral “complex, massive transfusion cases”—an assumption that is flawed due to the unique demands, skills, and knowledge of trauma anesthesiology—or learning through experiential education, […]
Read MoreAuthors: Melissa Kreso, MD, MSBA, FASA; Nina Schloemerkemper, MD, FRCA ASA Monitor June 2023, Vol. 87, 34–36. The climate crisis has been named the world’s biggest health threat by the United Nations. Greenhouse gases are a cause, and, unfortunately, greenhouse gas emissions from U.S. health care have increased by more than 30% over the last decade (Nature […]
Read MoreAuthor: Jack Israel MD, Jeff Gudin Pract Pain Manag. 2023 May/June;23(3). Clinical Challenge Test your clinical knowledge on persistent post-operative opioid use with these 4 questions. Hit submit to see the answers. 1. Persistent post-operative opioid use (PPOU) is commonly defined as filling any opioid prescription between __ and 365 days after surgery. a. 30 b. […]
Read MoreAuthors: Nikhil Kumar, M.D. et al Anesthesiology June 2023, Vol. 138, 656. The accompanying images demonstrate the presence of the distal end of a chest tube in the tracheal lumen just above the carina. These images are from a patient who developed coughing and massive air leak after chest tube placement. Inadvertent tracheal injury during chest […]
Read MoreAuthors: Ling-Sha Ju, M.S. et al Anesthesiology June 2023, Vol. 138, 658–661. To the Editor: Human twin studies have compared neurocognitive outcomes in twins in which one, both, or neither have undergone procedures involving exposure to general anesthetics. By finding that both exposed and unexposed members of a twin pair have equally poor neurocognitive outcomes, these […]
Read MoreAuthors: Christoph Boesing, M.D. et al Anesthesiology May 2023. Background Superobesity and laparoscopic surgery promote negative end-expiratory transpulmonary pressure, which causes atelectasis formation and impaired respiratory mechanics. We hypothesized that end-expiratory transpulmonary pressure differs between fixed and individualized PEEP strategies, and mediates their effects on respiratory mechanics, end-expiratory lung volume, gas-exchange, and hemodynamic parameters in […]
Read MoreASA Monitor June 2023, Vol. 87, 12. Which of the following combinations of free thyroxine (FT4) level and thyroid-stimulating hormone (TSH) level is MOST likely in a patient with subclinical hypothyroidism? □ (A) Low FT4, low TSH □ (B) Normal FT4, high TSH □ (C) High FT4, low TSH About 5% of patients older than 65 years have hypothyroidism. Primary […]
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