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Authors: Jacquot M, Klinefelter et al Pract Pain Manag. 2023 January/February;23(1). With more than 1 in 5 Americans experiencing chronic pain, pain management is an important area of clinical research.¹ Ongoing studies are aimed at developing safe and effective analgesic drugs with a low risk of addiction and overdose.² In late 2022, an update to […]
Read MoreAuthors: Heder J. de Vries, MD et al Anesthesiology December 2022. Background Monitoring and controlling lung stress and diaphragm effort has been hypothesized to limit lung injury and diaphragm injury. The occluded inspiratory airway pressure (Pocc) and the airway occlusion pressure at 100ms (P0.1) have been used as non-invasive methods to assess lung stress and […]
Read MoreNEJM Journal Watch Jennifer Rose V. Molano, MD, reviewing Li Y et al. Neurology 2022 Nov 1 Behavioral, biological, and genetic measures of cardiovascular health are associated with MRI measures of vascular brain aging. Cardiovascular health (CVH) has been associated with brain health. To explore this relationship further, investigators conducted a population-based cohort study that determined how global, […]
Read MoreAuthors: Zachary Deutch, MD, FASA; Amr E. Abouleish, MD, MBA, FASA ASA Monitor March 2022, Vol. 86, 14–15. Welcome to the early spring installment of “Ask the Expert!” Many of us have been presented with dashboards, charts/tables, and proposals relating to the organization and economics of our practices, questioning “Why do you need so many people?” and […]
Read MoreAuthor: Patsy Newitt Becker’s ASC Review Control and convenience are two major benefits to physician ownership of ASCs, according to the most recent data from Advancing Surgical Care. Here are the two benefits to physician ownership, according to the report. 1. Control Physician ownership allows for control over both the clinical environment and the quality of […]
Read MoreAuthors: James Joseph Thomas, M.D. et al Anesthesiology December 2022. The incidence of difficult direct laryngoscopy is higher in patients younger than one versus older patients. In neonates with an anticipated or unanticipated difficult airway, a laryngeal mask airway (LMA) is an acceptable temporary airway, because management with an LMA in neonates has been shown to be successful and […]
Read MoreAuthors: Metabel T. Markwei, Sc.M. et al Anesthesiology January 2023, Vol. 138, 56–70. Background Intraoperative supplemental oxygen may reduce postoperative nausea and vomiting by mitigating hypoxic stress on the gastrointestinal tract. The authors therefore tested the hypothesis that supplemental oxygen reduces nausea and vomiting in adults recovering from colorectal surgery at the Cleveland Clinic between January […]
Read MoreI wanted to share with our readers about the benefits of rural practice. Authors: Zachary Deutch, MD, FASA; Shaan Alli, MD ASA Monitor September 2022, Vol. 86, 14–15. Hello readers, I hope everyone had an enjoyable summer and is off to a smooth start of the academic/fiscal (depending on your practice setting) year. This month, we welcome […]
Read MoreAuthors: Amir Hossein Irani, Ph.D. et al Anesthesiology November 2022. Background The clinical actions of sugammadex have been well studied, but the detailed molecular mechanism of the drug encapsulation process has not been systematically documented. We hypothesized that sugammadex would attract rocuronium and vecuronium via interaction with the sugammadex side-chain “tentacles”, as previously suggested. Methods […]
Read MoreAuthors: Naheed K. Jivraj, MBBS MSc et al Anesthesiology November 2022. Background The objective was to assess changes over time in prescriptions filled for non-opioid analgesics for older post-operative patients in the immediate post-discharge period. We hypothesized that the number of patients who filled a non-opioid analgesic prescription increased over the study period. Methods We […]
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