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AUTHORS: Ibarra Moreno, Carlos A. MD, PhD et al Anesthesia & Analgesia: October 06, 2022 BACKGROUND: Patients susceptible to malignant hyperthermia (MH) may experience disabling manifestations of an unspecified myopathy outside the context of anesthesia, including myalgia, fatigue, or episodic rhabdomyolysis. Clinical observations suggest that oral dantrolene may relief myopathic symptoms in MH-susceptible (MHS) patients. However, […]
Read MoreAUTHORS: Cohen, Caitlin L. BPsych (Hons) et al Anesthesia & Analgesia: October 06, 2022 BACKGROUND: Postoperative delirium (POD) is an acute syndrome including inattention and impaired cognition that affects approximately 42% of older cardiac surgical patients. POD is linked to adverse outcomes including morbidity, mortality, and further cognitive decline. Less is known about the subjective psychological […]
Read MoreAUTHORS: Das, Vaskar PhD et al Anesthesia & Analgesia: October 06, 2022 BACKGROUND: Disk herniation is a primary cause of radicular back pain. The purpose of this study was to evaluate the antiallodynic effective dose in 50% of the sample (ED50) and dorsal root ganglion (DRG) protein modulation of a peripheral direct adenosine monophosphate kinase alpha […]
Read MoreAuthor: Zia Sherrell MedicalNewsToday For some people, caffeine consumption can trigger migraine symptoms. However, others may find it helps ease their pain, especially in combination with other medications. Scientists are not sure why people have different reactions. Caffeine is a stimulant present in many beverages and foods, including coffee, tea, and chocolate. Many people consume it […]
Read MoreAUTHORS: van Dijk, Huib MD et al Anesthesia & Analgesia: September 23, 2022 Background: Procedural sedation and analgesia (PSA) for diagnostic and minimally invasive therapeutic procedures has become common practice in children of all ages. Based on our clinical experience, we suspected an inverse relation between age and dosage. However, a schedule for age-stratified propofol induction […]
Read MoreDG Journal Club Authors: V Vermot-Desroches, F Pollet-Villard J Fr Ophtalmol. 2022 Sep 19 We report the case of an 85-year-old patient who developed trifascicular block with syncope, triggered by preoperative eye drops for cataract surgery. This life-threatening situation reopens the debate over the necessity of having an anesthesiologist present during cataract surgery.
Read MoreDG Journal Club AUTHORS: Chan Mi Park et al JAMA Intern Med. 2022 Sep 19 Importance Gabapentin has been increasingly used as part of a multimodal analgesia regimen to reduce opioid use in perioperative pain management. However, the safety of perioperative gabapentin use among older patients remains uncertain. Objective To examine in-hospital adverse clinical events […]
Read MoreAUTHORS: Khodaei, Shahin HBSc et al Anesthesia & Analgesia: September 30, 2022 BACKGROUND: Perioperative neurocognitive disorders (PNDs) are complex, multifactorial conditions that are associated with poor long-term outcomes. Inflammation and exposure to general anesthetic drugs are likely contributing factors; however, the relative impact of each factor alone versus the combination of these factors remains poorly understood. […]
Read MoreThis is so when we see a pt with ADHD preop we know of the increase risk. Author: Deep Shukla MedicalNewsToday A large population-based study in Sweden recently showed that individuals with attention deficit hyperactivity disorder (ADHD) were at a two-fold higher risk of all types of cardiovascular diseases than those without ADHD. Among adults […]
Read MoreAuthors: W Jonathan Dunkman et al Semin Cardiothorac Vasc Anesth. 2022 Oct 6 Transesophageal echocardiography is frequently but not always used to guide anesthetic management during liver transplantation. We performed a systematic review of the literature to identify and summarize any studies reporting on the frequency and characteristics of TEE use for liver transplantation. Studies […]
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