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AUTHORS: Zorrilla-Vaca, Andres MD et al Anesthesia & Analgesia: May 2022 – Volume 134 – Issue 5 – p 940-951 BACKGROUND: Opioids are the most commonly prescribed analgesics in the United States. Current guidelines have proposed education initiatives to reduce the risk of chronic opioid consumption, yet there is lack of efficacy data on such interventions. […]
Read MoreAuthors: Hyke Algera, M.D. et al Anesthesiology October 2022, Vol. 137, 446–458. Background Animal data suggest that the antidepressant and α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor modulator tianeptine is able to prevent opioid-induced respiratory depression. The hypothesis was that oral or intravenous tianeptine can effectively prevent or counteract opioid-induced respiratory depression in humans. Methods Healthy male and female volunteers […]
Read MoreAuthors: Kuk, Won-Jun MD; Wright, Nathan R. MD A & A Practice: July 2022 – Volume 16 – Issue 7 – p e01606 Abstract Electrical impedance tomography (EIT) is an emerging imaging modality that can be used to diagnose ventilatory and intrathoracic perfusion mismatches in unstable patients at the bedside. We present a case of […]
Read MoreAuthors: Fox, Gabriel M. MB BChir et al Anesthesia & Analgesia: January 2021 – Volume 132 – Issue 1 – p 150-159 Background: Postoperative nausea and vomiting (PONV) are significant issues in surgical patients, and additional treatment options are needed. Dopaminergic antiemetics have been popular for their efficacy, but their use has been limited by safety […]
Read MoreDG Journal Club Authors: André Marques Mansano et al Pain Med. 2022 Aug 27 Trigeminal neuralgia, considered by many the worst pain that humankind can experience, has been called “the suicide disease.” Neuroablative procedures are good options when conservative treatment fails to promote pain relief or in those whose side effects are unbearable. The objective […]
Read MoreAuthors: Yvette Brazier MedicalNewsToday Crystal meth, or methamphetamine, is a stimulant drug that carries a high risk for physical dependence. In the United States, a different formulation of methamphetamine called Desoxyn is available by prescription to treat attention deficit hyperactivity disorder (ADHD). Crystal meth has a number of street names, including ice and glass. It […]
Read MoreAuthors: Phillip E. Vlisides, M.D. et al Anesthesiology October 2022, Vol. 137, 434–445. Background The relationship between intraoperative physiology and postoperative stroke is incompletely understood. Preliminary data suggest that either hypo- or hypercapnia coupled with reduced cerebrovascular inflow (e.g., due to hypotension) can lead to ischemia. This study tested the hypothesis that the combination of intraoperative […]
Read MoreAutor’s: Min-Hsin Huang, MD, MS et al Anesthesiology September 2022. Background Improper endotracheal tube (ETT) positioning is frequently observed and potentially hazardous in the intensive care unit. We developed a deep learning-based automatic detection algorithm detecting the ETT tip and carina on portable supine chest radiographs to measure the ETT-carina distance. This study investigated the […]
Read MoreAuthors: Scott Greenwald, PhD et al Anesthesiology September 2022. Background Risk-stratification helps guide appropriate clinical care. Our goal was to develop and validate a broad suite of predictive tools based on ICD-10 diagnostic and procedural codes for predicting adverse events and care utilization outcomes for hospitalized patients. Methods Endpoints included unplanned hospital admissions, discharge status, […]
Read MoreAuthors: Igor Tkachenko, MD, PhD; Neha Dasmunshi, MD ASA Monitor July 2022, Vol. 86, 25–26. To meet the challenges of evolving health care and medical education, the residency training curriculum undergoes changes at regular intervals by local and national graduate medical education oversight bodies. The recent pandemic significantly impacted learning opportunities for residents across all specialties. Teaching […]
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