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AUTHORS: Asingei, Juventine MPH et al Anesthesia & Analgesia 136(2):p 230-237, February 2023. BACKGROUND: The populations of the East, Central, and Southern African regions receive only a fraction of the surgical procedures they require, and patients are more likely to die after surgery than the global average. An insufficient anesthetic workforce is a key barrier to […]
Read MoreAITHORS: Dominguez, Jennifer E. MD, MHS et al Anesthesia & Analgesia 136(2):p 205-214, February 2023. BACKGROUND: Previous studies of obstructive sleep apnea (OSA) risk in gravidas with chronic hypertension (cHTN) did not control for obesity as a risk factor for OSA. We therefore performed this study to evaluate whether OSA is more prevalent among gravidas with […]
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: Au, Emily BSc et al Anesthesia & Analgesia January 11, 2023. BACKGROUND: Older patients with preoperative cognitive impairment are at risk for increased postoperative complications after noncardiac surgery. This systematic review and meta-analysis aimed to determine the association between preoperative cognitive impairment and dementia and postoperative outcomes in older surgical patients after cardiac surgery. […]
Read MoreAUTHORS: Zhou, Shuangqiong MD et al Anesthesia & Analgesia January 11, 2023. BACKGROUND: High-flow nasal oxygen (HFNO) therapy is widely used in critical care obstetrics to improve oxygenation. Much of the benefit of HFNO is linked to the creation of modest levels of positive airway pressure. Pregnant women are generally considered to be at high […]
Read MoreAUTHORS: Briesenick, Luisa MD et al Anesthesia & Analgesia January 09, 2023. BACKGROUND: Perioperative hemodynamic management aims to optimize organ perfusion pressure and blood flow—assuming this ensures that oxygen delivery meets cellular metabolic needs. Cellular metabolic needs are reflected by energy expenditure. A better understanding of energy expenditure under general anesthesia could help tailor perioperative […]
Read MoreDG Journal Club AUTHORS: Vibhu Krishnan Viswanathan, Sruthi Priyavadhana Ramanan, Jack Beale, Surabhi Subramanian Arch Orthop Trauma Surg. 2023 Jan 2 [Epub ahead of print] INTRODUCTION In view of the vaso-occlusive pathophysiology affecting osseous micro-circulation, sickle cell disease (SCD) is well known to present with diverse skeletal and arthritic manifestations. With prolonged life-expectancy over the […]
Read MoreAuthor: Clarissa Brincat MedicalNewsToday Researchers assessed the causal relationship between different sleep disturbances — insomnia, short sleep duration, long sleep duration, and daytime sleepiness — and lower back pain. The findings suggest that insomnia could cause lower back pain and vice versa. This hypothesis needs to be supported by more studies with larger samples. Lower back […]
Read MoreAuthor: Patsy Newitt Becker’s ASC Review As of March 12, Cigna is lowering reimbursements for non-medically directed procedures performed by certified registered nurse anesthetists by 15 percent, Tony Mira, CEO of Anesthesia Business Consultants, wrote in a blog post. Cigna will lower its reimbursement for claims submitted with the QZ modifier, which indicated a non-medically directed […]
Read MoreAUTHORS: Grogan, Kelly MD et al Anesthesia & Analgesia 136(1):p 152-162, January 2023. BACKGROUND: Atomized intranasal dexmedetomidine is an attractive option when sedation is required for pediatric patients as either premedication or the sole agent for noninvasive, nonpainful procedures. While intranasal dexmedetomidine is used frequently in this population, it is still unclear what dose and time […]
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