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Authors: Kyle P. Nester, MD, FASA; Katherine S. Cox, MD, FASA ASA Monitor April 2022, Vol. 86, 29. Living in Louisiana is great: the food, the people, the vibrant culture. But there are six months out of the year that give many of us pause. Hurricane season can lead to unpredictable events that present unique challenges […]
Read MoreAuthors: Aaron A. Berg, D.O. et al Anesthesiology April 2022, Vol. 136, 531–541. Background Interscalene blocks provide analgesia for shoulder surgery but also cause phrenic nerve paralysis. Liposomal bupivacaine is approved for use in interscalene blocks with the potential to provide longer pain control. However, the impact of liposomal bupivacaine on the phrenic nerve has not […]
Read MoreAuthors: Ting Yan, M.D. et al Anesthesiology April 2022, Vol. 136, 551–566. Background Postoperative pulmonary complications are common. Aging and respiratory disease provoke airway hyperresponsiveness, high-risk surgery induces diaphragmatic dysfunction, and general anesthesia contributes to atelectasis and peripheral airway injury. This study therefore tested the hypothesis that inhalation of penehyclidine, a long-acting muscarinic antagonist, reduces the […]
Read MoreAuthors: Stacey Watt, MD, MBA, MHPE, FASA et al ASA Monitor April 2022, Vol. 86, 26–30. Any hospital can be impacted by a mass casualty event regardless of the size, location, or capabilities of the facility. A coordinated response cannot be developed between the first warning of a mass casualty event and the arrival of the […]
Read MoreThis is important because we often have to give an anesthetic to a pt who uses cocaine. Author: Mate Jarai MedicalNewsToday The length of time cocaine stays in a person’s system depends on the dosage, how often a person uses it, and other factors. Cocaine has a shorter half-life than many other drugs, which means that the […]
Read MoreASA Monitor April 2022, Vol. 86, 22. Trends NIH-sponsored mix-and-match trial finds additional COVID-19 dose safe and immunogenic A new report published in The New England Journal of Medicine (N Engl J Med January 2022) found that for adults who had previously received a full COVID-19 vaccine regimen of either Moderna, Pfizer, or Johnson & Johnson, an additional […]
Read MoreAUTHORS: Aichholz, Pudkrong K. MD et al Anesthesia & Analgesia: May 07, 2022 BACKGROUND: Incorporation of massive transfusion protocols (MTPs) into acute major trauma care has reduced hemorrhagic mortality, but the threshold and timing of platelet transfusion in MTP are controversial. This study aimed to describe early (first 4 hours) platelet transfusion practice in a setting […]
Read MoreDG Journal Club AUTHORS: Seoyeong Park, Karam Nam, Tae Kyong Kim Anesth Analg. 2022 May 1; 134(5): 1021-1027 BACKGROUND The fibrinogen-to-albumin ratio (FAR) is a recently introduced prognostic marker for patients with coronary artery disease. The present study investigated whether the FAR is associated with clinical outcome after off-pump coronary artery bypass grafting (OPCAB). METHODS […]
Read MoreThis is for when we give a post COVID pt an anesthetic NEJM Journal Watch Bruce Soloway, MD, reviewing Katsoularis I et al. BMJ 2022 Apr 6 But risks are less elevated for those who do not require hospitalization. People with severe COVID-19 are at excess risk for venous thromboembolism (VTE), but whether risk also rises among patients […]
Read MoreAUTHORS: Mazzeffi, Michael A. MD, MPH, MSc et al Anesthesia & Analgesia: April 2022 BACKGROUND: Peripheral nerve blocks (PNBs) are used to provide postoperative analgesia after total mastectomy. PNBs improve patient satisfaction and decrease postoperative opioid use, nausea, and vomiting. Few studies have examined whether there is racial-ethnic disparity in the use of PNBs for patients […]
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