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DG Journal Club AUTHORS: Keerthana Deepti Karunakaran et al PLoS Med. 2022 Apr 22; 19(4): e1003965 BACKGROUND Catheter radiofrequency (RF) ablation for cardiac arrhythmias is a painful procedure. Prior work using functional near-infrared spectroscopy (fNIRS) in patients under general anesthesia has indicated that ablation results in activity in pain-related cortical regions, presumably due to inadequate […]
Read MoreAuthor: James Kingsland MedicalNewsToday Migraine is a condition that causes a pulsating or throbbing headache, usually on one side of the head. The headache often accompanies other symptoms, such as nausea, hypersensitivity to light and sound, and vomiting. A single episode can last several days with severe cases affecting a person’s ability to work or study. […]
Read MoreAUTHORS: Pedersen, Sofie S. MD et al Anesthesia & Analgesia: April 2022 BACKGROUND: Two trials reported that a high inspiratory oxygen fraction (Fio2) does not promote myocardial infarction or death. Observational studies can provide larger statistical strength, but associations can be due to unobserved confounding. Therefore, we evaluated the association between intraoperative Fio2 and cardiovascular complications in […]
Read MoreAUTHORS: Zelber-Sagi, Shira PhD et al Anesthesia & Analgesia: April 2022 BACKGROUND: Nonalcoholic fatty liver disease (NAFLD) can progress to advanced fibrosis, which, in the nonsurgical population, is associated with poor hepatic and extrahepatic outcomes. Despite its high prevalence, NAFLD and related liver fibrosis may be overlooked during the preoperative evaluation, and the role of liver […]
Read MoreDG Journal Club AUTHORS: Tarun Goyal et al Knee Surg Sports Traumatol Arthrosc. 2022 Apr 2 PURPOSE Peripheral nerve blocks can be a suitable alternative to central neuraxial blockage, as the sole anaesthetic agent for better early postoperative outcomes, decreased hospital stay and earlier mobilisation after anterior cruciate ligament reconstruction (ACLR) surgery. The purpose of […]
Read MoreDG Journal Club Authors: Qiuke Wang, Marianne F Mol, P Koen Bos, DesirC)e M J Dorleijn JAMA Netw Open. 2022 Apr 1; 5(4): e224852 Importance Intra-articular (IA) glucocorticoid injection is widely used in patients with knee osteoarthritis (OA), but the safety of this technique is in question among physicians. Intramuscular (IM) glucocorticoid injection could be […]
Read MoreDG Journal Club F McDonagh, J C A Carvalho, S Abdulla, D Cordovani Anaesthesia. 2022 Mar 28 Carbetocin or oxytocin are given routinely as first-line uterotonic drugs following delivery of the neonate during caesarean delivery to prevent postpartum haemorrhage. Low doses may be as effective as high doses with a potential reduction in adverse effects. […]
Read MoreThis is for our readers who treat pain patients. Authors: Jillian Kubala MS RD and Deena Kuruvilla MD MedicalNewsToday Migraine is considered a moderate-to-severe type of headache that impacts about 16% of the U.S. adult population. Migraine is more common in women of childbearing age and in those with lower socioeconomic status. Migraine has a strong genetic […]
Read MoreThis is important because our readers are anesthetizing many post COVID pts Author: Dave Fornell Cardiovascular Business The American College of Cardiology (ACC) has issued a new expert consensus decision pathway for the evaluation and management of adults with cardiovascular consequences stemming from a COVID-19 infection. Over the past two years, numerous post-infection symptoms have been attributed to the effects […]
Read MoreAUTHOR: AUDREY SHAFER, MD KevinMD.com He was sick-sick but he had broken his hip, and if you put a broken bone and an orthopedist together, you have an operation. It wasn’t as far afield as the classic ortho-anesthesia video where ortho calls for an OR for a dead patient, but believe me, all kinds of […]
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