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Authors: Thomas Riva, M.D. et al Anesthesiology January 2022, Vol. 136, 82–92. Background Anesthesia studies using high-flow, humidified, heated oxygen delivered via nasal cannulas at flow rates of more than 50 l · min–1 postulated a ventilatory effect because carbon dioxide increased at lower levels as reported earlier. This study investigated the increase of arterial partial pressure of […]
Read MoreAuthor: Tony Mira F1rstNews Summary The prevalence of opioid usage among America’s patients has generated the need for a set of protocols to be used by those providing acute pain care. A consortium of 15 medical societies has recently provided best-practice recommendations. The second law of thermodynamics, which is an axiom of accepted science, says […]
Read MoreAUTHORS: Fassbender, Philipp MD et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 858-868 BACKGROUND: The G-protein–coupled receptor kinase 5 (GRK5) is a mediator of cardiovascular homeostasis and participates in inflammation and cardiac fibrosis, both being involved in the development of diastolic dysfunction (DD). While mechanisms of transcriptional regulation of […]
Read MoreAuthors: Cara Hughes and Andreas Klein #TheAnesthesia Blog For many, the COVID-19 pandemic brought the stark reality of our mortality into focus. Along with the controversial application of ‘blanket’ DNACPR orders, it has forced all in the profession to consider how we involve our patients in the difficult conversations and decisions regarding end-of-life care. The […]
Read MoreAUTHORS: Bass, Victoria MD et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 853-857 BACKGROUND: Serious mental health conditions (eg, anxiety and depression) are common in surgical patients, yet likely underassessed due to the time-consuming and cumbersome traditional screening process. A recently developed computerized adaptive mental health assessment tool (computerized […]
Read MoreAUTHORS: Goel, Vasudha MBBS et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 843-852 BACKGROUND: Spinal cord stimulation (SCS) has been shown to reduce opioid consumption, reduce pain, improve quality of life compared to conventional therapy, and be more effective than spine reoperation in carefully selected patients. In this study, […]
Read MoreAuthor: ZMD Great Z’s Match Day 2022 has come and gone. Parsing through the latest data from NRMP, it’s astonishing how competitive anesthesiology residency has become. Even with an ever increasing number of residency positions, medical students hoping to get into anesthesiology have their work cut out for them. This year, there were 1,509 PGY1 anesthesiology […]
Read MoreAuthor: Tony Mira F1rstNews Summary Audits of anesthesia records and claims are inevitable. The question is, how well will your group members’ documentation hold up under the bright light of scrutiny? A few strategies may help them to survive a payer audit. Don’t think they’re not out there. They are . . . just around […]
Read MoreAUTHORS: Sharawi, Nadir MBBS, MSc, FRCA et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 834-842 BACKGROUND: Chloroprocaine is a short-acting local anesthetic that has been used for spinal anesthesia in outpatient surgery. There is limited experience with spinal chloroprocaine for prophylactic cervical cerclage placement. We sought to determine the […]
Read MoreAuthors: Kerstin Kolodzie, M.D., Ph.D., M.A.S. et al Anesthesiology October 2021, Vol. 135, 621–632. Background Perioperative normal saline administration remains common practice during kidney transplantation. The authors hypothesized that the proportion of balanced crystalloids versus normal saline administered during the perioperative period would be associated with the likelihood of delayed graft function. Methods The authors linked outcome data […]
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