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Author: Rex Russell Case Reports in Anesthesia 59 year old female for D&C and hysteroscopy with a history of pituitary adenoma, empty sella syndrome, Adrenal insufficiency, HTN, OSA, and BMI of 31. The patient was taking cabergoline to inhibit the secretion of prolactin via agonism of dopamine receptors. The patient also had a history of […]
Read MoreRadius Anesthesia Ophthalmologic complications are common in critically ill patients requiring prolonged ventilation. These complications are caused by improper eye care and impaired functioning of normal mechanisms that protect the eye from dehydration and abrasion. In the era of SARS-CoV-2 (COVID-19), where approximately 30% of hospitalized patients and 5% of overall cases require ventilation for acute respiratory failure […]
Read MoreDG Journal Club AUTHORS: D A J M Latijnhouwers et al Rheumatol Int. 2022 Feb Chronic pain is frequently reported after total hip and knee arthroplasties (THA/TKA) in osteoarthritis (OA) patients. We investigated if severity of acute postoperative pain following THA/TKA in OA patients was associated with pain during the first postoperative year. From an […]
Read MoreAUTHORS: Hsu, Wan-Ting MS et al Anesthesia & Analgesia: March 2022 BACKGROUND: Aspirin has anti-inflammatory and antiplatelet activities and directly inhibits bacterial growth. These effects of aspirin may improve survival in patients with sepsis. We retrospectively reviewed a large national health database to test the relationship between prehospital aspirin use and sepsis outcomes. METHODS: We conducted […]
Read MoreAUTHORS: Yang, Mikyung MD, PhD et al Anesthesia & Analgesia: March 2022 BACKGROUND: A high fraction of inspired oxygen (Fio2) is administered during one-lung ventilation (OLV). However, a high Fio2 is not physiologic and may lead to various complications. We hypothesized that continuous titration of Fio2 using the oxygen reserve index (ORI) reduces oxygen exposure compared to conventional […]
Read MoreAUTHORS: Zhang, Jinbin MMED et al Anesthesia & Analgesia: March 2022 BACKGROUND: Emergency front-of-neck access (FONA) is particularly challenging with impalpable neck anatomy. We compared 2 techniques that are based on a vertical midline neck incision, followed by finger dissection and then either a cannula or scalpel puncture to the cricothyroid membrane. METHODS: A manikin simulation […]
Read MoreDG Journal ClubNew AUTHORS: T Murphy et al Paediatr Anaesth. 2022 Feb BACKGROUND Over recent years, a number of enhanced recovery programs have appeared in first, adult colorectal surgery, and subsequently many other adult surgical specialties. Increasing interest in this approach to perioperative management in children culminated in the recent development of the first enhanced […]
Read MoreAuthor: Richard Novak MD The Anesthesia Consultant How soon will we see robotic anesthesia in our hospitals and surgery centers? In the past three decades the high-tech revolution introduced the internet, the laptop computer, the iPhone, Google, and global positioning satellites. Most of these discoveries originated in Silicon Valley, just miles outside Stanford University Hospital […]
Read MoreAuthor: Tony Mira F1rstNews Summary: For doctors who medically direct, their primary focus should be the room or rooms they are overseeing. Nevertheless, national and local Medicare rules allow the medically directing doctor to perform certain other services, as well. What are these services and are they applicable in every jurisdiction? Today’s alert provides answers. […]
Read MoreAUTHORS: Zickerman, Caroline MD et al Anesthesia & Analgesia: February 2022 BACKGROUND: Postoperative negative behavioral changes (NBCs) are common among children, but risk for this is thought to be reduced with premedication. Midazolam has for many years been a standard premedication for children. More recently, the alpha-2 adrenergic agonist clonidine has also become popular as a […]
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