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AUTHORS: Pensier, Joris MD et al Anesthesia & Analgesia: November 22, 2021 Abstract BACKGROUND: In critically ill patients, warnings about a risk of death and acute kidney injury (AKI) with hydroxyethyl starch (HES) solutions have been raised. However, HES solutions may yet have a role to play in major abdominal surgery. This meta-analysis and trial sequential […]
Read MoreAuthor: Richard Novak MD the anesthesia consultant A 12-year-old boy and his mother walk into a surgery center. The child is scheduled for a tonsillectomy, and is otherwise healthy. The anesthesiologist induces general anesthesia, and ten minutes later the patient has ventricular arrhythmias which descend into a cardiac arrest. Advanced Cardiac Life Support (ACLS) measures […]
Read MoreAuthor: Саrdiac Anesthesiologist Immediately after Cardiac Surgery (CS), most patients have some degree of bleeding. If left unevacuated, retained blood can cause tamponade or hemothorax. Thus, a pericardial drain is always necessary after CS to evacuate shed mediastinal blood. Drains used to evacuate shed mediastinal blood are prone to clogging with clotted blood in up to 36% of patients. When these […]
Read MoreAuthor: Cardiac Anesthesiologist Most cardiac surgeons use wire cerclage for sternotomy closure because of the perceived low rate of sternal wound complications and low cost of wires. Wire cerclage brings the cut edges of bone back together by wrapping a wire or band around or through the 2 portions of bone, then tightening the wire […]
Read MoreAuthor: Uday Jain, BSEE, MD, PhD, FASA ASA Monitor January 2023, Vol. 87, 29. AIRWAY BARRIER ENCLOSURES Abstract Several enclosures for placement around the head and upper torso have been described during this pandemic (Anesth Analg 2020;131:e135-36; J Cardiothorac Vasc Anesth 2021;35:966-67). They are usually made of frames covered by transparent sheets. The enclosures have access ports […]
Read MoreThis is important for anesthesia providers to know since many states are allowing marijuana usage. Author: Anthony Vecchione Cardiovascular Business Recent marijuana users are more than twice as likely to develop a dangerous bleeding complication after an aneurysmal subarachnoid hemorrhage (aSAH), according to new data published in Stroke. The goal of the study was to analyze the […]
Read MoreAuthors: Nadav Y. Schacham, M.D. et al Anesthesiology January 2022, Vol. 136, 93–103. Background Age- and sex-specific reference nomograms for intraoperative blood pressure have been published, but they do not identify harm thresholds. The authors therefore assessed the relationship between various absolute and relative characterizations of hypotension and acute kidney injury in children having noncardiac […]
Read MoreAuthor: Cardiac Anesthesiologist Peripheral and Midline Catheter Recommendations1. In adults, use an upper-extremity site for catheter insertion. Replace a catheter inserted in a lower extremity site to an upper extremity site as soon as possible. Category II2. In pediatric patients, the upper or lower extremities or the scalp (in neonates or young infants) can be used as the catheter […]
Read MoreAuthors: Neha Dasmunshi, MD and Katharine Miles, MD ASA Monitor January 2022, Vol. 86, 22–23. Anesthesiologists practicing social distancing in the hospital breakroom during the COVID-19 pandemic. As anesthesiologists, we are trained to be flexible and adapt our plans to rapidly evolving circumstances. Being an anesthesiologist, however, is only one facet of our identities. We balance our […]
Read MoreDG Alerts Early treatment with molnupiravir, an oral, small-molecule antiviral prodrug, reduced the risk of hospitalisation or death in at-risk, unvaccinated adults with coronavirus disease 2019 (COVID-19), according to a study published in The New England Journal of Medicine. “These data from the MOVe-OUT Phase III trial in nonhospitalised at-risk adults with COVID-19 indicate that molnupiravir, […]
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