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Authors: Ya-Ting Du, M.D. et al Anesthesiology August 2021, Vol. 135, 233–245. Background Experimental and observational research suggests that combined epidural–general anesthesia may improve long-term survival after cancer surgery by reducing anesthetic and opioid consumption and by blunting surgery-related inflammation. This study therefore tested the primary hypothesis that combined epidural–general anesthesia improves long-term survival in […]
Read MoreAuthor: Uday Jain, MD, PhD, FASA ASA Monitor March 2021, Vol. 85, 23. As technology and its skillful use advance, older techniques fall into disuse. Over time, this leads to deskilling in older techniques. Newer technologies may not be as widely available as the older ones, even within the United States. Newer technologies are often unavailable […]
Read MoreAuthors: René Miguel Gonzalez, MD et al ASA Monitor April 2021, Vol. 85, 40–41. An early laboratory illustration of one method of using an SSE to divert, collect and reduce respiratory aerosol load generated by patient coughing during intubation or extubation. Note the SSE unit in the background (in this case, built in to the Stryker […]
Read MoreAuthor: Tony Mira F1rst News Summary It’s that time of year again. The government has released its massive proposed 2022 Medicare Physician Fee Schedule, and it contains more disappointing news relative to anesthesia and ancillary reimbursement. Some suggestions can be rather upsetting, and some recommendations can be downright discouraging. Such is the case for the […]
Read MoreBy Peter Staats, MD, MBA, Jeff Gudin, MD and Jeffrey Fudin, PharmD, DAIPM, FCCP, FASHP Practical Pain Management Vol 21 Issue 3 Pages 65-66 Dr. Fudin: Could you start by telling us how you got started in pain management and how it led you to found the pain medicine division at Johns Hopkins University in 1994? Dr. Staats: Well, it wasn’t […]
Read MoreAuthors: Ya-Wei Li, M.D. et al Anesthesiology August 2021, Vol. 135, 218–232. Background Delirium is a common and serious postoperative complication, especially in the elderly. Epidural anesthesia may reduce delirium by improving analgesia, reducing opioid consumption, and blunting stress response to surgery. This trial therefore tested the hypothesis that combined epidural–general anesthesia reduces the incidence of […]
Read MoreAuthors: Yassir Aarab, M.D., M.Sc. et al Anesthesiology June 2021. Background Pectoral nerve blocks have been proposed for analgesia during and after breast cancer surgery, but data are conflicted in aesthetic breast surgery. This trial tested the primary hypothesis that adding a preincisional pectoral nerve block is superior to systemic multimodal analgesic regimen alone for […]
Read MoreAuthors: Zhen-Zhen Xu, M.D. et al Anesthesiology June 2021. Background Regional anesthesia and analgesia reduce the stress response to surgery and decrease the need for volatile anesthesia and opioids, thereby preserving cancer-specific immune defenses. This study therefore tested the primary hypothesis that combining epidural anesthesia–analgesia with general anesthesia improves recurrence-free survival after lung cancer surgery. […]
Read MoreAuthors: Charles Argoff, MD, and Ben Portal, MD, By PPM Editorial Vol 21 Issue 3 The Case A 50-year-old woman has been referred to a neurologist because of severe headaches. She first developed headaches during adolescence, and they worsened in the setting of menopause. A typical headache is unilateral and localized to the right frontotemporal […]
Read MoreAuthor: Michael Walter Cardiovascular Business Researchers in Germany have found that a popular risk score for patients with degenerative mitral regurgitation (MR) can be used to predict the outcomes of patients undergoing transcatheter edge-to-edge repair (TEER). The team shared its findings in the Journal of the American Heart Association. The analysis included 680 high-risk patients who […]
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