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AUTHORS: Odinkemelu, Didi S. MD et al Anesthesia & Analgesia: June 2021 – Volume 132 – Issue 6 – p 1727-1737 BACKGROUND: The health system of Liberia, a low-income country in West Africa, was devastated by a civil war lasting from 1989 to 2003. Gains made in the post-war period were compromised by the 2014–2016 Ebola […]
Read MoreAUTHORS: Bravo, Mauro MD et al Anesthesia & Analgesia: April 2021 BACKGROUND: Acetaminophen is commonly used as part of multimodal analgesia for acute pain. The intravenous formulation offers a more predictable bioavailability compared to oral and rectal acetaminophen. There have been reports of hypotension with intravenous acetaminophen attributable to centrally mediated and vasodilatory effects. We tested […]
Read MoreAUTHORS: Fatima, Huma MD et al Anesthesia & Analgesia: April 2021 BACKGROUND: Graduate medical education is being transformed from a time-based training model to a competency-based training model. While the application of ultrasound in the perioperative arena has become an expected skill set for anesthesiologists, clinical exposure during training is intermittent and nongraduated without a structured […]
Read MoreAUTHORS: Boswell, Michael R. MD et al Anesthesia & Analgesia: June 2021 – Volume 132 – Issue 6 – p 1635-1644 BACKGROUND: Patients with existing coronary artery stents are at an increased risk for major adverse cardiac events (MACEs) when undergoing noncardiac surgery (NCS). Although the use of antifibrinolytic (AF) therapy in NCS has significantly increased […]
Read MoreAUTHORS: Blondonnet, Raiko MD, MSc et al Anesthesia & Analgesia: March 2021 BACKGROUND: Chest injuries are associated with mortality among patients admitted to the intensive care unit (ICU) and require multimodal pain management strategies, including regional anesthesia (RA). We conducted a survey to determine the current practices of physicians working in ICUs regarding RA for the […]
Read MoreAUTHORS: Stone, Amanda L. PhD et al Anesthesia & Analgesia: March 2021 BACKGROUND: Opioid analgesics are commonly prescribed for postoperative analgesia following pediatric surgery and often result in leftover opioid analgesics in the home. To reduce the volume of leftover opioids and overall community opioid burden, the State of Tennessee enacted a policy to reduce initial […]
Read MoreAUTHORS: Tiwary, Nayan BS et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 1112-1119 BACKGROUND: Cognitive impairment is common in older surgical patients and is associated with postoperative delirium. However, cognitive function is inconsistently assessed preoperatively, leading to missed opportunities to recognize vulnerable patients. We designed a prospective cohort study […]
Read MoreAUTHORS: Elsharkawy, Hesham MD, MBA, MSc, FASA et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 1138-1145 BACKGROUND: Epidural block are often used for analgesia after open nephrectomy surgery. Subcostal anterior quadratus lumborum block may be an alternative. We therefore tested the hypothesis that the continuous subcostal anterior quadratus lumborum […]
Read MoreAUTHORS: Safa, Ben MD et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 1129-1137 BACKGROUND: Bupivacaine and ropivacaine are the preferred long-acting local anesthetics for peripheral nerve blocks as they provide prolonged analgesia in the postoperative period. No studies have directly compared the analgesic duration of these commonly used local […]
Read MoreAUTHORS: Davies, Simon J. MD et al Anesthesia & Analgesia: March 2021 BACKGROUND: Intraoperative hypotension is a common event, and a recent study suggests that maintenance of blood pressure may reduce complications. The splanchnic circulation provides a reservoir of blood that can be mobilized during hemorrhage; hence, intestinal microcirculation is sensitive to volume changes. The […]
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