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AUTHORS: Gutiérrez, Rodrigo G. MD, PhD et al Anesthesia & Analgesia: November 2020 BACKGROUND: Patients with low cognitive performance are thought to have a higher risk of postoperative neurocognitive disorders. Here we analyzed the relationship between preoperative cognition and anesthesia-induced brain dynamics. We hypothesized that patients with low cognitive performance would be more sensitive to […]
Read MoreNEJM Journal Watch By Joe Elia Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM Childhood exposure to tobacco, whether directly through smoking or at second hand, is associated with elevated blood pressure, reports a study in JAMA Network Open. Researchers examined data from the National Health and Nutrition Examination Surveys conducted from […]
Read MoreAUTHORS: Goulooze, Sebastiaan C. MSc et al Anesthesia & Analgesia: March 2021 – Volume 132 – Issue 3 – p 726-734 BACKGROUND: Optimal analgesic treatment following cardiac surgery is crucial for both patient comfort and successful postoperative recovery. While knowledge of both the pharmacokinetics and pharmacodynamics of analgesics is required to predict optimal drug dosing, […]
Read MoreAuthor: Carol J. Peden, M.D ASA A new paper defines the key practical steps that can be taken before, during, and after surgery to reduce patients’ risk of developing delirium and related problems that have long-term implications for brain health. Due to their unique role in perioperative care, physician anesthesiologists are ideally suited to lead […]
Read MoreDG Journal Club AUTHORS: Yu-Hsiang Ling, Ying-Hsuan Tai et al. BMJ Open. 2021 Feb OBJECTIVE The efficacy of parecoxib as pre-emptive analgesia still remains controversial. This study aimed to investigate how pre-emptive analgesia with parecoxib affected postoperative pain trajectories over time in patients undergoing thoracic surgery. DESIGN Retrospective cohort study. SETTING A single medical centre […]
Read MoreAuthor: Tony Mira F1rstNews Summary Medicare has opened up new locations for hundreds of procedures that had previously been relegated to the inpatient or hospital setting, generally. This will have an impact on anesthesia providers as there will be an increasing need for their services in alternate settings. On the move—that’s the story of mankind, […]
Read MoreAuthor: Jessie Hellmann The Hill President Biden and Congress are coming under pressure from advocates to address a public health crisis that has been overshadowed by the coronavirus pandemic: rising drug overdose deaths. While most attention and government resources have been focused on COVID-19, the overdose crisis has worsened as people struggle with job losses, isolation […]
Read MoreDG Journal Club AUTHORS: Jinlei Li, Feng Dai et al. Clin J Pain. 2021 Feb OBJECTIVES Adequate pain control after total hip arthroplasty is essential for patient satisfaction and surgical outcome. METHODS A retrospective study with before and after design was performed in 210 elective total hip arthroplasty patients. Control group (N=132) received spinal anesthesia […]
Read MoreDG Journal Club Mohamad El Moheb, Kelsey Han et al. World J Surg. 2021 Feb BACKGROUND In resource-limited countries, open appendectomy is still performed under general anesthesia (GA) or neuraxial anesthesia (NA). We sought to compare the postoperative outcomes of appendectomy under NA versus GA. METHODS We conducted a post hoc analysis of the International […]
Read MoreDG Journal Club AUTHORS: Yi Chen, Lili Zou et al. Pharmacotherapy. 2021 Feb BACKGROUND Prophylactic norepinephrine infusion effectively lowers the incidence of postspinal anesthesia hypotension. The optimal prophylactic dose of norepinephrine remains undefined. The purpose of this study was to investigate the optimal prophylactic dose of norepinephrine to prevent postspinal anesthesia hypotension in patients undergoing […]
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