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Cardiac Anesthesiologist Mixtures of local anesthetics for regional anesthesia are sometimes used in an effort to compensate for the short duration of action of certain rapidly acting agents such as chloroprocaine and lidocaine, and the long latency of longer-acting agents such as tetracaine and bupivacaine. Mixtures of chloroprocaine and bupivacaine theoretically offer significant clinical advantages […]
Read MoreAuthor: Michael Walter Cardiovascular Business News Chest pain is one of the most common reasons adults in the United States visit the emergency department (ED), leading to more than 7 million patient encounters each year. Hospital admission rates for these patients varies considerably from one ED physician to the next, with some physicians admitting an especially […]
Read MoreDG Journal Club Amina Rezkallah, Nezar Gargori et al. Eur J Ophthalmol. 2020 Dec Peribulbar anesthesia (PB) is known to be safer than retrobulbar (RB) anesthesia. To our knowledge, no amaurosis has been described after PB. We report here the cases of two patients who underwent PB before membrane peeling. The injections were administered with […]
Read MoreAuthors: Norddine Zeroual, M.D. et al Anesthesiology January 2021. Background Recent guidelines on transfusion in cardiac surgery suggest that hemoglobin might not be the only criterion to trigger transfusion. Central venous oxygen saturation (Svo2), which is related to the balance between tissue oxygen delivery and consumption, may help the decision process of transfusion. We designed […]
Read MoreThis is important because my World Champion KC Chiefs play in the Super Bowl again so there will be some serious tailgating. GO CHIEFS! AUTHOR: Elizabeth Parks, PhD, professor of nutrition and exercise physiology at the University of Missouri School of Medicine The NFL playoffs are underway, and fans are finding ways to simulate tailgating […]
Read MoreAuthor: Shraddha Chakradher STAT morning rounds A survey of U.S. youth who were followed for four years finds that those who try e-cigarettes are three times more likely to smoke traditional cigarettes than those who don’t try the devices. The study included data from those who were between the ages of 12-24. Nearly two-thirds of this group […]
Read MoreDG Alerts Intermediate-dose anticoagulation and aspirin were each associated with a lower cumulative incidence of in-hospital death among hospitalised patients with coronavirus disease 2019 (COVID-19), according to a study published in the American Journal of Hematology. “High VTE (venous thromboembolism) rates have been reported in critically ill patients with COVID-19 despite the use of prophylactic anticoagulation,” […]
Read MoreAuthors: Terrie Vasilopoulos, Ph.D. et al Anesthesiology January 2021. Background The primary goal of this study was to evaluate patterns in acute postoperative pain in a mixed surgical patient cohort with the hypothesis that there would be heterogeneity in these patterns. Methods This study included 360 patients from a mixed surgical cohort whose pain was […]
Read MoreAuthors: Yuko Koyanagi, D.D.S., Ph.D. et al Anesthesiology February 2021, Vol. 134, 219–233. Background The general anesthetic propofol induces frontal alpha rhythm in the cerebral cortex at a dose sufficient to induce loss of consciousness. The authors hypothesized that propofol-induced facilitation of unitary inhibitory postsynaptic currents would result in firing synchrony among postsynaptic pyramidal neurons that […]
Read MoreDG Journal Club AUTHORS: Esther Williamson, Maria T Sanchez Santos et al. Spine (Phila Pa 1976). 2021 Jan 1; 46(1): 54-61 STUDY DESIGN Cross-sectional analysis of the Oxford Pain, Activity and Lifestyle (OPAL) Cohort Study. OBJECTIVE The aim of this study was to assess the prevalence of back pain (BP) and leg pain and determine […]
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