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DG Journal Club AUTHORS: Sydney L Moseley, Christopher Heine et al. Int J Pediatr Otorhinolaryngol. 2021 Jan; 140 110515 OBJECTIVES To evaluate the overall perioperative times among pediatric patients undergoing adenotonsillectomy (AT) who, in the perioperative period, received either parental presence at induction of anesthesia (PPIA), midazolam, both, or neither. METHODS A retrospective chart review […]
Read MoreAuthor: Richard Novak, MD The Anesthesia Consultant Clinical Case for Discussion: This month’s question is on hypertension and anesthesia. You are scheduled to anesthetize a 71-year-old male for an arthroscopic rotator cuff repair. His blood pressure when you meet him in pre-op is 178/108 mmHg. The nurses and the surgeon are alarmed. What would you […]
Read MoreDG Journal Club AUTHOR: Hanieh Ahmadi, Hanieh Adib et al. Clin Rehabil. 2020 Dec; 34(12): 1449-1457 OBJECTIVE To investigate the effect of the Feldenkrais method versus core stability exercises on pain, disability, quality of life and interoceptive awareness in patients with chronic non-specific low back pain. DESIGN A single-blinded, randomised, controlled trial. SETTING Outpatient, sports […]
Read MoreDG Alerts Study data showed that acute brain dysfunction was highly prevalent and prolonged in critically ill patients with coronavirus disease 2019 (COVID-19) and the overuse of benzodiazepine sedative infusions and lack of family visitation were associated with more delirium. These findings, published in The Lancet Respiratory Medicine, came from a study which included 2,088 critically ill […]
Read MoreAuthors: Paul Jacques Zufferey, M.D., Ph.D. et al Anesthesiology February 2021, Vol. 134, 165–178. Background It is unclear whether high-dose regimens of tranexamic acid in cardiac surgery (total dose, 80 to 100 mg/kg) confer a clinical advantage over low-dose regimens (total dose, approximately 20 mg/kg), particularly as tranexamic acid–associated seizure may be dose-related. The authors’ aim […]
Read MoreAuthors: Roman Schumann, M.D. et al Anesthesiology February 2021, Vol. 134, 179–188. Background The optimal method for blood pressure monitoring in obese surgical patients remains unknown. Arterial catheters can cause potential complications, and noninvasive oscillometry provides only intermittent values. Finger cuff methods allow continuous noninvasive monitoring. The authors tested the hypothesis that the agreement between finger […]
Read MoreDG Journal Club AUTHORS: Brian M Ilfeld, Harold Gelfand et al. Pain Med. 2020 Dec 12; 21(Supplement_2): S53-S61 BACKGROUND Percutaneous peripheral nerve stimulation (PNS) is an analgesic modality involving the insertion of a lead through an introducer needle followed by the delivery of electric current after needle withdrawal. This modality has been used extensively to […]
Read MoreBy Christine Judge Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM NEJM Journal Watch Neonatal abstinence syndrome increased 82% in the U.S. between 2010 and 2017, while maternal opioid-related diagnoses increased 131%, researchers report in JAMA. Previous analyses documented their rise between 2000 and 2014. Based on 12 million discharge records from […]
Read MoreAuthor: Tony Mira Anesthesiallc Summary There is often a cause-and-effect relationship between higher utilization and lower reimbursement within the healthcare sector. This relationship is coming into sharp focus with the surge of seniors now entering the Medicare program. Baby boomers are increasingly entering the rolls of Medicare. While many of them lead healthy and active […]
Read MoreAuthors: Shahzad Shaefi, M.D. et al Anesthesiology February 2021, Vol. 134, 189–201. Background Despite evidence suggesting detrimental effects of perioperative hyperoxia, hyperoxygenation remains commonplace in cardiac surgery. Hyperoxygenation may increase oxidative damage and neuronal injury leading to potential differences in postoperative neurocognition. Therefore, this study tested the primary hypothesis that intraoperative normoxia, as compared to hyperoxia, […]
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