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AUTHORS: Barends, Clemens R. M. MD et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1173-1183 BACKGROUND: In the University Medical Center Groningen in Groningen, the Netherlands, moderate-to-deep sedation is provided by nursing staff trained and supervised by the anesthesia department using protocol-based target-controlled infusions (TCIs) of propofol and […]
Read MoreWe at Anesthesia Experts wants to wish all of our readers a very Merry Christmas and please be safe.
Read MoreAuthors: Xavier C. E. Vrijdag, M.Sc. et al Anesthesiology Newly Published on December 2020. Background Nitrous oxide produces non–γ-aminobutyric acid sedation and psychometric impairment and can be used as scientific model for understanding mechanisms of progressive cognitive disturbances. Temporal complexity of the electroencephalogram may be a sensitive indicator of these effects. This study measured psychometric […]
Read MoreRadius Anesthesia Blog Prevention and management of spinal anesthesia-induced hypotension is essential for preventing complications in the perioperative/peripartum period. In 2018, an international consensus statement was published that detailed guidelines for managing hypotension related to neuraxial anesthesia for cesarean sections. In summary, the publication recommended the following: vasopressors should be used routinely and preemptively, alpha-agonist drugs such as phenylephrine are preferred as first-line agent due to abundance of data on their use, left uterine displacement […]
Read MoreAUTHORS: Khanna, Ashish K. MD et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1012-1024 BACKGROUND: Opioid-related adverse events are a serious problem in hospitalized patients. Little is known about patients who are likely to experience opioid-induced respiratory depression events on the general care floor and may benefit from improved […]
Read MoreBy Amy Orciari Herman Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD NEJM Journal Watch Physicians who report insufficient sleep are more likely to report medical errors, according to a JAMA Network Open study. Over 11,000 physicians across 11 U.S. institutions completed a questionnaire that assessed tiredness, alertness, and functional impairment related to insufficient sleep. […]
Read MoreCardiac Anesthesiologist blog Pulse pressure mathematically is the difference between systolic and diastolic blood pressure. Pulse pressure reflects the stroke volume and compliance of the arterial system. PULSE PRESSURE > 50 % of Systolic Blood Pressure (or > 40 mmHg): Hypertension ; Age; Aortic regurgitation; Patent ductus arteriosus; Ruptured aneurysm of the sinus of Valsalva; Fever; Anemia; Hyperthyroidism; Pregnancy; Arteriovenous fistula; Paget’s disease […]
Read MoreAUTHORS: Bassi, Massimiliano MD et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1000-1005 During the past decades, percutaneous tracheostomy (PT) has gained popularity over surgical tracheostomy (ST) for its safety and technique; several studies were performed to compare these 2 options with conflicting results. PT appears to be […]
Read MoreAUTHORS: Mohamed, Sahar Abdel-Baky MD et al Anesthesia & Analgesia: September 1, 2020 BACKGROUND: Buccal dexmedetomidine (DEX) produces adequate preoperative sedation and anxiolysis when used as a premedication. Formulating the drug as a gel decreases oral losses and improves the absorption of buccal DEX. We compared pharmacokinetic and pharmacodynamic properties of 3 doses of buccal […]
Read MoreAuthor: Rene’ Miguel Gonzalez, M.D. Anesthesia Patient Safety Foundation In the midst of the COVID-19 pandemic, anesthesia providers, intensive care unit and emergency room staff, and other health care workers (HCW’s) often find themselves in close proximity to patients’ airways. In many geographic areas in the US and worldwide, there is a shortage of […]
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