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From the ASA COVID-19 community transmission is becoming widespread, and reports of health care workers becoming infected are increasing. Post-procedure infection in apparently healthy patients is also reported. CDC guidance addresses the care of known, potential (persons under investigation) and non-infected individuals.1 This guidance contains recommendations for appropriate personal protective equipment (PPE), including respirators (e.g., N95 […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Transthoracic esophagectomy may pose a host of challenges, but a new study has found that intraoperative goal-directed therapy can reduce the incidence of major morbidity and mortality after the procedure. The investigation also found that use of goal-directed therapy decreased the hospital length of stay after the procedure. “Transthoracic esophagectomy […]
Read MoreAuthors: Duceppe E et al. Ann Intern Med 2019 Dec 24 Preoperative N-terminal pro–B-type natriuretic peptide levels predicted postoperative adverse cardiovascular events. The VISION (Vascular Events in Noncardiac Surgery Patients Cohort Evaluation) study is a prospective, international cohort study of cardiovascular complications following noncardiac surgery (NEJM JW Gen Med Jun 1 2017 and JAMA 2017; 317:1642). In this substudy […]
Read MoreAnesthesiology News Patients who underwent total knee replacement and used a smartphone app (PainCoach) at home after surgery consistently reduced opioid use and reported improved pain control, according to research presented at the 2019 Euroanaesthesia Congress in Vienna. The more the study participants used the app, the more likely they were to lower pain scores […]
Read MoreKaiser Health News As the number of COVID-19 cases continues to rise, a group of anesthesiologists wants to convert America’s surgery centers into critical care units for infected patients. Many of the country’s more than 5,000 outpatient surgery centers have closed or sharply cut back on the number of elective procedures they perform, to comply with requests […]
Read MoreAuthor: René Miguel Gonzalez, MD Anesthesiology News The Problem In 2017, Goudra and Singh wrote: “The growing popularity of deep sedation for UGI [upper gastrointestinal] endoscopy has created immense challenges to anesthesiologists. Gastroenterologists have clearly benefited from deep sedation. It allows performing complicated procedures with relative ease. However, research suggests that management of the airway […]
Read MoreAUTHORS: Turan A et al Anesthesiology. 2020 Jan;132(1):121-130 BACKGROUND: Low 25-hydroxyvitamin D is associated with cardiovascular, renal, and infectious risks. Postsurgical patients are susceptible to similar complications, but whether vitamin D deficiency contributes to postoperative complications remains unclear. We tested whether low preoperative vitamin D is associated with cardiovascular events within 30 days after noncardiac surgery. […]
Read MoreAuthors: Seok-Jin Lee et al BMC Anesthesiology volume 19, Article number: 228 (2019) Background Sugammadex allows rapid recovery from rocuronium-induced neuromuscular blockade. Succinylcholine is often used for brief surgeries but is associated with myalgia, headache, histamine release, and increased lactate levels. Thus, we hypothesized that succinylcholine may affect emergence agitation (EA) and compared the effects of succinylcholine and rocuronium-sugammadex on […]
Read MoreAUTHORS: Montgomery, Dean PhD et al Anesthesia & Analgesia: December 27, 2019 BACKGROUND: Cerebral blood flow (CBF) is maintained over a range of blood pressures through cerebral autoregulation (CA). Blood pressure outside the range of CA, or impaired autoregulation, is associated with adverse patient outcomes. Regional oxygen saturation (rSO2) derived from near-infrared spectroscopy (NIRS) can […]
Read MoreAuthors: Moore, Laurel E. MD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 673-684 BACKGROUND: Mechanisms of postoperative stroke are poorly understood, particularly for strokes occurring after uneventful emergence from anesthesia. We sought to create a model to study retrospectively the timing and associations for stroke in a […]
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