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Authors: Wohlrab, Peter MD et al Anesthesia & Analgesia: September 2019 BACKGROUND: Epidural-related maternal fever (ERMF) is an adverse effect of epidural analgesia during labor and is associated with perinatal and neonatal morbidity. Local anesthetics have been proposed to trigger ERMF via sterile inflammation. Ropivacaine is currently the most frequently used epidural anesthetic and considered […]
Read MoreAuthor: Jenna Bassett PhD Anesthesiology News Anesthesia-induced loss of consciousness is accompanied by microscale changes in neural signaling patterns, according to a recent study. The results highlight the role of local network dynamics in managing conscious states. General anesthesia produces medically induced loss of consciousness (mLOC), and its implementation is fundamental to modern surgical practice. […]
Read MoreAuthors: Beatrijs I. Valk, M.D. et al Anesthesiology January 2021, Vol. 134, 35–51. Background γ-Aminobutyric acid type A (GABAA) receptor agonists are known to cause involuntary muscle movements. The mechanism of these movements is not known, and its relationship to depth of anesthesia monitoring is unclear. We have explored the effect of involuntary muscle movement on […]
Read MoreBy Amy Orciari Herman Edited by André Sofair, MD, MPH High-risk patients who undergo percutaneous coronary intervention (PCI) and take dual antiplatelet therapy may fare better if they discontinue the aspirin after 3 months, according to an industry-supported trial. The findings were presented at the 2019 Transcatheter Cardiovascular Therapeutics conference and published in the New England […]
Read MoreAuthors: Frölich, Michael A. MD, MS et al Anesthesia & Analgesia: January 2020 – Volume 130 – Issue 1 – p 224-232 BACKGROUND: In the perioperative context, benzodiazepines are widely used as anxiolytics. They affect cognition in general, but it is unclear whether the effects of a small dose of the short-acting benzodiazepine midazolam can […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Pain management after cesarean delivery is improved with a concerted multidisciplinary effort that embraces multimodal management techniques, an Israeli study has found. Study parturients reported significantly improved outcomes on several pain-related and adverse event measures, while the investigators observed a significant increase in the amount of nonopioid medications used. “Our […]
Read MoreThis has nothing to do with anesthesia however I thought this was interesting so I wanted to share with our readers. By Amy Orciari Herman Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD Dog ownership is associated with lower mortality risk in adults, especially those with cardiovascular disease, according to two reports in Circulation: […]
Read MoreAnesthesia Experts wishes all of our readers and providers a great 2020!
Read Morerk.md Nov 2019 A “deep” extubation refers to removing an endotracheal tube (ETT) or laryngeal mask airway (LMA) while the patient is still under anesthesia and his/her airway reflexes (ie, gag) have not returned. Although there are no absolute indications for deep extubation, it’s often performed in pediatric anesthesia as well as adult neurosurgery and […]
Read Morerk.md DECEMBER 29, 2019 Left ventricular assist devices (LVADs) are gaining more traction in the world of heart failure primarily as a bridge-to-transplantation or destination therapy (ie, ineligible for a heart transplant). These patients often times develop gastrointestinal (GI) bleeds requiring transfusion and endoscopic interventions. But why? By unloading the LV with an LVAD, many […]
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