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Authors: Mark Willingham, MD, MSCI et al Journal of Cardiothoracic and Vascular Anesthesia Objective To determine if diastolic dysfunction is independently associated with increased mortality, acute kidney injury, and hospital length of stay after noncardiac surgery. Design Retrospective observational cohort. Setting Academic referral center. Participants All patients undergoing noncardiac and nonliver-transplant surgeries at University of […]
Read MoreAuthors: Christoph Czarnetzki et al European Journal of Pain Nov 2019 Background Chronic pain after major lower back surgery is frequent. We investigated in adults the effect of perioperative low‐dose ketamine on neuropathic lower back pain, assessed by the DN4 questionnaire, six and 12 months after major lower back surgery. Methods In this single‐centre randomized trial, […]
Read MoreAuthors: Ru Wu et al Pediatric Anesthesia Nov 2019 Background Children with severe obstructive sleep apnea syndrome (OSAS) are more sensitive to opioids. Identifying such children and reducing or even eliminating opioids are necessary but difficult. We have previous shown that patients sensitive to intraoperative fentanyl require less opioids post operatively. Aim The objective of […]
Read MoreAuthors: Winther‐Olesen et al Anaesthesiologica Scandinavica Nov 2019 Background Acute kidney injury (AKI) is associated with increased morbidity and mortality and may present as oliguria in the postoperative phase. Diuretics including furosemide are commonly used in postoperative patients. Accordingly, we aimed to assess thebalance between benefits and harms of furosemide postoperativelyin adult surgical patients. Methods […]
Read MoreAuthors: Panza JA et al. N Engl J Med 2019 Aug 22 In a 10-year follow-up, myocardial viability does not predict benefit from revascularization or mortality. We cardiologists have long lived with the idea that the assessment of myocardial viability should inform decisions about revascularization, particularly in patients with ischemic cardiomyopathy, but some studies have questioned […]
Read MoreAuthors: S. Shinde et al Anaesthesia Peri-Operative medicine, critical care and pain Nov 2019 These guidelines are dedicated to all colleagues who have ended their lives so tragically, whatever the circumstances. This is a consensus document produced by expert members of a Working Party established by the Association of Anaesthetists. It has been seen and approved […]
Read MoreI wanted to share with our readers since nationwide 56% of anesthesiologists are over the age of 55 and 80% are over 45. Medical News Today New research over a 28-year follow-up period finds significant evidence that frequent social contact at the age of 60 can lower the risk of developing dementia later on. The […]
Read MoreAuthors: Josiah D. McCain, MD et al GIE Gastrointestinal Endoscopy Nov 2019 Background and Aims The administration of intravenous conscious sedation to patients undergoing GI endoscopy carries risk of cardiopulmonary adverse events. Our study aim was to create a score that stratifies risk of occurrence of either high-dose conscious sedation requirements or a failed procedure. […]
Read MoreAuthor: Rishi RK.MD 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 MoreAuthors: Johnston KC et al. JAMA 2019 Jul 23 A randomized trial finds no benefit with intensive glucose control. About 40% of patients with acute ischemic stroke have hyperglycemia. Previous studies have linked hyperglycemia with worse outcomes, including increased infarct growth and higher rates of hemorrhagic transformation. Whether aggressive treatment of hyperglycemia improves outcomes following ischemic […]
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