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(A) The aortic cannula (B) The cardiopulmonary bypass pump (C) The oxygenator (D) The cardioplegia delivery pump For a patient who is on full cardiopulmonary bypass (CPB), systemic venous blood flows from the vena cavae into the venous drainage cannulas, and then flows into the CPB venous reservoir. Blood is drawn from the CPB venous […]
Read MoreAuthors: Karishma Patel Bhangare, M.D. et al ASA Monitor 12 2018, Vol.82, 8-10. “Beep, beep, beep.” The alarm sounds at 5:15 a.m. You shower, get ready, grab a packed lunch and run to the car. It better not be later than 5:45 a.m., otherwise you will not make it to the hospital in time. Before turning on […]
Read MoreAuthors: Ashish K. Khanna, M.D., F.C.C.P., F.C.C.M. et al Anesthesiology 12 2018, Vol.129, 1101-1110. What We Already Know about This Topic: Use of beta (β) blockers in the perioperative period is associated with reduced incidence of postoperative atrial fibrillation In chronic β-blocker users, optimal timing for β-blocker resumption in the postoperative setting is unclear What This […]
Read MoreAUTHORS: Trivedi, Shivika, MD, MSc et al Obstetrics & Gynecology: December 04, 2018 – OBJECTIVE: To describe recent syphilis trends among pregnant women and to evaluate the prevalence of reported high-risk behaviors in this population. METHODS: We analyzed U.S. national case report data for 2012–2016 to assess trends among pregnant women with all stages of syphilis. Risk behavior […]
Read MoreAuthors: Matthew K. Whalin, M.D., Ph.D. et al ASA Monitor 12 2018, Vol.82, 42-44. Expanded Time Windows for Thrombectomy During acute ischemic stroke (AIS), the expanding region of irreversibly damaged brain tissue is known as the infarct core. The core is surrounded by the ischemic penumbra, brain tissue that is at risk but salvageable. New […]
Read MoreAuthors: Daniel I. Sessler, M.D. et al Anesthesiology 1 2019, Vol.130, 72-82. What We Already Know about This Topic: Intraoperative triple-low events (mean arterial pressure less than 75 mmHg, Bispectral Index less than 45, and minimum alveolar fraction of anesthetic less than 0.8) have been found to be associated with increased risk of mortality What This Article […]
Read MoreAuthors: Jaron Mark, MD et al JAMA Netw Open. 2018;1(8) Question Can postoperative pain be appropriately managed after hospital discharge with minimal or no opioids in patients undergoing gynecologic and abdominal surgery? Findings In this case-control cohort study of 1231 patients undergoing gynecologic oncology surgery, implementation of an ultrarestrictive opioid prescription protocol was associated with a significant decrease in the […]
Read MoreAuthors: John Grady-Benson, MD et al NEJM Catalyst Connecticut Joint Replacement Institute International Consortium for Health Outcomes Measurement The Connecticut Joint Replacement Institute was established in 2007 as a private physician-governed service line within Saint Francis Hospital and Medical Center in Hartford, Connecticut. Since CJRI’s founding, surgeons have performed >30,000 joint replacements, making it the […]
Read MoreAuthors: Jessica J et al Critical Care 201822:337 Prior retrospective cross-sectional work has associated antimicrobials with a non-specific phrase: encephalopathy without seizures. The purpose of this study is to determine whether different classes of antimicrobials have differential associations with the daily risk of delirium after critical illness is adjusted for. Methods Our study was a […]
Read More1. The authors observed in this retrospective cohort study that transfusion rates decreased among patients from 2010 and 2014. 2. Paralleling decreasing transfusion rates, the authors observed a reduction in 6-month mortality rates among patients with moderate anemia from 2010 and 2014. Study Rundown: Anemia is a common condition in hospitalized patients and is managed with […]
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