AUTHORS: Varobieff, Maxime MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 556-565 BACKGROUND: Nerve damage can occur after peripheral nerve block (PNB). Ultrasound guidance does not eliminate the risk of intraneural injection or nerve injury. Combining nerve stimulation and injection pressure (IP) monitoring with ultrasound guidance has been […]
Macintosh Videolaryngoscope for Intubation in the Operating Room
AUTHORS: De Jong, Audrey MD, PhD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 524-535 BACKGROUND: “Macintosh”-videolaryngoscopes (VLs) are VLs that allow both direct and indirect laryngoscopy for intubation. We describe the decision-making and implementation-processes that our hospital used regarding the choice of device. We compared the performances of […]
Pharmacokinetics and Pharmacodynamics of 3 Doses of Oral-Mucosal Dexmedetomidine Gel for Sedative Premedication in Women Undergoing Modified Radical Mastectomy for Breast Cancer
AUTHORS: Mohamed, Sahar Abdel-Baky MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 456-464 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 […]
Ketamine Infusion Improves PTSD Symptoms, Chronic Pain in Veterans
Author: Louise Gagnon DG News A single infusion of ketamine lessened pain and post traumatic stress disorder (PTSD) symptoms in veterans, without persisting dissociative symptoms or side effects, according to a study presented at the Virtual 2021 Annual Meeting of the Anxiety and Depression Association of American (ADAA). Sonalee Joshi, University of Michigan, Ann Arbor, […]
Intraoperative Data Enhance the Detection of High-Risk Acute Kidney Injury Patients When Added to a Baseline Prediction Model
AUTHORS: Kim, Minjae MD, MS et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 430-441 BACKGROUND: Aspects of intraoperative management (eg, hypotension) are associated with acute kidney injury (AKI) in noncardiac surgery patients. However, it is unclear if and how the addition of intraoperative data affects a baseline risk prediction […]
Influence of Levobupivacaine Regional Scalp Block on Hemodynamic Stability, Intra- and Postoperative Opioid Consumption in Supratentorial Craniotomies
AUTHORS: Carella, Michele MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 500-511 BACKGROUND: The anesthetic management of supratentorial craniotomy (CR) necessitates tight intraoperative hemodynamic control. This type of surgery may also be associated with substantial postoperative pain. We aimed at evaluating the influence of regional scalp block (SB) […]
Development and Impact of an Institutional Enhanced Recovery Program on Opioid Use, Length of Stay, and Hospital Costs Within an Academic Medical Center
AUTHORS: Thiele, Robert H. MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 442-455 BACKGROUND: Enhanced Recovery (ER) is a change management framework in which a multidisciplinary team of stakeholders utilizes evidence-based medicine to protocolize all aspects of a surgical care to allow more rapid return of function. While […]
Exploring Factors Associated With Morbidity and Mortality in Patients With Do-Not-Resuscitate Orders
AUTHORS: Cobert, Julien MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 512-523 BACKGROUND: Anesthesiologists caring for patients with do-not-resuscitate (DNR) orders may have ethical concerns because of their resuscitative wishes and may have clinical concerns because of their known increased risk of morbidity/mortality. Patient heterogeneity and/or emphasis on […]
Nerve Stimulation Reduces Pain, Opioid Use After Orthopaedic Surgery
DG News Percutaneous peripheral nerve stimulation yields impressive reductions in pain scores and opioid use during the first week after common orthopaedic surgery procedures, according to a study published online first in the journal Anesthesiology. The benefits of postoperative nerve stimulation were “much greater than what we had anticipated, concurrently reducing pain scores by more than […]
Successful Implementation of a Perioperative Data Warehouse Using Another Hospital’s Published Specification From Epic’s Electronic Health Record System
AUTHORS: Epstein, Richard H. MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 465-474 BACKGROUND: Many hospitals have replaced their legacy anesthesia information management system with an enterprise-wide electronic health record system. Integrating the anesthesia data within the context of the global hospital information infrastructure has created substantive challenges […]