AUTHORS: Wardhan, Richa MD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 188-193 BACKGROUND: Information on the safety of placement, maintenance, and removal of peripheral nerve blocks in the presence of therapeutic or prophylactic antithrombotics is limited to case reports. METHODS: In this retrospective, descriptive study, we examined the […]
Preclinical Proficiency-Based Model of Ultrasound Training
AUTHORS: Fatima, Huma MD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 178-187 BACKGROUND: Graduate medical education is being transformed from a time-based training model to a competency-based training model. While the application of ultrasound in the perioperative arena has become an expected skill set for anesthesiologists, clinical exposure […]
A Processed Electroencephalogram–Based Brain Anesthetic Resistance Index Is Associated With Postoperative Delirium in Older Adults
AUTHORS: Cooter Wright, Mary MS et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 149-158 BACKGROUND: Some older adults show exaggerated responses to drugs that act on the brain. The brain’s response to anesthetic drugs is often measured clinically by processed electroencephalogram (EEG) indices. Thus, we developed a processed EEG–based […]
Impact of Intraoperative Data on Risk Prediction for Mortality After Intra-Abdominal Surgery
AUTHORS: Yan, Xinyu MS et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 102-113 BACKGROUND: Risk prediction models for postoperative mortality after intra-abdominal surgery have typically been developed using preoperative variables. It is unclear if intraoperative data add significant value to these risk prediction models. METHODS: With IRB approval, an […]
Inflammatory Biomarker Levels After Propofol or Sevoflurane Anesthesia
AUTHORS: O’Bryan, Liam J. MD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 69-81 BACKGROUND: The perioperative inflammatory response may be implicated in adverse outcomes including neurocognitive dysfunction and cancer recurrence after oncological surgery. The immunomodulatory role of anesthetic agents has been demonstrated in vitro; however, its clinical relevance […]
Leftover Opioid Analgesics and Disposal Following Ambulatory Pediatric Surgeries in the Context of a Restrictive Opioid-Prescribing Policy
AUTHORS: Stone, Amanda L. PhD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 133-140 BACKGROUND: Opioid analgesics are commonly prescribed for postoperative analgesia following pediatric surgery and often result in leftover opioid analgesics in the home. To reduce the volume of leftover opioids and overall community opioid burden, […]
Interleukin-6 Is an Early Plasma Marker of Severe Postoperative Complications in Thoracic Surgery
AUTHORS: Neff, Thomas A. MD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 123-132 BACKGROUND: Postoperative complications in surgery are a significant burden, not only for the patients but also economically. While several predicting factors have already been identified, it is still not well known if increased levels of […]
A Simple Risk Scoring System for Predicting the Occurrence of Aspiration Pneumonia After Gastric Endoscopic Submucosal Dissection
AUTHORS: Park, Kyemyung MD, PhD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 114-122 BACKGROUND: Aspiration pneumonia after endoscopic submucosal dissection (ESD) is rare, but can be fatal. We aimed to investigate risk factors and develop a simple risk scoring system for aspiration pneumonia. METHODS: We retrospectively reviewed medical […]
The Evaluation of a Noninvasive Respiratory Volume Monitor in Mechanically Ventilated Neonates and Infants
AUTHORS: Atkinson, Douglas B. MD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 141-148 BACKGROUND: The respiratory volume monitor (RVM) (ExSpiron, Respiratory Motion Inc, Watertown, MA) uses thoracic impedance technology to noninvasively and continuously measure tidal volume (TV), respiratory rate (RR), and minute ventilation (MV). We aimed to validate […]
Low-Dose Nebulised Ketamine Offers Comparable Pain Control as Higher Doses in Emergency Department Setting
Author: Louise Gagnon DG News Results of a randomised trial presented at the 2021 Annual Meeting of the American College of Emergency Physicians (ACEP) suggest that of 3 possible doses of nebulised ketamine studied, the lowest dose offered as much short-term pain control as the next highest and the highest dose for painful conditions in […]