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Author: Richard Novak MD The Anesthesia Consultant How soon will we see robotic anesthesia in our hospitals and surgery centers? In the past three decades the high-tech revolution introduced the internet, the laptop computer, the iPhone, Google, and global positioning satellites. Most of these discoveries originated in Silicon Valley, just miles outside Stanford University Hospital […]
Read MoreAuthor: Tony Mira F1rstNews Summary: For doctors who medically direct, their primary focus should be the room or rooms they are overseeing. Nevertheless, national and local Medicare rules allow the medically directing doctor to perform certain other services, as well. What are these services and are they applicable in every jurisdiction? Today’s alert provides answers. […]
Read MoreAUTHORS: Zickerman, Caroline MD et al Anesthesia & Analgesia: February 2022 BACKGROUND: Postoperative negative behavioral changes (NBCs) are common among children, but risk for this is thought to be reduced with premedication. Midazolam has for many years been a standard premedication for children. More recently, the alpha-2 adrenergic agonist clonidine has also become popular as a […]
Read MoreAUTHORS: Duprey, Matthew S. PharmD, PhD et al Anesthesia & Analgesia: February 2022 BACKGROUND: Postoperative delirium is frequent in older adults and is associated with postoperative neurocognitive disorder (PND). Studies evaluating perioperative medication use and delirium have generally evaluated medications in aggregate and been poorly controlled; the association between perioperative medication use and PND remains unclear. […]
Read MoreDG Journal Club AUTHORS: Yu-Chen Cheng et al J Headache Pain. 2022 Feb 20; 23(1): 28 BACKGROUND Current pharmacologic prophylactic strategies for migraine have exhibited limited efficacy, with response rates as low as 40%-50%. In addition to the limited efficacy, the acceptability of those pharmacologic prophylactic strategies were unacceptable. Although noninvasive brain/nerve stimulation strategies may […]
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