DG Journal Club AUTHORS: Jesus Pujol, Gerard Martínez-Vilavella, Lluís Gallart, Laura Blanco-Hinojo Br J Anaesth. 2022 Aug 13 BACKGROUND The safety of anaesthesia has improved as a result of better control of anaesthetic depth. However, conventional monitoring does not inform on the nature of nociceptive processes during unconsciousness. A means of inferring the quality of […]
Labor epidural analgesia and subsequent risk of offspring autism spectrum disorder and attention-deficit/hyperactivity disorder
DG Journal Club AUTHORS: Tor-Arne Hegvik, Kari Klungsøyr, Ralf Kuja-Halkola, Hanna Remes Am J Obstet Gynecol. 2022 Aug 13 BACKGROUND A recent study has suggested that labor epidural analgesia may be associated with increased rates of offspring autism spectrum disorder (ASD). Subsequent replication attempts have lacked sufficient power to confidently exclude the possibility of a […]
Perioperative Neurofilament Light Plasma Concentrations and Cognition before and after Cardiac Surgery
DG Journal Club AUTHORS: Charles H Brown, Alexandria Lewis, Julia Probert, Michelle Parish Anesthesiology. 2022 Aug 19 BACKGROUND Neurofilament light is a marker of neuronal injury and can be measured in blood. Postoperative increases in neurofilament light have been associated with delirium after noncardiac surgery. However, few studies have examined the association of neurofilament light […]
Ventilation During Lung Resection and Critical Care
Authors: Spencer P. Walsh, M.D. et al Anesthesiology August 2022. After the landmark Acute Respiratory Distress Syndrome Network study in 2000, the idea of low tidal volume (VT) ventilation spread through the critical care and anesthesiology communities. Studies have shown that positive-pressure ventilation contributes to lung inflammation and might predispose general surgery and intensive care unit […]
Outcomes of dexmedetomidine versus propofol sedation in critically ill adults requiring mechanical ventilation
DG Journal Club AUTHORS: Kiyan Heybati, Fangwen Zhou, Saif Ali, Jiawen Deng Br J Anaesth. 2022 Aug 9 BACKGROUND Guidelines have recommended the use of dexmedetomidine or propofol for sedation after cardiac surgery, and propofol monotherapy for other patients. Further outcome data are required for these drugs. METHODS This systematic review and meta-analysis was prospectively […]
Transversus abdominis plane block for laparoscopic colorectal surgery
DG Journal Club AUTHORS: Kai-Yuan Liu, Yen-Jung Lu, Yu-Cih Lin, Po-Li Wei Int J Surg. 2022 Aug 8 106825 BACKGROUND The effectiveness of transversus abdominis plane block (TAP) on pain management after laparoscopic colorectal surgery (CRS) remains unclear since the only relevant meta-analysis on this topic did not separate laparoscopic CRS from open CRS. The […]
Everything you need to know about crystal meth
Authors: Yvette Brazier and Zawn Villines MedicalNewsToday Crystal meth, or methamphetamine, is a stimulant drug that carries a high risk for physical dependence. In the United States, a different formulation of methamphetamine called Desoxyn is available by prescription to treat attention deficit hyperactivity disorder (ADHD). Crystal meth has a number of street names, including ice […]
Anesthesia Incident Reporting System (AIRS) Case 2022-09: The Unknown Unknowns and Their Consequences
ASA Monitor September 2022, Vol. 86, 10. A 9-year-old girl with an intracranial neoplasm presented for a routine MRI with and without contrast to evaluate her disease status. She had been treated at our facility for years and came for an MRI every 3-6 months. Multiple past anesthetics (inhalational induction, TIVA with propofol, nasal cannula, natural […]
Reaching the Next Generation in Our Communities
Author: Karen S. Sibert, MD, FASA ASA Monitor September 2022, Vol. 86, 1–5. Community service isn’t an easy or obvious fit for anesthesiologists. Our natural habitat is the OR or ICU. But many of us do feel a need to give something back to our communities. The question is, how to do it? Back in 2016, the California […]
Improving Care and Outcomes for the Older Adult: A Holistic Model
Authors: Mrugesh Thakkar, MD et al ASA Monitor September 2022, Vol. 86, 17–18. Holistic model for care of the older adult. Older adults represent a growing patient population with unique care needs. As perioperative physicians, our goal is to optimize our patients’ physical, psychological, social, and cognitive health. In a holistic model of care, all the […]