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Authors: David B. Auyong, M.D. et al Anesthesiology 7 2018, Vol.129, 47-57. Background: The interscalene nerve block provides analgesia for shoulder surgery, but is associated with diaphragm paralysis. One solution may be performing brachial plexus blocks more distally. This noninferiority study evaluated analgesia for blocks at the supraclavicular and anterior suprascapular levels, comparing them individually to the interscalene […]
Read MoreAuthors: Annalotta Scheinin, M.D. Anesthesiology 7 2018, Vol.129, 22-36. Background: Differentiating drug-related changes and state-related changes on the electroencephalogram during anesthetic-induced unconsciousness has remained a challenge. To distinguish these, we designed a rigorous experimental protocol with two drugs known to have distinct molecular mechanisms of action. We hypothesized that drug- and state-related changes can be separated. Methods: Forty-seven […]
Read MoreExposure to hyperoxia in the immediate post-intubation period after admission to the emergency department (ED) is associated with worse outcomes in mechanically ventilated patients, according to researchers. “We found that the unnecessary administration of excessive amounts of oxygen and resultant elevated levels of oxygen in the bloodstream were very common in the emergency department,” said […]
Read MoreAuthors: Kristen K. MacKenzie, M.D. et al Anesthesiology 9 2018, Vol.129, 417-427. What We Already Know about This Topic: Up to 20% of patients undergoing major surgery experience postoperative delirium or cognitive dysfunction Intraoperative management strategies to reduce the risk of postoperative delirium remain unclear What This Article Tells Us That Is New: The heterogeneity of […]
Read MoreAuthors: Amie L. Severino, Ph.D. et al Anesthesiology 9 2018, Vol.129, 544-556. What We Already Know about This Topic: Pain resolves more quickly from cesarean delivery than other abdominal surgeries Pregnancy-related hormones such as oxytocin may reduce postoperative pain in women, although similar systems may function in men as well What This Article Tells Us That […]
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