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ASA Monitor April 2024, Vol. 88, 10. A 70-year-old woman with sepsis presents for urgent cystoscopy and stenting. She has already received 1 L of crystalloid fluid, but her systolic blood pressure is currently less than 100 mm Hg and her lactate level is greater than 4 mmol/L. According to a recent trial that compared early […]
Read MoreASA Monitor April 2024, Vol. 88, 14. New statement on cerebral venous thrombosis The American Heart Association released a statement to raise awareness about cerebral venous thrombosis (CVT) among patients and physicians for timely recognition and treatment. The statement reviews the latest evidence and updates recommendations for diagnosing and managing CVT, focusing on advancements in treatment […]
Read MoreASA Monitor April 2024, Vol. 88, 11–13. 60-year-old coming to OR after redo sternotomy (AVR and ascending aorta aneurysm). Multiple infusions on pumps in addition to insulin infusion via pump (not syringe). Bedside nursing wanted to consolidate and took insulin off pump (patient was euglycemic). The nurse was concerned the clamp and roller had not been […]
Read MoreAS A Monitor April 2024, Vol. 88, 9. In patients with depressed myocardial contractility, how is left ventricular afterload MOST likely to be affected by positive pressure ventilation? □ (A) Increased □ (B) Decreased □ (C) Unchanged Right and left ventricular ejection is affected by alveolar pressure, pleural pressure, and lung volume during the respiratory cycle. During positive pressure […]
Read MoreAUTHORS: Zeng, Min MD, PhD et al Anesthesia & Analgesia 138(4):p 839-847, April 2024. | BACKGROUND: Dexmedetomidine was reported to reduce postoperative acute pain after neurosurgery. However, the efficacy of dexmedetomidine for preventing chronic incisional pain is uncertain. METHODS: This article is a secondary analysis of a randomized, double-blind, placebo-controlled trial. Eligible patients were randomly allocated to […]
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