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Authors: Adam Warrick, M.D. et al Anesthesiology August 2024. These images demonstrate sublingual hematoma progression in a patient presenting for repeat laparoscopy after cholecystectomy complicated by incomplete hemostasis (fig.1, A to C, arrows). On postoperative day one, the patient reported frenulum tenderness, purpura, and an expanding mass beneath her tongue (fig.1, A). Otolaryngology evaluation was obtained, […]
Read MoreAuthors: Benjamin Bergis, M.D., M.Sc. et al Anesthesiology September 2024, Vol. 141, 554–565. Background Hemorrhagic shock (HS) and rhabdomyolysis (RM) are two important risk factors for acute kidney injury after severe trauma; however, the effects of the combination of RM and HS on kidney function are unknown. The purpose of this study was to determine the […]
Read MoreAuthors: Rachel Hadler, M.D.; Rebecca A. Aslakson, M.D., Ph.D. Anesthesiology September 2024, Vol. 141, 440–442. “[A]rming anesthesiologists with the tools to provide patient-centered, meaningful perioperative care has the potential to both increase goal-concordant care delivery and reduce clinician moral conflict, moral distress, and burnout.” Although preoperative “required reconsideration” for individuals with pre-existing treatment limitations (i.e., do-not-attempt-resuscitation or […]
Read MoreAnesthesiology September 2024, Vol. 141, A13–A15. Andexanet for factor Xa inhibitor–associated acute intracerebral hemorrhage. N Engl J Med 2024; 390:1745–55. PMID: 38749032. Patients sustaining acute intracerebral hemorrhage on anticoagulants are at increased risk for hematoma expansion. Factor Xa inhibitors are now widely used for chronic anticoagulation, and before the release of andexanet alfa, no specific reversal […]
Read MoreWe are seeking a dedicated anesthesiologist to join our all-anesthesiologist group. Our team will consist of 4 full-time providers and 1 for vacation relief, managing 3 operating rooms. Position Highlights: Zero call for 3 weeks, followed by 1 week of call without daytime work only call after 7 PM therefore you may not work the […]
Read MoreAuthor: Daniel I. Sessler, M.D. Anesthesiology September 2024, Vol. 141, 428–430. Intraoperative mortality is now so low that it is hard to quantify. In contrast, postoperative mortality remains frequent and is arguably the third leading cause of death worldwide. Bleeding-related and cardiovascular complications are the most common causes of 30-day postoperative mortality. Among cardiovascular complications, […]
Read MoreAuthors: Paramita Basu, Ph.D. et al Anesthesiology August 2024. Background Neuropeptide Y (NPY) Y2 receptor (Y2) antagonist BIIE0246 can both inhibit and facilitate nociception. We hypothesized that Y2 function depends on inflammation or nerve injury status. Methods We implemented a battery of behavioral tests in mice of both sexes that received: 1) no injury; 2) […]
Read MoreAuthors: Daniel R. Frei, B.Sc., M.B.Ch.B., Ph.D. et al Anesthesiology September 2024, Vol. 141, 437–439. “[T]he chosen dose (here, Fio2) of the most essential and prevalent drug we use in our practice is basically idiosyncratic.” In 2016, the World Health Organization (Geneva, Switzerland) recommended that adult patients undergoing general anesthesia with tracheal intubation for surgical procedures […]
Read MoreAuthor: Dr Nikesh Seth nikeshseth.com Have you ever noticed your pain worsening with changes in the weather? While it might seem like an old wives’ tale, both research and patient reports suggest that weather changes can indeed impact chronic pain. This blog will explore the connection between weather and chronic pain and provide tips on […]
Read MoreAnesthesiology September 2024, Vol. 141, A13–A15. Long-term outcomes of early exposure to repeated general anaesthesia in children with cystic fibrosis (CF-GAIN): A multicentre, open-label, randomised controlled phase 4 trial. Lancet Respir Med 2024; S2213-2600(24)00170-X Several human observational studies have found an association between exposure to anesthesia in early childhood and poorer neurobehavioral outcomes, with the association […]
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