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Authors: Natalie Staplin et al Lancet 2023 Jun 17;401(10393):2041-2050. Background: Ambulatory blood pressure provides a more comprehensive assessment than clinic blood pressure, and has been reported to better predict health outcomes than clinic or home pressure. We aimed to examine associations of clinic and 24-h ambulatory blood pressure with all-cause and cardiovascular mortality in a large […]
Read MoreAuthor: Patsy Newitt Becker’s ASC Review Here are three lawsuits filed or resolved in the last month involving anesthesiologists or anesthesia groups: An anesthesiologist was accused of negligence during a 2021 spinal surgery in a lawsuit filed against Morgantown. W.Va.-based J.W. Ruby Memorial Hospital. On Oct. 8, 2021, David Gentry underwent a spinal procedure requiring anesthesia. He […]
Read MoreAuthors: Glenn Eastwood et al N Engl J Med 2023 Jul 6;389(1):45-57. Background: Guidelines recommend normocapnia for adults with coma who are resuscitated after out-of-hospital cardiac arrest. However, mild hypercapnia increases cerebral blood flow and may improve neurologic outcomes. Methods: We randomly assigned adults with coma who had been resuscitated after out-of-hospital cardiac arrest of presumed cardiac […]
Read MoreAuthors: Caitlin M P Jones et al Lancet. 2023 Aug 19;402(10402):612 Background: Opioid analgesics are commonly used for acute low back pain and neck pain, but supporting efficacy data are scarce. We aimed to investigate the efficacy and safety of a judicious short course of an opioid analgesic for acute low back pain and neck pain. […]
Read MoreAuthors: Stefan Wolf et al JAMA Neurol 2023 Aug 1;80(8):833-842. Importance: After aneurysmal subarachnoid hemorrhage, the use of lumbar drains has been suggested to decrease the incidence of delayed cerebral ischemia and improve long-term outcome. Objective: To determine the effectiveness of early lumbar cerebrospinal fluid drainage added to standard of care in patients after aneurysmal subarachnoid hemorrhage. […]
Read MoreAuthors: Stephan G. Frangakis, M.D., Ph.D. et al Anesthesiology September 2023. Background Postsurgical pain is a key component of surgical recovery. However, the genetic drivers of postsurgical pain remain unclear. A broad review and meta-analyses of variants of interest will help investigators understand the potential effects of genetic variation. Methods This article is a systematic […]
Read MoreAuthors: Kristen D. Yu, M.S. et al Anesthesiology October 2023. Background Malignant hyperthermia (MH) susceptibility is a heritable musculoskeletal disorder that can present as a potentially fatal hypermetabolic response to triggering anesthesia agents. Genomic screening for variants in MH-associated genes RYR1 and CACNA1S provides an opportunity to prevent morbidity and mortality. There are limited outcomes data from disclosing variants […]
Read MoreAuthors: David W. Corpman, MD; Linda L. Liu, MD Anesthesia Patient Safety Foundation Oct 2023 Intraoperative equipment failures are increasingly rare events, but may cause serious harm based on an analysis of the American Society of Anesthesiologists (ASA) Closed Claims database.1 Pre-anesthesia checkout procedures strive to make these events preventable, but certain failures cannot be prevented […]
Read MoreAuthors: Jake Israel MD, Jeff Gudin MD. Pract Pain Manage. 2023 July/August 23(4). Test your clinical knowledge on the utility of spinal cord stimulation for treating diabetic neuropathy. Diabetic Neuropathy and Spinal Cord Stimulation: A Brief Background Diabetes is the fourth most common disease worldwide, affecting 5.9% of the world’s population.1 A common complication of the […]
Read MoreAuthors: Dibash Kumar Das, PhD; Steven L. Shafer, MD, FASA ASA Monitor October 2023, Vol. 87, 1–4. Migraine is a highly prevalent and debilitating condition affecting approximately 10%-15% of the population (Rev Neurol Aug 2023; Lancet 2012;380:2163-96). A migraine is a severe headache lasting up to 72 hours, accompanied by symptoms including nausea, vomiting, and hypersensitivity to light and sound. […]
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