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Author: Richard Cahill, JD, Vice President and Associate General Counsel, The Doctors Company Consider the following scenario: A successful and highly respected pediatrician with an unblemished record over decades of practice learns of a HIPAA breach by a member of his administrative staff. The employee is terminated after an investigation reveals that the employee had […]
Read MoreAuthors: Evan D. Kharasch, M.D., Ph.D. et al Anesthesiology October 2023, Vol. 139, 405–419. Background Contemporary perioperative practice seeks to use less intraoperative opioid, diminish postoperative pain and opioid use, and enable less postdischarge opioid prescribing. For inpatient surgery, anesthesia with intraoperative methadone, compared with short-duration opioids, results in less pain, less postoperative opioid use, and […]
Read MoreAuthors: Allan F. Simpao, M.D., M.B.I. et al Anesthesiology October 2023, Vol. 139, 393–404. Background Children undergoing complex cardiac surgery are exposed to substantial cumulative doses of sedative medications and volatile anesthetics and are more frequently anesthetized with ketamine, compared with healthy children. This study hypothesized that greater exposure to sedation and anesthesia in this population […]
Read MoreAuthor: Adaora M. Chima, MBBS, MPH IARS Newsletter Issue 4 Health inequity and health disparity are phrases that have grown in medical, scientific and secular use in recent years. Although often used interchangeably, these pervasive issues are distinct but interwoven complex phenomena that have a ripple effect on every single member of societies where they […]
Read MoreAmerican Society for Post Surgical Pain 01 Newsletter ABSTRACT Peripheral nerve stimulation (PNS) is a relatively novel therapeutic intervention that has been gaining popularity in the management of various chronic pain conditions. The new intervention has shown promising results with a narrow risk margin for complication and has gained US Food and Drug Administration (FDA) […]
Read MoreAUTHORS: Chen, Zhao-Rong MM et al Anesthesia & Analgesia 137(2):p 426-439, August 2023. BACKGROUND: Myocardial infarction is a common perioperative complication, and blood flow restoration causes ischemia/reperfusion injury (IRI). Dexmedetomidine (DEX) pretreatment can protect against cardiac IRI, but the mechanism is still insufficiently understood. METHODS: In vivo, myocardial ischemia/reperfusion (30 minutes/120 minutes) was induced via ligation […]
Read MoreAUTHORS: Zhang, Tracy MD et al Anesthesia & Analgesia 137(2):p 440-450, August 2023. Background: Intraoperative arterial hypotension (IOH) is a common side effect of general anesthesia (GA), associated with poor outcomes in ischemic stroke. While IOH is more prevalent with hypertension, it is unknown whether IOH may differ when GA is induced during ischemic stroke, versus […]
Read MoreAUTHORS: Pineau, Iris MD et al Anesthesia & Analgesia 137(2):p 418-425, August 2023. BACKGROUND: With the generalization of social network use by health care workers, we observe the emergence of breaches in medical confidentiality. Our objective was to determine, among anesthesiology and intensive care health care workers, the rate of medical confidentiality breaches among professional tweets. […]
Read MoreAUTHORS: Kumar, Shathish MD et al Anesthesia & Analgesia 137(2):p 409-417, August 2023. BACKGROUND: Postoperative analgesia is crucial for the early and effective recovery of patients undergoing surgery. Although postoperative multimodal analgesia is widely practiced, opioids such as fentanyl are still one of the best analgesics. The analgesic response of fentanyl varies widely among individuals, probably […]
Read MoreAUTHORS: Misra, Satyajeet MD, DNB, PDCC, TOE (EACVI) Anesthesia & Analgesia 137(2):p 332-344, August 2023. BACKGROUND: Shivering is common following anesthesia and surgery. Corticosteroids (steroids) have been tried to reduce the risk of shivering, but the evidence in favor of their use is uncertain. The primary objective of this review was to evaluate the effect of […]
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