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Authors: Angelina B. Tang et al Journal of the American Heart Association. Dec 30, 2022 Background Durable memory decline may occur in older adults after surgical (coronary artery bypass grafting [CABG]) or nonsurgical (percutaneous coronary intervention) coronary revascularization. However, it is unknown whether individual memory risk can be predicted. We reanalyzed an epidemiological cohort of […]
Read MoreAuthors: Heather Lander, MD et al ASA Monitor September 2023, Vol. 87, 21. Projections from the United States census anticipate that one quarter of Americans will be 65 years or older within a decade, effectively doubling to 95 million older adults (asamonitor.pub/3pLIbun). The Administration on Aging finds over 17% of people living in the U.S. […]
Read MoreAuthors: Zachary Deutch, MD, FASA; Sascha Beutler, MD, PhD ASA Monitor September 2023, Vol. 87, 28–29. All residents have much to learn, since none of us graduate from medical school as clinical or procedural experts. Who doesn’t remember their initial attempts at placing an intravenous or arterial line or tentatively performing a direct laryngoscopy and (hopefully) intubating? […]
Read MoreAuthors: William Amarquaye, PharmD et al Practical Pain Management Volume 23 Issue 4 With an unprecedented surge in psychostimulant-related deaths due to cross-contamination of illicitly manufactured fentanyl, here’s what prescribers and physicians need to know, including monitoring and mitigating risk, for their patients who use methamphetamine and cocaine. A Special Report. Background: It Started with […]
Read MoreAUTHORS: Donovan, Anne L. MD et al BACKGROUND: Postoperative delirium is a common and serious problem for older adults. To better align local practices with delirium prevention consensus guidelines, we implemented a 5-component intervention followed by a quality improvement (QI) project at our institution. METHODS: This hybrid implementation-effectiveness study took place at 2 adult hospitals […]
Read MoreAuthors: Daniel Villalobos et al British Journals of Anaesthesia June 2023 Background Animal studies have shown that isoflurane and propofol have differential effects on Alzheimer’s disease (AD) pathology and memory, although it is unclear whether this occurs in humans. Methods This was a nested randomised controlled trial within a prospective cohort study; patients age ≥60 […]
Read MoreAuthors: Maria J. Susano, M.D. et al Anesthesiology December 2020, Vol. 133, 1184–1191. Background Frailty and cognitive impairment are associated with postoperative delirium, but are rarely assessed preoperatively. The study was designed to test the hypothesis that preoperative screening for frailty or cognitive impairment identifies patients at risk for postoperative delirium (primary outcome). Methods In this […]
Read MoreAuthors: Laura Li et al British Journal of Anaesthesia March 1, 2023 Background Postoperative cognitive dysfunction (POCD) is a concern after anaesthesia and surgery, but preoperative discussion of neurocognitive risks with older patients rarely occurs. Anecdotal experiences of POCD are common in the popular media and may inform patient perspectives. However, the degree of alignment […]
Read MoreAuthors: Yanmei Qi, PhD et al Anesthesiology August 2023. Background Intersectional genetics have yielded tremendous advances in our understanding of molecularly-identified subpopulations and circuits within the dorsal horn in neuropathic pain. We tested the hypothesis that spinal µ opioid receptor-expressing interneurons (Oprm1-INs) contribute to behavioral hypersensitivity and neuronal sensitization in the spared nerve injury model […]
Read MoreAuthors: S. Mark Poler, MD, FASA, DABA, DABPM(CI) et al ASA Monitor September 2023, Vol. 87, 19–20. How can large health systems support dispersed and underserved populations in remote, underfunded, and often understaffed rural facilities with obstetric and surgical needs? Rochester, New York, Danville, Pennsylvania, and Marshfield, Wisconsin, are not similar, but the populations supported […]
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