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Authors: Chin-Tsang Yang, Ph.D. et al Anesthesiology July 2023. Background Spinal cord stimulation (SCS) is an important pain treatment modality. We hypothesized that a novel pulsed-ultrahigh-frequency SCS (pUHF-SCS) could safely and effectively inhibit spared nerve injury-induced neuropathic pain in rats. Methods Epidural pUHF-SCS (± 3V, 2Hz pulses comprising 500 kHz biphasic sinewaves) was implanted at […]
Read MoreAuthors: Allan F. Simpao, MD, MBI et al Anesthesiology Newly Published on July 2023. 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. We hypothesized that greater exposure to sedation and anesthesia in this population is […]
Read MoreAuthors: Ryan McGinn, M.D., M.Sc. et al Anesthesiology August 2023, Vol. 139, 143–152. Background Patients with frailty consistently experience higher rates of perioperative morbidity and mortality; however, costs attributable to frailty remain poorly defined. This study sought to identify older patients with and without frailty using a validated, multidimensional frailty index and estimated the attributable costs […]
Read MoreAuthor: Richard Novak, MD THE ANESTHESIA CONSULTANT This column will help you find the top 10 anesthesia journals. Prior to the internet, hard copies of medical journals were bound into volumes and stored at hospital or medical school libraries. To find a specific article required a dive into the archives of the library, with the […]
Read MoreAuthors: Xiang Li, M.D. et al Anesthesiology July 2023. Background Individualized positive end-expiratory pressure (PEEP) guided by dynamic compliance improves oxygenation and reduces postoperative atelectasis in nonobese patients. We hypothesized that dynamic compliance–guided PEEP could also reduce postoperative atelectasis in patients undergoing bariatric surgery. Methods Patients scheduled to undergo laparoscopic bariatric surgery were eligible. Dynamic […]
Read MoreAUTHORS: Daguio K et al Pract Pain Manage. 2023 July August 23(4). Introduction Methadone is a mu opioid agonist that binds to receptors located in the central nervous system (CNS) and cardiovascular tissue. Classified as a synthetic opioid, methadone is known to reduce symptoms of narcotic withdrawal and decrease the euphoric effects of other narcotics, […]
Read MoreAuthors: Anjali Dixit, MD/MPH et al Anesthesiology July 2023. Background Insured patients who receive out-of-network care may receive a “balance bill” for the difference between the practitioner’s charge and their insurer’s contracted rate. In 2017, California banned balance billing for anesthesia care. We examined the association between California’s law and subsequent payments for anesthesia care. […]
Read MoreAUTHORS: Capdevila, Xavier MD, PhD et al Anesthesia & Analgesia 137(2):p 322-331, August 2023. BACKGROUND: The management of perioperative iron deficiency is a component of the concept of patient blood management. The objective of this study was to update French data on the prevalence of iron deficiency in patients scheduled for major surgery. METHODS: The CARENFER […]
Read MoreAuthors: Megan L. Rolfzen, M.D. et al Anesthesiology August 2023, Vol. 139, 186–196. Background Overprescription of opioids after surgery remains common. Residual and unnecessarily prescribed opioids can provide a reservoir for nonmedical use. This study therefore tested the hypothesis that a decision-support tool embedded in electronic health records guides clinicians to prescribe fewer opioids at discharge […]
Read MoreAnne Elizabeth Oesterling, M.D. et al Anesthesiology July 2023. In Reply: We appreciate the expertise of Drs. Moon and Camporesi in the field of undersea and hyperbaric medicine and thank them for their input on this topic. We readily acknowledge that the Trendelenburg position is detrimental to patients with intracranial hypertension and known cerebral air embolism. […]
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