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Richard E. Moon, M.D., F.A.C.P., F.C.C.P., F.U.H.M.; Author: Enrico M. Camporesi, M.D., F.U.H.M. Anesthesiology July 2023. To the Editor: We read with interest the description by Oesterling et al. of a case of coronary artery air embolism. Their article nicely showed imaging confirming arterial gas embolism, demonstrated one of the risks of percutaneous lung biopsy and factors […]
Read MoreAUTHORS: Abraham CM et al Pract Pain Manag. 2023 July/August;23(4). In some hospitalized populations, about 44% of patients are in severe pain at dischage.1 High pain intensity during hospitalization is a risk factor for deleterious psychological outcomes, such as depression and PTSD,1 as well as the chronification of acute pain.2-4 In fact, anywhere from 3% to 20% of acute pain […]
Read MoreAuthors: Evan D Kharasch, MD, PhD et al Anesthesiology June 2023. Background Contemporary perioperative practice seeks to use less intraoperative opioid, diminish postoperative pain and opioid use, and enable less post-discharge opioid prescribing. For inpatient surgery, anesthesia with intraoperative methadone, compared with short-duration opioids, results in less pain, less postoperative opioid use, and greater patient […]
Read MoreAuthor: Jeffrey Bettinger, PharmD. Pract Pain Manage. 2023 July August 23(4). The successful and effective use of ketamine to induce anesthesia in human subjects was first described in a 1966 clinical study by Corssen and Domino.1 At the time, it was a chemical labeled CI-581. The phencyclidine derivative was approved for anesthesia four years later by […]
Read MoreAUTHORS: Nicole C. BA et al Anesthesia & Analgesia 137(2):p 256-266, August 2023. BACKGROUND: Optimizing analgesia after cesarean delivery is essential to quality of patient recovery. The American Society of Anesthesiologists and the Society for Obstetric Anesthesia and Perinatology recommend multimodal analgesia (MMA). However, little is known about clinical implementation of these guidelines after cesarean delivery […]
Read MoreAUTHORS: Tiziano Marovino, DPT, MPH, DAIPM et al Pract Pain Manag. 2023 July/August;23(4). Science of PEMF Pulsed electro-magnetic field (PEMF) science has evolved over the years, and dedicated research on this topic, specifically as it applies to pain management, has been growing. Independent research on PEMF has consistently demonstrated meaningful physiological treatment effects in three […]
Read MoreAuthors: Luiz F. Ferrari, DDS, PhD et al Anesthesiology June 2023. Background Chronic postsurgical pain (CPSP) is a poorly recognized outcome of surgery where patients experience pain long after healing from the surgical insult. Descending Control of Nociception (DCN), a phenomenon whereby application of a strong nociceptive stimulus to one part of the body of […]
Read MoreAuthors: Nasir Hussain, MD et al Anesthesiology June 2023. Background The analgesic effectiveness of contemporary motor-sparing nerve blocks used in combination for analgesia in total knee arthroplasty (TKA) is unclear. We conducted this network meta-analysis to evaluate the analgesic effectiveness of adding single-injection or continuous adductor canal block (ACB) with or without infiltration of the […]
Read MoreAuthors: Jacqueline M. Leung, M.D., M.P.H. et al Anesthesiology June 2023. Background The pathophysiology of delirium is incompletely understood including what molecular pathways are involved in brain vulnerability to delirium. We determined whether preoperative plasma neurodegeneration markers were elevated in patients who subsequently developed postoperative delirium through a retrospective case-control study. Methods Inclusion criteria were […]
Read MorePhillip E. Vlisides, M.D. et al Anesthesiology June 2023. Background Perioperative neurocognitive disorders are a major public health issue, though there are no validated neurophysiologic biomarkers that predict cognitive function after surgery. This study tested the hypothesis that preoperative posterior electroencephalographic alpha power, alpha frontal-parietal connectivity, and cerebral oximetry would each correlate with postoperative neurocognitive […]
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