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Authors: Nicola Disma et al Pediatric Anesthesia Volume 33 Issue 2 March 2023 Pages 236-242 Introduction Dexmedetomidine is the sedative agent administered in combination with remifentanil and low dose of sevoflurane in the interventional arm of the ongoing TREX trial (Trial Remifentanil DExmedetomidine). The TREX pilot study (published in Paediatr Anaesth 2019;29:59–67) established infusion rates higher than […]
Read MoreAUTHORS: Gottumukkala, Vijaya MBBS, MD FRCA* Anesthesia & Analgesia 136(4):p 628-635, April 2023. With changing global demographics and evolving epidemiological trends, the burden of noncommunicable diseases and injuries is increasing at a rapid pace making integration of surgery and anesthesia care—as perioperative care—critical to achieving the United Nations 2030 Agenda for 17 sustainable development goals (SDGs) […]
Read MoreAuthors: Habib Md Reazaul Karim, M.D., D.N.B., I.D.C.C.M., F.N.I.V. et al Anesthesiology May 2023, Vol. 138, 566–567. To the Editor: While the ability of high-flow nasal cannula to achieve apneic oxygenation is well established, the ability to remove carbon dioxide is less clear. The recent investigation by Riva and colleagues on the issue, in which […]
Read MoreAuthor: Christian S. Guay, MD International Anesthesia Research Society The Daily Dose April 2023 The COVID-19 pandemic brought to light many deficiencies in our medical systems, notably how we manage the body’s liquid organ: blood. In this update from the Society for the Advancement of Blood Management (SABM), “Patient Blood Management is a New Standard […]
Read MoreAuthors: Kosuke Okada, M.D.; Takuma Maeda, M.D., M.P.H., Ph.D. Anesthesiology May 2023, Vol. 138, 533–534. An 84-year-old woman was diagnosed with cardiogenic shock requiring emergent percutaneous coronary intervention. After emergency percutaneous coronary intervention, transthoracic echocardiography indicated a 30-mm mobile thrombus with the largest diameter of 35 mm in the left atrium (panel A). She was induced for urgent […]
Read MoreBy Melissa T. Berhow et al Anesthesiology March 2023. The beginnings of a career in anesthesia are quite organized and regimented: first an undergraduate education, then medical school, then residency, capped off (possibly) with a fellowship. Each step is a challenge, but the path is at least clear and well defined. Thus, it is often […]
Read MoreInternational Anesthesia Research Society The Daily dose April 2023 An Interview with Abstract Presenter and SmartTots Investigator – Oliver Isik Abstract Title: Behavioral and neuropsychological outcomes in children after exposure to labor epidural analgesia Category: Obstetric Anesthesiology Poster #: 60 Poster Presentation: Poster Session G: Saturday, April 15, 2023, 11:00 am – 12:00 pm MT, Centennial A-D, […]
Read MoreAuthor: Richard Novak, MD THE ANESTHESIA CONSULTANT An astronaut en route to Mars develops severe abdominal pain, nausea, and vomiting. A fellow crew member examines him and finds significant tenderness and guarding in the right lower quadrant of his abdomen. The crew members teleconference with physicians on Earth, with a 20-minute communication delay because of […]
Read MoreAuthor: Jane S. Moon, MD International Anesthesia Research Society The Daily Dose April 2023 A full century after the creation of Anesthesia & Analgesia (A&A), the longest-running physician anesthesiology journal in the world, we celebrate the tremendous gains made in the quality and safety of anesthetic care. However, research in recent decades has revealed persisting disparities […]
Read MoreNEJM Journal Watch Aaron J. Calderon, MD, FACP, SFHM, reviewing Labbé V et al. JAMA Intern Med 2023 Mar 22 High-dose prophylactic anticoagulation might be the “sweet spot.” Hospitalized patients with COVID-19 have substantial risk for thrombosis. In previous studies, researchers have examined the optimal level of anticoagulation to prevent thrombosis without incurring excess bleeding risk in hospitalized […]
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