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AUTHORS: Bright, Matthew R. MD et al Anesthesia & Analgesia 136(3):p 483-493, March 2023. BACKGROUND: Obese patients desaturate rapidly during the apneic period after induction of anesthesia for elective surgery. Administration of oxygen using high-flow nasal cannulae (HFNCs) may prevent desaturation in nonobese patients compared to facemask (FM) preoxygenation. The aim of this meta-analysis was to […]
Read MoreNEJM Journal Watch Bruce Soloway, MD, reviewing Ly DP et al. BMJ 2023 Mar 1 Mortality after elective procedures was 1.30% for Black men vs. 0.85% for white men. Black patients have higher overall postoperative mortality than do white patients. To further understand this excess risk, researchers analyzed records for 1.8 million Black and white U.S. Medicare fee-for-service […]
Read MoreAuthor: Heidi Splete Pract Pain Manag. 2023 March/April;22(2). FDA is creating a regulatory pathway for safe cannabidiol products, but more research is needed considering that nearly one-third of people with chronic pain report cannabis use. It is well known that people with chronic pain often use cannabis to help relieve pain and related symptoms. However, […]
Read Moreby SmartTots Purpose: To evaluate the impact of clinical protocol change via active minimisation on the number of general anaesthetic (GA)/sedation episodes for diagnostic ophthalmic purposes at Children’s Health Ireland at Temple Street (CHI-TS), Dublin, Ireland, from 2016 to 2019, inclusive. Change was implemented following published cautionary principles in 2016 by the FDA regarding the potential neurotoxic […]
Read MoreAuthors: Woodworth, Glenn E. MD et al Anesthesia & Analgesia 136(3):p 458-469, March 2023. In this Pro-Con commentary article, we debate the importance of anterior thigh block locations for analgesia following total knee arthroplasty. The debate is based on the current literature, our understanding of the relevant anatomy, and a clinical perspective. We review the anatomy […]
Read MoreAuthor: Bennett K. Pract Pain Manag. 2023 March/April;22(2). The American Society of Regional Anesthesia and Pain Medicine (ASRA) released new guidelines in early 2023 on the management of perioperative patients on cannabis and cannabinoids.¹ Developed in response to the increased use of cannabis and concerns that it potentially can interact with anesthesia and lead to […]
Read MoreAuthors: Ambardekar, Aditee P. MD, MSEd et al Anesthesia & Analgesia 136(3):p 446-454, March 2023. BACKGROUND: Clinical experiences, quantified by case logs, are an integral part of pediatric anesthesiology fellowship programs. Accreditation of pediatric anesthesiology fellowships by the Accreditation Council of Graduate Medical Education (ACGME) and establishment of case log reporting occurred in 1997 and 2009, […]
Read MoreAuthors: Scott Greenwald, Ph.D. et al Anesthesiology March 2023, Vol. 138, 264–273. Background The authors previously reported a broad suite of individualized Risk Stratification Index 3.0 (Health Data Analytics Institute, Inc., USA) models for various meaningful outcomes in patients admitted to a hospital for medical or surgical reasons. The models used International Classification of Diseases, Tenth […]
Read MoreDG Journal Club AUTHORS: Ali Ezzati, Dawn C Buse, Kristina M Fanning, Michael L Reed Clin Neurol Neurosurg. 2022 Dec; 223 107511 OBJECTIVE To identify predictors of acute treatment optimization with prescription drugs among people with episodic migraine. METHODS A total of 2896 individuals from the American Migraine Prevalence and Prevention study were included in this […]
Read MoreAuthors: Sergiy M Nadtochiy, PhD et al Anesthesiology February 2023. Background– Heparin anticoagulation has been used successfully for cardiopulmonary bypass (CPB). However, an alternative anticoagulant approach is desirable due to the cases of heparin-induce thrombocytopenia. Dabigatran provides anticoagulation for an in-vitro model of simulated CPB. The current analysis tests the hypothesis that dabigatran provides sufficient […]
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