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Acute myotonic reaction during succinylcholine anaesthesia

DG Journal Club Authors: Saeed Rashaad Mohammed, Stefan Gafoor, Avidesh Panday Pract Neurol. 2022 Oct 3 A 21-year-old woman developed an acute myotonic reaction while undergoing anaesthesia using succinylcholine. Examination later showed she had shoulder, neck and calf hypertrophy, bilateral symmetrical ptosis and eyelid, handgrip and percussion myotonia. Peripheral neurophysiology studies identified significant, continuous myotonic […]

Digital rehabilitation for hand and wrist pain: a single-arm prospective longitudinal cohort study

Authors: Costa, Fabíola et al PAIN Reports: September/October 2022 – Volume 7 – Issue 5 Introduction:  Wrist and hand represent the third most common body part in work-related injuries, being associated with long-term absenteeism. Telerehabilitation can promote access to treatment, patient adherence, and engagement, while reducing health care–related costs. Objective: Report the results of a fully […]

Carbon Dioxide, Blood Pressure, and Perioperative Stroke: A Retrospective Case–Control Study

Authors: Phillip E. Vlisides, M.D. et al  Anesthesiology October 2022, Vol. 137, 434–445. Background The relationship between intraoperative physiology and postoperative stroke is incompletely understood. Preliminary data suggest that either hypo- or hypercapnia coupled with reduced cerebrovascular inflow (e.g., due to hypotension) can lead to ischemia. This study tested the hypothesis that the combination of intraoperative […]

Circadian effect of time of anaesthesia on postoperative outcomes in major elective and urgent intervention

AUTHORS:  Hoogma, Danny Feike et al European Journal of Anaesthesiology and Intensive Care: June 2022 BACKGROUND A recent prospective study reported a decrease in postoperative mortality when cardiac surgery was started in the afternoon instead of in the morning. In contrast, several large retrospective analyses have not confirmed this finding. Larger prospective studies are required to […]

Authors: Alicino, Ilaria MDa et al Journal of Head & Neck Anesthesia: May 2021 – Volume 5 – Issue 1 Background: Drug-induced sleep endoscopy (DISE) has become a routine diagnostic tool to assess the upper airway in obstructive sleep apnea patients, enabling effective diagnosis and appropriate treatment of the obstruction site. A number of protocols with […]

An Unexpected Magnet Response of a Biotronik Pacemaker in Automatic Mode: A Case Report

Authors: Jaiyeola, Christabel MD et al  A & A Practice: September 2022 – Volume 16 – Issue 9 Abstract In patients with cardiovascular implantable electronic devices, asynchronous pacing is necessary for surgeries with a risk of electromagnetic interference. Magnets are often used for asynchronous pacing. In this case report, magnet application to a Biotronik Evia DR-T […]

Changes in pain scores and walking distance after epidural steroid injection in patients with lumbar central spinal stenosis

Authors: Kim, Minsoo MD, PhD et al  Medicine: June 17, 2022 – Volume 101 – Issue 24 Abstract Lumbar spinal stenosis is a common degenerative disorder that is characterized by pain and neurogenic claudication. Previous studies have evaluated the effects of an epidural steroid injection (ESI) on spinal stenosis, based on changes to the spinal canal […]

General Anesthesia for Cesarean Delivery for Thrombocytopenia in Hypertensive Disorders of Pregnancy

AUTHORS: Seymour, Lisa M. MBChB et al  Anesthesia & Analgesia: October 13, 2022 BACKGROUND: In resource-limited environments, spinal anesthesia (SA) is preferred for cesarean delivery. In women at risk of spinal epidural hematoma, particularly those with hypertensive disorders of pregnancy, thrombocytopenia should be excluded before neuraxial blockade. In the context of emergency surgery for fetal distress, […]

Why might a person experience frequent migraine headaches?

Author: Helen Millar MedicalNewsToday Some people may experience frequent migraine episodes, or “chronic” migraine, which can severely affect their quality of life. This may occur due to genetic factors or underlying physical or mental health conditions. A person who experiences chronic migraine may benefit from preventive medications and therapies to reduce the frequency of migraine episodes. They […]

Patient and Operative Factors Predict Risk of Discretionary Prolonged Postoperative Mechanical Ventilation in a Broad Surgical Cohort

AUTHORS: Clark, Michael G. BS et al  Anesthesia & Analgesia: October 13, 2022 BACKGROUND: Patients undergoing surgery with general anesthesia and endotracheal intubation are ideally extubated upon case completion, as prolonged postoperative mechanical ventilation (PPMV) has been associated with poor outcomes. However, some patients require PPMV for surgical reasons, such as airway compromise, while others remain […]