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DG Journal Club Authors: Dhivya Perumal et al JAMA Intern Med. 2022 Oct 3 Importance Cataract surgery in the US is routinely performed with anesthesia care, whereas anesthesia care for other elective, low-risk, outpatient procedures is applied more selectively. Objective To identify predictors of anesthesia care in Medicare beneficiaries undergoing cataract surgery and evaluate anesthesia […]
Read MoreDG News Spinal anaesthesia was associated with more pain in the first 24 hours after hip fracture surgery and more prescription analgesic use at 60 days compared with general anaesthesia, according to a study published in the Annals of Internal Medicine. “In our study, patients who got spinal anaesthesia did get fewer opioids in the operating […]
Read MoreAUTHORS: Roberts, Derek J. MD, PhD, FRCSC et al Anesthesia & Analgesia: October 11, 2022 BACKGROUND: Although neuraxial anesthesia may promote improved outcomes for patients undergoing lower limb revascularization surgery, its use is decreasing over time. Our objective was to estimate variation in neuraxial (versus general) anesthesia use for lower limb revascularization at the hospital, anesthesiologist, […]
Read MoreDG Journal Club AUTHORS: Karissa Johnston, Lauren Powell, Evan Popoff, Linda Harris Clin J Pain. 2022 Sep 26 OBJECTIVES To develop and compare benefit-risk profiles for rimegepant, ubrogepant, and lasmiditan based on a network meta-analysis (NMA) of published clinical trials. METHODS A fixed-effects Bayesian NMA of randomized controlled trials (RCTs) of lasmiditan, rimegepant, and ubrogepant […]
Read MoreAuthor: Michael Walter Cardiovascular Business Surgeons with Duke Health in Durham, North Carolina, have made a bit of history, performing what is believed to be the world’s very first partial heart transplant in a neonate congenital heart patient. The patient was a newborn baby, Owen Monroe, who was born with truncus arteriosus. Owen’s two main […]
Read MoreAUTHORS: Zon, Rebecca L. MD et al Anesthesia & Analgesia: October 11, 2022 BACKGROUND: Patients with coronavirus disease 2019 (COVID-19) can present with severe respiratory distress requiring intensive care unit (ICU)–level care. Such care often requires placement of an arterial line for monitoring of pulmonary disease progression, hemodynamics, and laboratory tests. During the first wave of […]
Read MoreAUTHORS: Vinciya Pandian et al Ann Otol Rhinol Laryngol. 2022 Oct 2 34894221123124 OBJECTIVE To investigate whether implementation of a multidisciplinary airway team was associated with improvement in (1) rate of successful airway securement at first attempt; (2) time to secure airway; and (3) overall complication rate in patients with a difficult airway, as compared […]
Read MoreAUTHORS: Singh, Shubhangi MD et al Anesthesia & Analgesia: October 06, 2022 BACKGROUND: Placenta accreta spectrum (PAS) is a disorder of abnormal placentation associated with severe postpartum hemorrhage, maternal morbidity, and mortality. Predelivery prediction of this condition is important to determine appropriate delivery location and multidisciplinary planning for operative management. This study aimed to validate a […]
Read MoreThis is important because we often have to give anesthesia to pts on methamphetamines. Author: Kathleen Davis FNP MedicalNewsToday Methamphetamine is a highly addictive and illegal psychostimulant drug similar to amphetamine. People use it for its powerful euphoric effects, which are similar to those of cocaine. Methamphetamine increases the levels of naturally occurring dopamine and norepinephrine […]
Read MoreAuthor: Zawn Villines MedicalNewsToday Lower back pain is a potential COVID-19 symptom. Some people with the condition also have other muscle pains, such as neck or shoulder pain. Fever, tiredness, and a cough are other common symptoms. This information comes from the Centers for Disease Control and Prevention (CDC). During the COVID-19 pandemic, back pain rates […]
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