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Author: Sarah Avery DukeHealth Feb 2, 2022 Cognitive changes following non-neurologic and non-cardiac surgery were not associated with changes in Alzheimer’s disease-related biomarkers in older patients, according to a study led by a team at Duke University School of Medicine. The finding, published online in the journal Annals of Clinical & Translational Neurology, could help ease concerns […]
Read MoreAuthors: Lionel Bouvet, M.D., Ph.D. et al Anesthesiology April 2022, Vol. 136, 542–550. Background The lack of reliable data on gastric emptying of solid food during labor has led to some discrepancies between current guidelines regarding fasting for solid food in the parturient. This prospective comparative study aimed to test the hypothesis that the gastric emptying […]
Read MoreAUTHORS: Ragheb, Jacqueline MD et al Anesthesia & Analgesia: April 2022 BACKGROUND: Delirium is the most common postoperative complication in older adults, though anesthesiologist awareness of delirium prevention guidelines—and associated practice trends—remains unknown. METHODS: This was a convergent mixed-methods study, which simultaneously analyzed quantitative and qualitative data to determine delirium guideline awareness among anesthesiologists and practice […]
Read MoreAuthor: MERIDETH C. NORRIS, DO KevinMD .com In 2017, the CDC rolled out a “solution” to the opioid crisis. The recommendations, which were never intended to become laws, were mostly level of evidence three or below. To put it another way, they were not robust, nor were they based on research in any way that […]
Read MoreAuthor: Rachel Ann Tee-Melegrito MedicalNewsToday People sometimes use the terms tension headache and migraine interchangeably to describe pain or pressure in the head. Differentiating the two is vital to get appropriate treatment and prevent future headaches. Tension headache and migraine are two of the most common types of headaches. About 3 in 4 of the general […]
Read MoreAUTHORS: Greiwe, Gillis MD et al Anesthesia & Analgesia: April 2022 Abstract BACKGROUND: Cardiac output (CO) is a key determinant of oxygen delivery, but choosing the optimal method to obtain CO in pediatric patients remains challenging. The pressure recording analytical method (PRAM), implemented in the MostCareUp system (Vygon), is an invasive uncalibrated pulse wave analysis […]
Read MoreAUTHORS: Grogan, Kelly MD et al Anesthesia & Analgesia: April 2022 BACKGROUND: Atomized intranasal dexmedetomidine is an attractive option when sedation is required for pediatric patients as either premedication or the sole agent for noninvasive, nonpainful procedures. While intranasal dexmedetomidine is used frequently in this population, it is still unclear what dose and time of administration […]
Read MoreAUTHORS: Fislage, Marinus PhD student et al Anesthesia & Analgesia: April 2022 BACKGROUND: Previous studies suggest a role of the thalamus in cognitive function, while others implicate it as a central effect site of anesthetics. Yet, its role in postoperative neurocognition in the aging brain remains uncertain. We used presurgical thalamic volume as a functional indicator […]
Read MoreDG Journal Club AUTHORS: Edmond O’Loughlin et al Paediatr Anaesth. 2022 Apr 10 BACKGROUND Intravenous acetaminophen and opioid analgesics are routinely given concurrently to children after major surgery, where intravenous access can be limited. There is limited information about the compatibility of acetaminophen with opioid analgesics and ketamine in concentrations commonly used in pediatric setting. […]
Read MoreDG Journal Club AUTHORS: Kenichi A Tanaka et al Anesth Analg. 2022 Apr BACKGROUND Increased body mass index (BMI) is considered as an important factor that affects the need for total knee and hip arthroplasty (TKA/THA) and the rate of perioperative complications. Previous investigations have not fully established the relationship of BMI and perioperative transfusion […]
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