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Author: Richard Novak MD The Anesthesia Consultant Three days ago, I was giving anesthesia for six consecutive colonoscopy patients. Following my first case, I checked my phone and discovered that the President of the United States Joe Biden was having a colonoscopy at Walter Reed Medical Center that very morning. The headlines stated that for the […]
Read MoreDG Journal Clubs AUTHORS: Siguang Ma, Yanju Zhang et al. Pain Pract. 2022 Jan; 22(1): 8-18 OBJECTIVES The use of magnesium sulfate (MgSO 4 ) as an adjunct in different anesthetic regimens for cesarean section (CS) delivery often reports conflicting results. This study aimed to review the effectiveness of MgSO 4 on improving postoperative analgesia […]
Read MoreAUTHORS: Juri, Takashi MD et al Anesthesia & Analgesia: January 2022 Export BACKGROUND: Error grid analysis was recently proposed to compare blood pressure obtained by 2 measurement methods. This study aimed to compare continuous noninvasive blood pressure (CNBP) with invasive blood pressure (IBP) using the error grid analysis and investigate the confounding risk factors attributable to […]
Read MoreAUTHORS: Seiler, F. Arran MD et al Anesthesia & Analgesia: January 2022 BACKGROUND: Neuraxial labor analgesia is associated with elevations in maternal temperature; the mechanism responsible is unknown. Proposed mechanisms have included infection, altered thermoregulation, and inflammation, potentially triggered by local anesthetics. Studies of the association between neuraxial labor analgesia and maternal fever have focused on […]
Read MoreDG Journal Club AUTHORS: Pan Yu, Jie Zhang et al. Pain Pract. 2022 Jan; 22(1): 91-106 PURPOSE Various adjuvants for prolongation of intra-operative and postoperative analgesia have been clinically studied, but the safety and efficiency of nalbuphine as an adjuvant to local anesthetics in spinal anesthesia remains unconfirmed. Therefore, we conducted a meta-analysis about the […]
Read MoreAUTHORS: Iwasaki, Hajime MD, PhD et al Anesthesia & Analgesia: January 2022 BACKGROUND: The commonly used acceleromyography (AMG)-based neuromuscular monitor TOF-Watch SX is no longer manufactured. Recently, a new portable electromyography (EMG)-based neuromuscular monitor TetraGraph was introduced in clinical anesthesia. The aim of the study was to compare the responses obtained simultaneously from the abductor digiti […]
Read MoreDG Journal Club AUTHORS: Danielle Levin, Martin Acquadro et al. BMJ Case Rep. 2022 Jan 6; 15(1) A 59-year-old woman underwent an open pancreaticoduodenectomy. Thoracic patient controlled-epidural anaesthesia provided excellent incisional pain relief; however, the patient experienced intractable left shoulder pain (10/10 on the Numerical Rating Scale). To our knowledge, there is no effective established […]
Read MoreAuthor: Tony Mira F1rstNews Summary The new year brings with it a new federal rule that restricts balance billing in out-of-network cases. There will also be a new process in place for self-pay or uninsured patients. Today’s alert acts to remind readers of what they can expect and what they must do when faced with […]
Read MoreAUTHORS: Desebbe, Olivier MD et al Anesthesia & Analgesia: January 2022 Abstract BACKGROUND: Vasopressors are a cornerstone for the management of vasodilatory hypotension. Vasopressor infusions are currently adjusted manually to achieve a predefined arterial pressure target. We have developed a closed-loop vasopressor (CLV) controller to help correct hypotension more efficiently during the perioperative period. We tested […]
Read MoreAUTHORS: Barreto Chang, Odmara L. MD, PhD et al Anesthesia & Analgesia: January 2022 BACKGROUND: Ketamine is typically used by anesthesiologists as an adjunct for general anesthesia and as a nonopioid analgesic. It has been explored for prevention of postoperative delirium, although results have been contradictory. In this study, we investigated the association of ketamine with […]
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