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doctoryg.blogspot.com Recommendations for Clear Liquids. It is appropriate to fast from intake of clear liquids at least 2 h before elective procedures requiring general anesthesia, regional anesthesia, or sedation/analgesia (i.e., monitored anesthesia care). Examples of clear liquids include, but are not limited to, water,fruit juices without pulp, carbonated beverages, clear tea, and […]
Read MoreAUTHORS: Zhao, Hong MD et al Anesthesia & Analgesia: December 2021 BACKGROUND: Hip fracture is a serious event in the older population and is associated with morbidity, mortality, and disability among those who survive. Emerging evidence suggests that frailty is pertinent to the clinical outcomes of older patients with hip fracture. METHODS: We conducted a retrospective […]
Read MoreAuthor: Kumar G. Belani, MBBS, MS, FACA, FAAP, SAMBA-F ASA Monitor January 2023, Vol. 87, 28. AMBULATORY CARE Abstract Cataract surgery is a low-risk operation and is one of the most common procedures performed worldwide. The incidence increases with age, and many patients needing cataract surgery are elderly and often present with comorbidities. Despite the safety […]
Read MoreAUTHORS: Goel, Vasudha MBBS et al Anesthesia & Analgesia: December 2021 BACKGROUND: Spinal cord stimulation (SCS) has been shown to reduce opioid consumption, reduce pain, improve quality of life compared to conventional therapy, and be more effective than spine reoperation in carefully selected patients. In this study, we evaluate readmissions after SCS implantation procedures, costs, predictors, […]
Read MoreAUTHORS: Carsetti, Andrea MD et al Anesthesia & Analgesia: December 2021 BACKGROUND: Despite several clinical index tests that are currently applied for airway assessment, unpredicted difficult laryngoscopy may still represent a serious problem in anesthesia practice. The aim of this systematic review and meta-analysis was to evaluate whether preoperative airway ultrasound can predict difficult direct laryngoscopy […]
Read MoreAuthor: Cardiac Anesthesiologist Interventions to improve glycemic control are known to improve outcomes. Multiple randomized clinical trials with diverse patient cohorts support intensive perioperative glucose control. Preoperative carbohydrate loading has resulted in reduced glucose levels after abdominal surgery and Cardiac Surgery (CS). Epidural analgesia during CS has been shown to reduce hyperglycemia incidence. After CS, hyperglycemia morbidity is […]
Read MoreAuthor: Саrdiac Anesthesiologist Vascular thrombotic events include both deep venous thrombosis and pulmonary embolism and represent potentially preventable complications after Cardiac Surgery (CS). Patients remain hypercoagulable after CS, increasing vascular thrombotic event risk. All patients benefit from mechanical thromboprophylaxis achieved with compression stockings and/or intermittent pneumatic compression during hospitalization or until they are adequately mobile […]
Read MoreAUTHORS: Baxter, Mark G. PhD et al Anesthesia & Analgesia: December 2021 BACKGROUND: Postoperative delirium and postoperative cognitive dysfunction are the most common complications for older surgical patients. General anesthesia may contribute to the development of these conditions, but there are little data on the association of age with cognitive recovery from anesthesia in the […]
Read MoreAUTHORS: Duque, Melissa MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1379-1386 BACKGROUND: Total knee replacement (TKR) and total hip replacement (THR) are 2 of the most common orthopedic surgical procedures in the United States. These procedures, with fairly low mortality rates, incur significant health care costs, with […]
Read MoreAUTHORS: Bass, Victoria MD et al Anesthesia & Analgesia: December 24, 2021 BACKGROUND: Serious mental health conditions (eg, anxiety and depression) are common in surgical patients, yet likely underassessed due to the time-consuming and cumbersome traditional screening process. A recently developed computerized adaptive mental health assessment tool (computerized adaptive test-mental health [CAT-MH]) allows rapid, precise, and […]
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