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doctoryg.blogspot.com Risk Factors of Aspiration Patient: Inadequate fasting Delayed gastric emptying Incompetent Lower Oesophageal Sphincter Emergency Pregnancy Diabetes, Obesity Hiatus Hernia GORD Surgery: Upper GI tract Lithotomy Head down Laparoscopy Cholecystectomy Anaesthetic: Light anaesthesia Supraglottic airways Positive-pressure ventilation Difficult airway Long surgery Management of Aspiration: 1 Call for help, communicate and delegate. 2 Place head […]
Read MoreAuthors: Eva Rivas, M.D. et al Anesthesiology January 2022, Vol. 136, 115–126. Background Early mobilization is incorporated into many enhanced recovery pathways. Inadequate analgesia or excessive opioids may restrict postoperative mobilization. The authors tested the hypotheses that in adults recovering from abdominal surgery, postoperative pain and opioid consumption are inversely related to postoperative mobilization, and […]
Read MoreAuthors: J. Armstrong, P. Jenner, S. Poulose,I. K. Moppett Anesthesia Peri-operative medicine, critical care and pain April 21 Summary The use of cuffed tracheal tubes in paediatric anaesthesia is now common. The use of nitrous oxide in anaesthesia risks excessive tracheal tube cuff pressures, as nitrous oxide can diffuse into the cuff during the course […]
Read MoreAuthor: Michael Walter Cardiovascular Business Older adults with a high resting heart rate may face an increased risk of dementia, according to new findings published in Alzheimer’s & Dementia. The study included data from more than 2,100 participants who were 60 years old and older. All participants lived in Stockholm, Sweden, and they were followed for […]
Read Moredoctoryg.blogspot.com Midazolam, a benzodiazepine, is currently the drug most commonly used to reduce preoperative anxiety and induce sedation. It can be administered intravenously and orally. In adults, it can be used to control preoperative anxiety and, during a procedure alone or in combination with other drugs, for intravenous sedation. For children, oral midazolam in doses as […]
Read MoreAuthors: K. El-Boghdadly et al Anesthesia Peri-operative medicine, critical care and pain June 2020 Summary Healthcare workers involved in aerosol-generating procedures, such as tracheal intubation, may be at elevated risk of acquiring COVID-19. However, the magnitude of this risk is unknown. We conducted a prospective international multicentre cohort study recruiting healthcare workers participating in tracheal […]
Read MoreAuthors: Evan D. Kharasch, M.D., Ph.D et al Press Release (December 7, 2021), The American Society of Anesthesiologists To address the U.S. opioid epidemic, policies and guidelines have focused primarily on reducing opioid prescribing and restricting supply. Accordingly, opioid prescribing decreased 38% in the past decade. Nevertheless, fatal opioid overdoses actually increased 300% during that […]
Read MoreAuthors: E. Gonvers,K. El-Boghdadly,S. Grape,E. Albrecht Anaesthesia Peri-operative medicine, critical care and pain Aug 21 Summary Widespread adoption of intrathecal morphine into clinical practice is hampered by concerns about its potential side-effects. We undertook a systematic review, meta-analysis and trial sequential analysis with the primary objective of determining the efficacy and safety of intrathecal morphine. […]
Read MoreASA Monitor January 2022, Vol. 86, e2. Dr. Shafer’s editorial on vaccination in the November issue of the ASA Monitor1 makes the following statements in favor of vaccination: My parents, spouse, siblings, and children won’t get COVID-19 from me. My friends won’t get COVID-19 from me. My coworkers won’t get COVID-19 from me. My patients won’t […]
Read MoreAuthors: Anthony R. Plunkett, MD, FASA and Michael W. Bartoszek, MD, MBA ASA Monitor January 2022, Vol. 86, e1. In March 2020, our anesthesia department faced the same scenario as the rest of the United States and most of the world – how can we best utilize our skillset to help in the fight against COVID-19? […]
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