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AUTHORS: Khan, Fauzia A. MBBS, FRCA et al Anesthesia & Analgesia: December 28, 2021 BACKGROUND: Pakistan is a lower middle–income country located in South Asia with a population of nearly 208 million. Sindh is its second largest province. The aim of this survey was to identify the current setup of pediatric services, staffing, equipment, and training […]
Read MoreAUTHORS: O’Bryan, Liam J. MD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 69-81 BACKGROUND: The perioperative inflammatory response may be implicated in adverse outcomes including neurocognitive dysfunction and cancer recurrence after oncological surgery. The immunomodulatory role of anesthetic agents has been demonstrated in vitro; however, its clinical relevance […]
Read MoreAUTHORS: Kouz, Karim MD et al Anesthesia & Analgesia: December 10, 2021 BACKGROUND: Cardiac output is an important hemodynamic variable and determines oxygen delivery. In contrast to blood pressure, cardiac output is rarely measured even in high-risk surgical patients, suggesting that clinicians consider blood pressure to be a reasonable indicator of systemic blood flow. However, the […]
Read MoreAUTHORS: Pensier, Joris MD et al Anesthesia & Analgesia: November 22, 2021 Abstract BACKGROUND: In critically ill patients, warnings about a risk of death and acute kidney injury (AKI) with hydroxyethyl starch (HES) solutions have been raised. However, HES solutions may yet have a role to play in major abdominal surgery. This meta-analysis and trial sequential […]
Read MoreAuthor: Richard Novak MD the anesthesia consultant A 12-year-old boy and his mother walk into a surgery center. The child is scheduled for a tonsillectomy, and is otherwise healthy. The anesthesiologist induces general anesthesia, and ten minutes later the patient has ventricular arrhythmias which descend into a cardiac arrest. Advanced Cardiac Life Support (ACLS) measures […]
Read MoreAuthor: Саrdiac Anesthesiologist Immediately after Cardiac Surgery (CS), most patients have some degree of bleeding. If left unevacuated, retained blood can cause tamponade or hemothorax. Thus, a pericardial drain is always necessary after CS to evacuate shed mediastinal blood. Drains used to evacuate shed mediastinal blood are prone to clogging with clotted blood in up to 36% of patients. When these […]
Read MoreAuthor: Cardiac Anesthesiologist Most cardiac surgeons use wire cerclage for sternotomy closure because of the perceived low rate of sternal wound complications and low cost of wires. Wire cerclage brings the cut edges of bone back together by wrapping a wire or band around or through the 2 portions of bone, then tightening the wire […]
Read MoreAuthor: Uday Jain, BSEE, MD, PhD, FASA ASA Monitor January 2023, Vol. 87, 29. AIRWAY BARRIER ENCLOSURES Abstract Several enclosures for placement around the head and upper torso have been described during this pandemic (Anesth Analg 2020;131:e135-36; J Cardiothorac Vasc Anesth 2021;35:966-67). They are usually made of frames covered by transparent sheets. The enclosures have access ports […]
Read MoreThis is important for anesthesia providers to know since many states are allowing marijuana usage. Author: Anthony Vecchione Cardiovascular Business Recent marijuana users are more than twice as likely to develop a dangerous bleeding complication after an aneurysmal subarachnoid hemorrhage (aSAH), according to new data published in Stroke. The goal of the study was to analyze the […]
Read MoreAuthors: Nadav Y. Schacham, M.D. et al Anesthesiology January 2022, Vol. 136, 93–103. Background Age- and sex-specific reference nomograms for intraoperative blood pressure have been published, but they do not identify harm thresholds. The authors therefore assessed the relationship between various absolute and relative characterizations of hypotension and acute kidney injury in children having noncardiac […]
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