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AUTHORS: 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 MoreAUTHORS: Mazzeffi, Michael MD, MPH, MSc et al Anesthesia & Analgesia: December 2021 BACKGROUND: Coagulopathic bleeding is common during adult extracorporeal membrane oxygenation (ECMO), and acquired von Willebrand syndrome is a contributing factor. We compared ECMO patient blood samples that were treated in vitro with recombinant von Willebrand Factor concentrate and plasma-derived von Willebrand Factor concentrate. […]
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: Liwu Jiao, Hao Ye et al. World Neurosurg. 2021 Dec 4 Management of recurrent or persistent trigeminal neuralgia (TN) after microvascular decompression (MVD) is often difficult. The purpose of this systematic review is to objectively analyze and summarize the published literature on the feasibility of re-MVD. The authors conducted a database search using MEDLINE […]
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 absence […]
Read MoreDG Journal Club AUTHORS: A Ojeda, A Calvo et al. Eur J Pain. 2021 Dec BACKGROUND Pain is a clinical feature of COVID-19, however data about persistent pain after hospital discharge, especially among ICU survivors is scarce. The aim of this study is to explore the incidence and characteristics of new-onset pain and its impact […]
Read MoreAUTHORS: Zhang, Yi-Nan MD et al Anesthesia & Analgesia: December 2021 BACKGROUND: Intestinal ischemia/reperfusion (I/R) challenge often results in gut barrier dysfunction and induces distant organ injury. Dexmedetomidine has been shown to protect intestinal epithelial barrier against I/R attack. The present study aims to investigate the degree to which intestinal I/R attack will contribute to gut-vascular […]
Read MoreAuthor: Yvette Brazier MedicalNewsToday Cluster headaches can be very painful. They occur several times a day, start suddenly, and last for a limited time. The exact cause of cluster headaches remains unknown, though there are several theories. Cluster headaches occur cyclically. A bout of regular attacks, known as a cluster period, can last a few […]
Read MoreAUTHORS: Emily K Chapman, Lea Scherschinski et al. World Neurosurg. 2021 Nov BACKGROUND Increasing numbers of posterior cervical decompression and fusion (PCDF) over the past decade have raised the prospect of bundled payment plans. The American Society of Anesthesiologists (ASA) Physical Status Classification system may enable accurate estimation of healthcare costs, length of stay, and […]
Read MoreAuthor: Tony Mira F1rstNews A few months ago, we published an alert describing new hurdles Medicare put in place for anesthesia providers in connection with facet intervention cases. Now, Medicare is making it more difficult to get paid in epidural steroid injection (ESI) cases. Beginning this month, a new policy will go into effect across […]
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