Uncategorized

Uncategorized Published - 1 December, 2021    By - Dr Clemens
Analgesia After Cesarean Delivery in the United States 2008–2018

AUTHORS: Reed, Sydney E. MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1550-1558 BACKGROUND:  Optimizing analgesia after cesarean delivery is a priority and requires balancing adequate pain relief with the risk of analgesics-associated adverse effects. Current recommendations are for use of a multimodal, opioid-sparing analgesic regimen that includes […]

Read More
Uncategorized Published - 1 December, 2021    By - Dr Clemens
Neuromuscular Blockade and Reversal Practice Variability in the Outpatient Setting

AUTHORS: Bash, Lori D. PhD, MPH et a; Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1437-1450 BACKGROUND:  Neuromuscular blockade (NMB) is a critical part of many surgical procedures. Data on practice patterns of NMB agents (NMBAs) and NMB reversal in recent years in the US ambulatory surgical care setting are […]

Read More
Uncategorized Published - 1 December, 2021    By - Dr Clemens
The Strength of Alpha Oscillations in the Electroencephalogram Differently Affects Algorithms Used for Anesthesia Monitoring

AUTHORS: Weyer, Clara BS et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1577-1587 BACKGROUND:  Intraoperative patient monitoring using the electroencephalogram (EEG) can help to adequately adjust the anesthetic level. Therefore, the processed EEG (pEEG) provides the anesthesiologist with the estimated anesthesia level. The commonly used approaches track the changes […]

Read More
Uncategorized Published - 30 November, 2021    By - Dr Clemens
Impact of Neuraxial Versus General Anesthesia on Discharge Destination in Patients Undergoing Primary Total Hip and Total Knee Replacement

AUTHORS: 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 More
Uncategorized Published - 30 November, 2021    By - Dr Clemens
Early Postoperative Outcomes of Super Morbid Obese Compared to Morbid Obese Patients After Ambulatory Surgery Under General Anesthesia

AUTHORS: Hajmohamed, Sherine MD et al  Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1366-1373 BACKGROUND:  Patients with body mass index (BMI) ≥50 kg/m2, defined as super morbid obesity, represent the fastest growing segment of patients with obesity in the United States. It is currently unknown if super morbid obese patients […]

Read More
Uncategorized Published - 30 November, 2021    By - Dr Clemens
What Is the Learning Curve for Lumbar Spine Surgery Under Spinal Anesthesia?

DG Journal Club AUTHORS: James L West, Gaetano De Biase et al. World Neurosurg. 2021 Nov 1 BACKGROUND Spinal anesthesia (SA) is routinely used in obstetrics and orthopedic surgery but has not been widely adopted in lumbar spinal surgery (LSS). One of the perceived barriers is the learning curve for the neurosurgical and anesthesia team […]

Read More
Uncategorized Published - 30 November, 2021    By - Dr Clemens
Efficiency Metrics at an Academic Freestanding Ambulatory Surgery Center: Analysis of the Impact on Scheduled End-Times

AUTHORS: Reeves, J. Jeffery MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1406-1414 BACKGROUND:  Understanding the impact of key metrics on operating room (OR) efficiency is important to optimize utilization and reduce costs, particularly in freestanding ambulatory surgery centers. The aim of this study was to assess the […]

Read More
Uncategorized Published - 30 November, 2021    By - Dr Clemens
A Comparison of Dexmedetomidine and Propofol on Emergence Delirium in Children Undergoing Cleft Palate Surgery With Sevoflurane-Based Anesthesia

DG Journal Club Authors: Lili Huang, Li Wang et al. J Craniofac Surg. 2021 Nov 3 ABSTRACT Emergence delirium is a common complication after sevoflurane-anesthesia and have a serious impact on children undergoing cleft palate surgery. The aim of this study was to compare the effect of propofol and dexmedetomidine on emergence delirium in children. […]

Read More
Uncategorized Published - 29 November, 2021    By - Dr Clemens
Inhalational Versus Intravenous Anesthetic Conditioning for Subarachnoid Hemorrhage-Induced Delayed Cerebral Ischemia

AUTHORS: Umeshkumar Athiraman, Abhijit V Lele et al. Stroke. 2021 Nov 4 BACKGROUND Inhalational anesthetics were associated with reduced incidence of angiographic vasospasm and delayed cerebral ischemia (DCI) in patients with aneurysmal subarachnoid hemorrhage (SAH). Whether intravenous anesthetics provide similar level of protection is not known. METHODS Anesthetic data were collected retrospectively for patients with […]

Read More
Uncategorized Published - 29 November, 2021    By - Dr Clemens
Urinary Neutrophil Gelatinase–Associated Lipocalin/Hepcidin-25 Ratio for Early Identification of Patients at Risk for Renal Replacement Therapy After Cardiac Surgery

AUTHORS: Elitok, Saban MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1510-1519 Abstract BACKGROUND: Acute kidney injury requiring renal replacement therapy (AKI-RRT) is strongly associated with mortality after cardiac surgery; however, options for early identification of patients at high risk for AKI-RRT are extremely limited. Early after cardiac […]

Read More