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Authors: Michael P. Puglia, II, M.D., Ph.D. et al Anesthesiology November 2021, Vol. 135, 813–828. Background Neurophysiologic complexity in the cortex has been shown to reflect changes in the level of consciousness in adults but remains incompletely understood in the developing brain. This study aimed to address changes in cortical complexity related to age and […]
Read MoreAuthors: T. Wesley Templeton, M.D. et al Anesthesiology November 2021, Vol. 135, 842–853. Background One-lung ventilation in children remains a specialized practice with low case numbers even at tertiary centers, preventing an assessment of best practices. The authors hypothesized that certain case factors may be associated with a higher risk of intraprocedural hypoxemia in children […]
Read MoreAuthor: Bryan Sullivan Chief Operating Officer, Plexus Technology Group, LLC, Fairfax, VA F1rst News As with previous years, the MIPS program is continuing to execute on its legislative mandate while also making accommodations for the COVID-19 pandemic. On July 13, 2021, CMS proposed changes for the 2022 reporting year; and, by the time you are […]
Read MoreAuthor: Meghan B. Lane-Fall, MD, MSHP, FCCM ASA Monitor November 2021, Vol. 85, 42. The recent focus on diversity, equity, and inclusion (DEI) has highlighted many of the ways that individuals and organizations in health care are fallible; for example, by making decisions informed by social group membership instead of factors more germane to such decisions. […]
Read MoreAUTHORS: Jeffrey M Breton, Calvin G Ludwig et al. J Neurosurg Spine. 2021 Nov OBJECTIVE Spinal anesthesia (SA) is an alternative to general anesthesia (GA) for lumbar spine surgery, including complex instrumented fusion, although there are relatively few outcome data available. The authors discuss their experience using SA in a modern complex lumbar spine surgery […]
Read MoreAUTHORS: Wu, Zhijie MD et al Anesthesia & Analgesia: November 2021 BACKGROUND: CO2 has anesthetic potency and effectively influences the circulatory system. We investigated the effects of Etco2 on the minimum alveolar concentration of sevoflurane that blunts the adrenergic response to surgical incision (MAC-BAR) in patients undergoing radical surgery for gastric carcinoma. METHODS: Ninety patients undergoing radical […]
Read MoreAUTHORS: Taha, Bushra MD et al Anesthesia & Analgesia: September 2021 BACKGROUND: Utilization of extracorporeal membrane oxygenation (ECMO) for adult critically ill patients is increasing, but data in obstetric cohorts are scant. This study analyzed ECMO utilization and maternal outcomes in obstetric patients in the United States. METHODS: Data were abstracted from the 1999–2014 National Inpatient […]
Read MoreDG Journal Club AUTHORS: Kathrin Braeuninger-Weimer, Naffis Anjarwalla et al. BMC Musculoskelet Disord. 2021 Oct 21; 22(1): 896 BACKGROUND There is a need to improve consultations between patients with persistent musculoskeletal low back pain and orthopaedic spine clinicians when surgery is not indicated. Poor communication and lack of education about self- management in these consultations […]
Read MoreAuthors: Obert, David P. MD et al Anesthesia & Analgesia: October 22, 2021 BACKGROUND: Intraoperative neuromonitoring can help to navigate anesthesia. Pronounced alpha oscillations in the frontal electroencephalogram (EEG) appear to predict favorable perioperative neurocognitive outcomes and may also provide a measure of intraoperative antinociception. Monitoring the presence and strength of these alpha oscillations can be […]
Read MoreAuthors: Chen, Luying MD et al Anesthesia & Analgesia: November 01, 2021 BACKGROUND: Traditional landmark-guided spinal anesthesia can be challenging in elderly patients with hip fractures. Ultrasound assistance (USAS) and real-time ultrasound guidance (USRTG) techniques can facilitate lumbar neuraxial blocks. However, it remains undetermined which method is optimal for use in elderly patients. This study […]
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