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AUTHORS: Farag, Ehab MD, FRCA, FASA et al Anesthesia & Analgesia: October 5, 2021 BACKGROUND: Monitored anesthesia care (MAC) and general anesthesia (GA) with endotracheal intubation are the 2 most used techniques for patients with acute ischemic stroke (AIS) undergoing endovascular thrombectomy. We aimed to test the hypothesis that increased arterial oxygen concentration during reperfusion period […]
Read MoreAUTHORS: Kent, Michael L. MD et al Anesthesia & Analgesia: September 30, 2021 Abstract BACKGROUND: Pain trajectories have been described in numerous surgical settings where preoperative characteristics have been used to predict trajectory membership. Suboptimal pain intensity trajectories have been linked to poor longitudinal outcomes. However, numerous biopsychosocial modulators of postoperative pain may also have distinct […]
Read MoreAUTHORS: Brooks Peterson, Melissa MD et al Anesthesia & Analgesia: September 30, 2021 BACKGROUND: Epidermolysis bullosa (EB) is a group of rare epithelial disorders caused by abnormal or absent structural proteins at the epidermal-dermal junction. As a result, patients experience blisters and wounds from mild shearing forces. Some forms of EB are complicated by resultant scarring […]
Read MoreAUTHORS: Frassanito, Luciano MD et al Anesthesia & Analgesia: September 30, 2021 BACKGROUND: Arterial hypotension is common after spinal anesthesia (SA) for cesarean delivery (CD), and to date, there is no definitive method to predict it. The hypotension prediction index (HPI) is an algorithm that uses the arterial waveform to predict early phases of intraoperative hypotension. […]
Read MoreAUTHORS: Koch, Susanne MD, PhD et al Anesthesia & Analgesia: September 27, 2021 BACKGROUND: Intraoperative electroencephalography (EEG) signatures related to the development of postoperative delirium (POD) in older patients are frequently studied. However, a broad analysis of the EEG dynamics including preoperative, postinduction, intraoperative and postoperative scenarios and its correlation to POD development is still lacking. […]
Read MoreAuthor: Jenna Fletcher Medical News Today Doctors no longer use the term rebound headaches or rebound migraine. Instead, they use the term medication overuse headache (MOH). Other terms that people may use to describe this condition include drug-induced headache and medication misuse headache. Rebound migraine is an outdated term for what healthcare professionals now refer to as […]
Read MoreAUTHORS: Weyer, Clara BS et al Anesthesia & Analgesia: September 20, 2021 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 from a fast- and a low-amplitude EEG during […]
Read MoreAuthors: Vivek Arora, M.D. Geoff Burks, M.D Anesthesiology October 2021. doi: Systemic air embolism is a rare but potentially catastrophic complication of percutaneous transthoracic needle lung biopsy.1 Systemic air embolism can occur as a result of placement of the biopsy needle tip into a pulmonary vein, thus entraining atmospheric air, or by the formation of bronchial-venous or […]
Read MoreDG Journal Club AUTHORS: Yansong Guo, Qian Xu et al. World J Surg Oncol. 2021 Sep 18; 19(1): 282 OBJECTIVE To explore the clinical outcomes and effect on intraoperative blood loss and postoperative pain of patients undergoing the retroperitoneal laparoscopic partial nephrectomy (RLPN) for complex renal tumors. METHODS Fifty patients with complex renal tumor admitted […]
Read MoreDG Journal Club AUTHORS: Shuguang Yang, Huiying Zhao et al. Medicine (Baltimore). 2021 Sep 24; 100(38): e27275 BACKGROUND AND AIMS To identify the efficacy and safety of remifentanil when compared with other opioids in adult critically ill patients. METHODS We searched for studies in the Cochrane Library, MEDLINE, and EMBASE that had been published up […]
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