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Read MoreAuthors: Richa Dhawan, M.D., M.P.H. et al Anesthesiology September 2021. Background Intrathecal morphine decreases postoperative pain in standard cardiac surgery. Its safety and effectiveness have not been adequately evaluated in minimally invasive cardiac surgery. The authors hypothesized that intrathecal morphine would decrease postoperative morphine consumption after minimally invasive cardiac surgery. Methods In this randomized, placebo-controlled, […]
Read MoreAUTHORS: Lee, Mee Jee MD et al Anesthesia & Analgesia: August 2021 BACKGROUND: Cardiac surgery with cardiopulmonary bypass induces a profound inflammatory response that, when severe, can lead to multiorgan system dysfunction. Preliminary data suggest that administration of hydroxyethyl starch (HES) solutions may mitigate an inflammatory response and improve pulmonary function. Our goal was to examine […]
Read MoreDG Journal Club AUTHORS: Jason T Edwards, Xuan T Langridge et al. J Clin Anesth. 2021 Aug STUDY OBJECTIVE In the initial description of the serratus anterior plane block (SAPB), both superficial and deep SAPB provided effective blockade. The purpose of this study was to investigate the difference in opioid consumption and postoperative analgesia between […]
Read MoreDG Journal Club AUTHORS: Carmelo Tiberio Currò, Antonio Ciacciarelli et al. Neurol Sci. 2021 Aug AIMS The objective of this study was to evaluate the impact of the first Italian COVID-19 lockdown on patients with chronic migraine (CM). MATERIAL AND METHODS The study was based on an e-mail survey addressed to CM patients of our […]
Read MoreAuthors: Michelle L. Humeidan, MD, PhD and Daniel J. Cole, MD, FASA ASA Monitor May 2021, Vol. 85, 39. During my (MH) medical school rotation in anesthesiology, the importance of optimizing specific organ systems prior to surgery was a fundamental aspect of what I was taught. If a patient had congestive heart failure, diuresis would […]
Read MoreAuthor: Dave Pearson Cardiovascular Busyness Virtual reality was highly effective at distracting young patients experiencing physical pain during a recent randomized trial, according to a study published Aug. 25 in JAMA Network Open. What’s more, the stress reduction extended to accompanying parents as well as clinicians administering the pain source under review, peripheral intravenous catheter (PIVC) […]
Read MoreAUTHORS: Kandil, Ali I. DO et al Anesthesia & Analgesia: August 2021 BACKGROUND: Auditory brainstem response (ABR) testing is considered to be relatively resistant to effects of volatile anesthetics. The impact of newer anesthetics on interpretability of ABR testing is unknown. This study compared sevoflurane versus propofol anesthesia on qualitative interpretability of ABR click-testing in children. […]
Read MoreAuthors: Jacqueline M. Leung, MD, MPH and Daniel J. Cole, MD, FASA ASA Monitor March 2021, Vol. 85, 1–12. Postoperative delirium is a geriatric syndrome associated with prolonged hospital length of stay and worsened functional and cognitive status after hospital discharge. Despite its prevalence, its pathophysiology is incompletely understood. Delirium is a complex interplay between patient […]
Read MoreAUTHORS: Privratsky, Jamie R. MD, PhD et al Anesthesia & Analgesia: August 2021 BACKGROUND: Both postoperative acute kidney injury (AKI) and preoperative chronic kidney disease (CKD) are associated with significantly worse outcomes following surgery. The relationship of both of these conditions with each other and with CKD progression after surgery remains poorly studied. Our objective was […]
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