-
-
Call more information
660-596-2224 -
DG Journal Club Authors: Alessandro Vinciguerra, Alessandro Nonis et al. Eur J Ophthalmol. 2021 Jul Distal acquired lacrimal obstruction is a common adulthood pathology whose primary treatment is represented by EXT-DCR and END-DCR. When considering their influencing factors, the role of the type of anaesthesia applied during these surgeries has a major role. The aim […]
Read MoreAuthor: Cardiac Anesthesiologist One of the most promising indications for acupuncture is to prevent postoperative nausea and vomiting (PONV). PONV results in patient dissatisfaction, delayed discharge, unanticipated hospital admission, and the use of resources. Drugs have been the mainstay of management, however these have limited effectiveness, are associated with adverse effects, and can be costly. […]
Read MoreAuthors: Zhen-Zhen Xu, M.D. et al Anesthesiology September 2021, Vol. 135, 419–432. Background Regional anesthesia and analgesia reduce the stress response to surgery and decrease the need for volatile anesthesia and opioids, thereby preserving cancer-specific immune defenses. This study therefore tested the primary hypothesis that combining epidural anesthesia–analgesia with general anesthesia improves recurrence-free survival after […]
Read MoreAuthor: Richard Novak, MD The Anesthesia Consultant Clinical Case for Discussion: This month’s question is on hypertension and anesthesia. You are scheduled to anesthetize a 71-year-old male for an arthroscopic rotator cuff repair. His blood pressure when you meet him in pre-op is 170/99 mmHg. The nurses and the surgeon are alarmed. What would you […]
Read MoreDG Journal Club Authors: Bronagh Blackwood, Lyvonne N Tume et al. JAMA. 2021 Aug 3; 326(5): 401-410 Importance There is limited evidence on the optimal strategy for liberating infants and children from invasive mechanical ventilation in the pediatric intensive care unit. Objective To determine if a sedation and ventilator liberation protocol intervention reduces the duration […]
Read MoreAuthor: Cardiac Anesthesiologist A number of local anesthetic formulations are available for topical anesthesia , lidocaine, dibucaine, tetracaine, and benzocaine being the drugs used most commonly. In general, these preparations provide effective but relatively short durations of analgesia when applied to mucous membranes or abraded skin. Their efficacy is determined by drug form, melting point, concentration, and […]
Read MoreAuthors: Stephen C. Haskins, M.D. et al Anesthesiology September 2021, Vol. 135, 433–441. Background Hip arthroscopy is associated with moderate to severe postoperative pain. This prospective, randomized, double-blinded study investigates the clinically analgesic effect of anterior quadratus lumborum block with multimodal analgesia compared to multimodal analgesia alone. The authors hypothesized that an anterior quadratus lumborum […]
Read MoreAuthors: Natalie A. Silverton, M.D., F.R.C.P.C., F.A.S.E et al Anesthesiology September 2021, Vol. 135, 406–418. Background Acute kidney injury (AKI) is a common complication of cardiac surgery. An intraoperative monitor of kidney perfusion is needed to identify patients at risk for AKI. The authors created a noninvasive urinary oximeter that provides continuous measurements of urinary […]
Read MoreAuthor: Richard Novak, MD The Anesthesia Consultant Clinical Case of the Month: You’re medical director for a busy outpatient surgery center. An RN routinely does the preoperative screening by telephoning each patient two days prior to surgery. The RN pages you with this question: A 48-year-old patient scheduled for anterior cruciate ligament (ACL) reconstruction surgery […]
Read MoreAuthor: Leigh Ann Green Medical News today A new study investigates links between sleep apnea and cardiovascular-related deaths. no_limit_pictures/Getty Images Obstructive sleep apnea has become a worldwide health concern. Sleep apnea has associations with an increased risk of sudden and cardiovascular-related deaths. Future research should focus on decreasing and preventing this serious sleep condition. Obstructive […]
Read More