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Authors: Daosong Dong, M.D. et al Anesthesiology August 2021. Background Neurolytic splanchnic nerve block is used to manage pancreatic cancer pain. However, its impact on survival and quality of life remains controversial. The authors’ primary hypothesis was that pain relief would be better with a nerve block. Secondarily, they hypothesized that analgesic use, survival, and […]
Read MoreAuthor: Richard Novak, MD The Anesthesia Consultant What are the personal characteristics of a successful anesthesiologist? You’ve found The Anesthesia Consultant website, so you have some interest in anesthesia. Perhaps you’ve heard that anesthesiologists earn a comfortable living. Per wikiprofessionals.org: “According to figures from the U.S. Department of Labor, the lowest 10% of anesthesiologists earn under […]
Read MoreDG 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 […]
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