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Author: George Kovacs Cardiac Anesthesiologist Continue BMV between attempts, call for help and remember each attempt mandates a different approach. 1. If SpO2 permits allow a maximum of 3 attempts. 2. For direct or Macintosh videolaryngoscopy optimize technique, ELM, head position and consider using adjuncts. 3. If there is hold up at the glottic inlet when using a bougie, rotate […]
Read MoreDG Journal Club AUTHORS: Kate R Pawloski, Regina Matar et al. Ann Surg Oncol. 2021 Jul 10 BACKGROUND Nonsteroidal anti-inflammatory drugs (NSAIDs) are increasingly used in ambulatory breast surgery. The risk of hematoma associated with intraoperative ketorolac is low, but whether concomitant routine discharge with NSAIDs increases the risk of hematoma is unclear. METHODS We […]
Read MoreAuthor: J. LANCE LICHTOR and PETER MANCINI Cardiac Anesthesiologist Midazolam, a benzodiazepine, is currently the drug most commonly used to reduce preoperative anxiety and induce sedation. It can be administered intravenously and orally. In adults, it can be used to control preoperative anxiety and, during a procedure alone or in combination with other drugs, for […]
Read MoreAuthor: Anthony Vecchione Cardiovascular Busienss Patients with a history of coronary bypass grafting (CABG) face an elevated risk of COVID-19-related mortality, according to new data published in the American Journal of Cardiology. “Over the latest months, several analyses have demonstrated that cardiovascular (CV) comorbidities are common in patients with COVID-19 infection, increasing their morbidity and mortality risk,” wrote […]
Read MoreDG Journal Club AUTHORS Niels H Bech, Inger N Sierevelt et al. Knee Surg Sports Traumatol Arthrosc. 2021 Jul 11 PURPOSE This study was conducted to investigate whether the pain catastrophizing scale (PCS) and the central sensitization inventory (CSI) are predictive factors for the reported pain after hip arthroscopy. METHODS A total of 37 patients […]
Read MoreAuthor: Cardiac Anesthesiologist ASPIRATION Risk Factors of Aspiration Patient: Inadequate fasting Delayed gastric emptying Incompetent Lower Oesophageal Sphincter (Emergency, Pregnancy, Diabetes, Obesity, Hiatus Hernia, GORD) Surgery: Upper GI tract Lithotomy Head down Laparoscopy Cholecystectomy Anaesthetic: Light anaesthesia Supraglottic airways Positive-pressure ventilation Difficult airway Long surgery Management of Aspiration: 1 Call for help, communicate and delegate. […]
Read MoreAuthor: Anthony Vecchione Cardiovascular Business People who experience widespread pain face a heightened risk of stroke, according to new research published in Regional Anesthesia & Pain Medicine. Researchers analyzed 2,464 people from the Framingham Heart Study who were evaluated from 1990 to 1994. All participants underwent comprehensive physical exams, laboratory tests and pain assessments. The cohort was separated into […]
Read MoreAUTHORS: Zarbock, Alexander MD et al Anesthesia & Analgesia: August 2021 – Volume 133 – Issue 2 – p 292-302 BACKGROUND: Prospective, single-center trials have shown that the implementation of the Kidney Disease: Improving Global Outcomes (KDIGO) recommendations in high-risk patients significantly reduced the development of acute kidney injury (AKI) after surgery. We sought to evaluate […]
Read MoreAuthor: Саrdiac Anesthesiologist Hyperthermia during Cardiopumonary Bypass Moderate-quality prospective studies have demonstrated that when rewarming on cardiopulmonary bypass (CPB), hyperthermia (core temperature >37.9°C) is associated with cognitive deficits, infection, and renal dysfunction. Any postoperative hyperthermia within 24 hours after coronary artery bypass grafting has been associated with cognitive dysfunction at 4 to 6 weeks. Rewarming on CPB […]
Read MoreAuthor: Denise Baez DG Alerts Neutralising titres against the spike protein of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) remained relatively high for up to 13 months post infection, with only modest declines in neutralising titres, according to a study published in the Journal of General Internal Medicine. Patients with more severe disease showed higher rates […]
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