Authors: Brian M. Ilfeld, M.D., M.S. et al Anesthesiology July 2021, Vol. 135, 95–110. Background Percutaneous peripheral nerve stimulation is an analgesic technique involving the percutaneous implantation of a lead followed by the delivery of electric current using an external pulse generator. Percutaneous peripheral nerve stimulation has been used extensively for chronic pain, but only […]
Read MoreAuthors: Andres Laserna, M.D. et al Anesthesiology July 2021, Vol. 135, 31–56. Background Although there are thousands of published recommendations in anesthesiology clinical practice guidelines, the extent to which these are supported by high levels of evidence is not known. This study hypothesized that most recommendations in clinical practice guidelines are supported by a low […]
Read MoreAuthors: Ken Lee, MD et al ASA Monitor June 2021, Vol. 85, 27–29. Irreversible electroporation (IRE) Irreversible electroporation (IRE) is an emerging non-thermal ablative technique with recent studies demonstrating its efficacy in destroying solid organ malignancies (Figure). The principle underlying IRE is applying sufficient electrical pulses to permanently increase cell membrane permeability. Subsequent formation of […]
Read MoreAuthors: Anahita Dabo-Trubelja, MD, FASA and Vijaya Gottumukkala, MBBS, MD, FRCA ASA Monitor June 2021, Vol. 85, 26–27. Innovations in imaging, technological advancements in micro-instrumentation, changing patient expectations and demands, and a general shift toward minimizing hospital stay are driving and expanding interventional radiology (IR) procedural growth as a more cost-effective acute care practice with positive impact […]
Read MoreAuthors: Christian B. Woods, B.S. et al Anesthesiology June 2021, Vol. 134, 901–914. Background Ndufs4 knockout (KO) mice are defective in mitochondrial complex I function and hypersensitive to inhibition of spinal cord–mediated response to noxious stimuli by volatile anesthetics. It was hypothesized that, compared to wild-type, synaptic or intrinsic neuronal function is hypersensitive to isoflurane in […]
Read MoreAuthors: Philipp Simon, M.D., Ph.D. et al Anesthesiology June 2021, Vol. 134, 887–900. Background General anesthesia may cause atelectasis and deterioration in oxygenation in obese patients. The authors hypothesized that individualized positive end-expiratory pressure (PEEP) improves intraoperative oxygenation and ventilation distribution compared to fixed PEEP. Methods This secondary analysis included all obese patients recruited at University […]
Read MoreFusion Anesthesia Solutions What is the Perioperative Surgical Home? The American Society of Anesthesiologists explains the Perioperative Surgical Home model where the patient’s experience of care is coordinated by a physician-led, interdisciplinary team. The expected metrics includes improved operational efficiencies, decreased resource utilization, a reduction in length of stay and readmission, and a decrease in complications and […]
Read MoreAuthor: Richard Novak, MD The Anesthesia Consultant “I’m going to have surgery to have my gall bladder out. How long will the anesthesia last?” The query “How long does general anesthesia last?” is a common question before surgery. Modern anesthetics wear off quickly after surgery, but the answer to your question is “It depends.” It […]
Read MoreAuthor: Michael Walter Cardiovascular Business COVID-19 patients with mild infections appear to make a full cardiovascular recovery after six months, according to new research published in JACC: Cardiovascular Imaging. The study’s authors found no evidence of lasting damage to the structure of the heart or its ability to function. “Disentangling the impact COVID-19 has on the […]
Read MoreAuthor: Michael Walter Cardiovascular Business Marijuana use is associated with a heightened risk of myocardial injury among individuals with no prior history of cardiovascular disease (CVD), according to new findings published in the American Journal of Cardiology. “Multiple observational studies have demonstrated an association with cannabis use and acute myocardial infarction, especially among young adults,” wrote […]
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