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AUTHORS: Blondonnet, Raiko MD, MSc et al Anesthesia & Analgesia: March 2021 BACKGROUND: Chest injuries are associated with mortality among patients admitted to the intensive care unit (ICU) and require multimodal pain management strategies, including regional anesthesia (RA). We conducted a survey to determine the current practices of physicians working in ICUs regarding RA for the […]
Read MoreAUTHORS: Stone, Amanda L. PhD et al Anesthesia & Analgesia: March 2021 BACKGROUND: Opioid analgesics are commonly prescribed for postoperative analgesia following pediatric surgery and often result in leftover opioid analgesics in the home. To reduce the volume of leftover opioids and overall community opioid burden, the State of Tennessee enacted a policy to reduce initial […]
Read MoreAUTHORS: Tiwary, Nayan BS et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 1112-1119 BACKGROUND: Cognitive impairment is common in older surgical patients and is associated with postoperative delirium. However, cognitive function is inconsistently assessed preoperatively, leading to missed opportunities to recognize vulnerable patients. We designed a prospective cohort study […]
Read MoreAUTHORS: Elsharkawy, Hesham MD, MBA, MSc, FASA et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 1138-1145 BACKGROUND: Epidural block are often used for analgesia after open nephrectomy surgery. Subcostal anterior quadratus lumborum block may be an alternative. We therefore tested the hypothesis that the continuous subcostal anterior quadratus lumborum […]
Read MoreAUTHORS: Safa, Ben MD et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 1129-1137 BACKGROUND: Bupivacaine and ropivacaine are the preferred long-acting local anesthetics for peripheral nerve blocks as they provide prolonged analgesia in the postoperative period. No studies have directly compared the analgesic duration of these commonly used local […]
Read MoreAUTHORS: Davies, Simon J. MD et al Anesthesia & Analgesia: March 2021 BACKGROUND: Intraoperative hypotension is a common event, and a recent study suggests that maintenance of blood pressure may reduce complications. The splanchnic circulation provides a reservoir of blood that can be mobilized during hemorrhage; hence, intestinal microcirculation is sensitive to volume changes. The […]
Read MoreAUTHORS: Ding, Weihua MM et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 1146-1155 BACKGROUND: Gut microbiota, a consortium of diverse microorganisms residing in the gastrointestinal tract, has emerged as a key player in neuroinflammatory responses, supporting the functional relevance of the “gut–brain axis.” Chronic-constriction injury of the sciatic nerve […]
Read MoreAnesthesia Experts wants to wish all of our followers a fun and safe Memorial Day. We need God to bless this great country and the men and w0men that serve her. To all that have given their lives in that cause we salute you. Have a great Memorial Day and may we all remember why […]
Read MoreAUTHORS: Ripoll, Juan G. MD et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 1101-1111 BACKGROUND: Preoperative anemia is common in cardiac surgery, yet there were limited data describing the role of sex in the associations between anemia and clinical outcomes. Understanding these relationships may guide preoperative optimization efforts. METHODS: […]
Read MoreAUTHORS: Furutani, Kenta MD, PhD et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 1092-1100 BACKGROUND: An epidurally administered local anesthetic acts primarily on the epidural nerve roots and can act directly on the spinal cord through the dural sleeve. We hypothesized that epidurally administered ropivacaine would reduce the amplitude […]
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