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AUTHORS: Parks, Dale A. PhD et al Anesthesia & Analgesia: May 2021 – Volume 132 – Issue 5 – p 1438-1449 BACKGROUND: Postoperative pulmonary complications can have a significant impact on the morbidity and mortality of patients undergoing major surgeries. Intraoperative lung protective strategies using low tidal volume (TV) ventilation and positive end-expiratory pressure (PEEP) have […]
Read MoreAUTHORS: Chow, Jonathan H. MD et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 930-941 BACKGROUND: Coronavirus disease-2019 (COVID-19) is associated with hypercoagulability and increased thrombotic risk in critically ill patients. To our knowledge, no studies have evaluated whether aspirin use is associated with reduced risk of mechanical ventilation, intensive […]
Read MoreDG Journal Club Suzanne R Harrogate, Jackie A Cooper et al. Eur J Pain. 2021 May BACKGROUND Our aim was to describe the long-term prevalence, risk factors and impact on quality of life of Persistent Postsurgical Pain (PPP) following cardiac surgery. METHODS All patients undergoing sternotomy in a single centre over a six-month period were […]
Read MoreDG Journal Club Wiebke Falk, Anders Magnuson et al. Br J Anaesth. 2021 May BACKGROUND Thoracic epidural analgesia (TEA) has been suggested to improve survival after curative surgery for colorectal cancer compared with systemic opioid analgesia. The evidence, exclusively based on retrospective studies, is contradictory. METHODS In this prospective, multicentre study, patients scheduled for elective […]
Read MoreRobert Morton, CPHRM, CPPS, Assistant Vice President, Department of Patient Safety and Risk Management The Doctors Company For decades, consent documents have helped protect physicians against the claims of dissatisfied patients. Times have changed, however, and modern medicine requires a more complex and complete acknowledgment of both the patient’s and the physician’s rights and responsibilities […]
Read MoreAuthors: Alexandre Mansour, M.D. et al Anesthesiology May 2021. Background The SAME device (i-SEP, France) is an innovative filtration-based autotransfusion device able to salvage and wash both red blood cells and platelets. This study evaluated the device performances using human whole blood with the hypothesis that the device will be able to salvage platelets while […]
Read MoreDG Journal Club Samantha Sohnen, Oonagh Dowling et al. J Clin Anesth. 2021 May STUDY OBJECTIVE To identify whether adding intrathecal ketamine to intrathecal bupivacaine prolongs the time to first analgesic request in adult humans. DESIGN A meta-analysis of randomized controlled trials in humans. SETTING The majority of data was obtained in an operating room […]
Read MoreDG Journal Club Medha Mohta, Rohit B Chowdhury et al. Anaesth Intensive Care. 2021 May Most research in this field has focused on finding oxytocin doses for initiating uterine contractions. Only limited data are available regarding the optimal rate of oxytocin infusion to maintain adequate uterine tone. This randomised, double blind study included 120 healthy […]
Read MoreAUTHORS: Long, Justin B. MD et al Anesthesia & Analgesia: March 15, 2021 BACKGROUND: We sought to examine potential associations between pediatric postcardiac surgical hematocrit values and postoperative complications or mortality. METHODS: A retrospective, cross-sectional study from the Society of Thoracic Surgeons Congenital Heart Surgery Database (STS-CHSD) and Congenital Cardiac Anesthesia Society Database Module (2014–2019) was […]
Read MoreAUTHORS: Wang, Man-Ling MD et al Anesthesia & Analgesia: March 15, 2021 BACKGROUND: Postoperative delirium is common among older surgical patients and may be associated with anesthetic management during the perioperative period. The aim of this study is to assess whether intravenous midazolam, a short-acting benzodiazepine used frequently as premedication, increased the incidence of postoperative delirium. […]
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