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Authors: Veena Graff, M.D. et al Anesthesiology April 2021. Background Calls to better involve patients in decisions about anesthesia—e.g., through shared decision-making—are intensifying. However, several features of anesthesia consultation make it unclear how patients should participate in decisions. Evaluating the feasibility and desirability of carrying out shared decision-making in anesthesia requires better understanding of preoperative […]
Read MoreAUTHORS: Hallqvist, Linn MD, PhD Student, DESA et al Anesthesia & Analgesia: February 5, 2021 – Volume – Issue – 10.1213/ BACKGROUND: Hemodynamic instability during anesthesia and surgery is common and associated with cardiac morbidity and mortality. Information is needed regarding optimal blood pressure (BP) threshold in the perioperative period. Therefore, the effect of intraoperative hypotension […]
Read MoreDG Alerts Patients hospitalised with coronavirus disease 2019 (COVID-19) may be at risk of developing heart failure even if they do not have a previous history of heart disease or cardiovascular risk factors, according to a study published in the Journal of the American College of Cardiology. For the study, researchers led by Jesus Alvarez-Garcia MD, […]
Read MoreDG Alerts Patients hospitalised with coronavirus disease 2019 (COVID-19) frequently showed high likelihood of presence of heart failure with preserved ejection fraction (HFpEF) that was associated with cardiac structural and functional alterations, and myocardial injury, according to a study published in the European Journal of Heart Failure. The study included 64 hospitalised COVID-19 patients (mean age […]
Read MoreASA Monitor November 2018, Vol. 82, 50–51. Case 2018-11: ACDF A 45-year-old male with cervical radiculopathy presented for anterior cervical discectomy and fusion (ACDF) at C5-C6. Somatosensory-evoked potential monitoring (SSEP), motor-evoked potential monitoring (MEP) and continuous electromyography (EMG) were used. Plan was to limit sevoflurane to about one-half MAC, to avoid the use of neuromuscular […]
Read MoreAUTHORS: Cho, Eun-Ah PhD et al Anesthesia & Analgesia: January 15, 2021 – V BACKGROUND: Tools for the evaluation of gastric emptying have evolved over time. The purpose of this study was to show that the risk of pulmonary aspiration is not increased with carbohydrate drink, by demonstrating that the gastric antral cross-sectional area (CSA) of […]
Read MoreAUTHORS: Baharloo, Raheleh MS et al Anesthesia & Analgesia: May 2021 – Volume 132 – Issue 5 – p 1465-1474 BACKGROUND: Evidence suggests that increased early postoperative pain (POP) intensities are associated with increased pain in the weeks following surgery. However, it remains unclear which temporal aspects of this early POP relate to later pain experience. […]
Read MoreDG Journal Club AUTHORS: Go Otao, Toyoaki Maruta et al. Medicine (Baltimore). 2021 Apr 30; 100(17): e25560 ABSTRACT The aim of this study was to assess the efficacy of combined opioids by comparing four regimens of patient-controlled epidural analgesia (PCEA) after cesarean section.Parturient patients who underwent elective or emergent cesarean section under combined spinal and […]
Read MoreAUTHORS: Hsieh, Vincent C. MD et al Anesthesia & Analgesia: January 15, 2021 BACKGROUND: Children with mitochondrial disease undergo anesthesia for a wide array of surgical procedures. However, multiple medications used for their perioperative care can affect mitochondrial function. Defects in function of the mitochondrial electron transport chain (ETC) can lead to a profound hypersensitivity to […]
Read MoreAuthors: Kamal Maheshwari, M.D., M.P.H. et al Anesthesiology April 2021 Background Excessive or inadequate fluid administration causes complications, but despite this, fluid administration during noncardiac surgery is highly variable. Goal-directed management helps optimize the amount and timing of fluid administration; however, implementation is difficult because algorithms are complex. The authors therefore tested the performance of […]
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