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AUTHORS: Mahr, Nicolas MD et al * Anesthesia & Analgesia: November 2020 BACKGROUND: The aim of the study was to investigate whether closed-loop compared to manual bispectral index (BIS)–guided target-controlled infusion of propofol and remifentanil could decrease the incidence of postoperative neurocognitive disorders after elective major noncardiac surgery. METHODS: Patients aged >50 admitted for elective […]
Read MoreAuthor: Orser, Beverley A. MD, PhD Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1109-1110 Health care workers are committed to learning from each other to optimize the management of coronavirus disease 2019 (COVID-19) patients. The World Health Organization (WHO) and the International Committee on Taxonomy of Viruses recently called […]
Read MoreDG Alerts Coronavirus disease 2019 (COVID-19) patients with modified high-risk obstructive sleep apnea (mHR-OSA) had poorer clinical outcomes than those with modified low-risk obstructive sleep apnea (mLR-OSA) independent of age, sex and comorbidities, according to a study published in Annals of the American Thoracic Society. “To our best knowledge, there were no prospective reports published about […]
Read MoreAUTHORS: Gutiérrez, Rodrigo G. MD, PhD et al Anesthesia & Analgesia: November 2020 BACKGROUND: Patients with low cognitive performance are thought to have a higher risk of postoperative neurocognitive disorders. Here we analyzed the relationship between preoperative cognition and anesthesia-induced brain dynamics. We hypothesized that patients with low cognitive performance would be more sensitive to […]
Read MoreNEJM Journal Watch By Joe Elia Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM Childhood exposure to tobacco, whether directly through smoking or at second hand, is associated with elevated blood pressure, reports a study in JAMA Network Open. Researchers examined data from the National Health and Nutrition Examination Surveys conducted from […]
Read MoreAUTHORS: Goulooze, Sebastiaan C. MSc et al Anesthesia & Analgesia: March 2021 – Volume 132 – Issue 3 – p 726-734 BACKGROUND: Optimal analgesic treatment following cardiac surgery is crucial for both patient comfort and successful postoperative recovery. While knowledge of both the pharmacokinetics and pharmacodynamics of analgesics is required to predict optimal drug dosing, […]
Read MoreAuthor: Carol J. Peden, M.D ASA A new paper defines the key practical steps that can be taken before, during, and after surgery to reduce patients’ risk of developing delirium and related problems that have long-term implications for brain health. Due to their unique role in perioperative care, physician anesthesiologists are ideally suited to lead […]
Read MoreDG Journal Club AUTHORS: Yu-Hsiang Ling, Ying-Hsuan Tai et al. BMJ Open. 2021 Feb OBJECTIVE The efficacy of parecoxib as pre-emptive analgesia still remains controversial. This study aimed to investigate how pre-emptive analgesia with parecoxib affected postoperative pain trajectories over time in patients undergoing thoracic surgery. DESIGN Retrospective cohort study. SETTING A single medical centre […]
Read MoreAuthor: Tony Mira F1rstNews Summary Medicare has opened up new locations for hundreds of procedures that had previously been relegated to the inpatient or hospital setting, generally. This will have an impact on anesthesia providers as there will be an increasing need for their services in alternate settings. On the move—that’s the story of mankind, […]
Read MoreAuthor: Jessie Hellmann The Hill President Biden and Congress are coming under pressure from advocates to address a public health crisis that has been overshadowed by the coronavirus pandemic: rising drug overdose deaths. While most attention and government resources have been focused on COVID-19, the overdose crisis has worsened as people struggle with job losses, isolation […]
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