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DG Journal Club AUTHORS: Jinlei Li, Feng Dai et al. Clin J Pain. 2021 Feb OBJECTIVES Adequate pain control after total hip arthroplasty is essential for patient satisfaction and surgical outcome. METHODS A retrospective study with before and after design was performed in 210 elective total hip arthroplasty patients. Control group (N=132) received spinal anesthesia […]
Read MoreDG Journal Club Mohamad El Moheb, Kelsey Han et al. World J Surg. 2021 Feb BACKGROUND In resource-limited countries, open appendectomy is still performed under general anesthesia (GA) or neuraxial anesthesia (NA). We sought to compare the postoperative outcomes of appendectomy under NA versus GA. METHODS We conducted a post hoc analysis of the International […]
Read MoreDG Journal Club AUTHORS: Yi Chen, Lili Zou et al. Pharmacotherapy. 2021 Feb BACKGROUND Prophylactic norepinephrine infusion effectively lowers the incidence of postspinal anesthesia hypotension. The optimal prophylactic dose of norepinephrine remains undefined. The purpose of this study was to investigate the optimal prophylactic dose of norepinephrine to prevent postspinal anesthesia hypotension in patients undergoing […]
Read MoreAuthor: Kara Grant MedPage Physician mothers are experiencing significant rates of moderate to severe anxiety during the COVID-19 crisis, with frontline workers and informal caregivers reporting the highest rates of anxiety. Of the more than 1,800 respondents surveyed from the Physician Moms Group on Facebook, 41% had scores that put them above the Generalized Anxiety […]
Read MoreDuke University People who have a gene variant associated with an increased risk of developing Alzheimer’s disease also tend to have changes in the fluid around their brain and spinal cord that are detectable years before symptoms arise, according to new research from Duke Health. The work found that in people who carry the APOE4 […]
Read MoreDG Journal Club AUTHORS: Gabby Napoleone, Klaske van Heusden et al. Anesth Analg. 2021 Feb BACKGROUND Closed-loop control of propofol-remifentanil anesthesia using the processed electroencephalography depth-of-hypnosis index provided by the NeuroSENSE monitor (WAVCNS) has been previously described. The purpose of this placebo-controlled study was to evaluate the performance (percentage time within ±10 units of the […]
Read MoreAuthor: Stephen Freidberg MD The DADesthesiologist Medical specialties, especially within the medical community, are known to be identified as comedic stereotypes of themselves. In addition to (or in conjunction with) being viewed as lazy, anesthesiologists are often stereotyped as being obstructionists to the operating room. A spot-on joke generated during the “first” COVID-19 surge in […]
Read MoreCardiac Anesthesiologist One of the most promising indications for acupuncture is to prevent postoperative nausea and vomiting (PONV). PONV results in patient dissatisfaction, delayed discharge, unanticipated hospital admission, and the use of resources. Drugs have been the mainstay of management, however these have limited effectiveness, are associated with adverse effects, and can be costly. Acupuncture prevents PONV compared with sham acupuncture […]
Read MoreRadius Anesthesia Blog Prevention and management of spinal anesthesia-induced hypotension is essential for preventing complications in the perioperative/peripartum period. In 2018, an international consensus statement was published that detailed guidelines for managing hypotension related to neuraxial anesthesia for cesarean sections. In summary, the publication recommended the following: vasopressors should be used routinely and preemptively, alpha-agonist drugs such as phenylephrine are preferred as first-line agent due to abundance of data on their use, left uterine displacement […]
Read MoreDG Alerts “Previous studies reported that 65% to 70% of patients with acute kidney injury requiring kidney replacement therapy (AKI-KRT) had recovered from dialysis dependency at the time of hospital discharge. However, long-term renal outcomes are unknown, because post-hospital follow-up after COVID-19-associated AKI in previous studies was limited to short observational periods,” wrote Kai M […]
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