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I know this has nothing to do with anesthesia however I wanted to share this with our readers since over 60% of Americans are overweight or obese. By Chiara Townley Using a mouse model, researchers discovered that insulin controls a molecular pathway in the brain that activates during stress and leads to more weight gain. […]
Read MoreAUTHORS: Kyu Oh T et al Anesthesiology. 2019 Aug;131(2):315-327. WHAT WE ALREADY KNOW ABOUT THIS TOPIC: Randomized controlled trials evaluating the potential value of statin administration for intensive care unit patients have not observed a benefitHowever, the chronic preadmission use of statins among patients admitted to the intensive care unit has not been robustly studied WHAT […]
Read MoreAUTHORS: Cabrini, Luca MD et al Anesthesia & Analgesia: May 2019 – Volume 128 – Issue 5 – p 971-980 Awake fiberoptic intubation is one of the recommended strategies for surgical patients with anticipated difficult airway, especially when concurrent difficult ventilation is expected. We performed the first systematic review of randomized controlled trials assessing different protocols […]
Read MoreAUTHORS: Maddison, Kathleen J. PhD et al Anesthesia & Analgesia: March 2019 BACKGROUND: The propensities for the upper airway to collapse during anesthesia and sleep are related, although much of our understanding of this relationship has been inferred from clinical observation and indirect measures such as the apnea–hypopnea index. The aim of this study was to use […]
Read MoreAUTHORS: Bryan, Yvon F. MD et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p 1256-1263 BACKGROUND: In patients who undergo surgery for oropharyngeal masses, intubation is almost always successful. However, technical aspects of airway management, including bag mask ventilation and oxygenation, may still be difficult. Although rates of airway difficulty […]
Read MoreAUTHORS: Howard-Quijano, Kimberly MD, MS et al Anesthesia & Analgesia: May 2019 – Volume 128 – Issue 5 – p 854-864 BACKGROUND: Three-dimensional (3D) strain is an echocardiographic modality that can characterize left ventricular (LV) function with greater accuracy than ejection fraction. While decreases in global strain have been used to predict outcomes after cardiac surgery, […]
Read MoreAUTHORS: Davies, Simon James MD, PhD et al Anesthesia & Analgesia: March 2019 BACKGROUND: Intraoperative hypotension is associated with worse perioperative outcomes for patients undergoing major noncardiac surgery. The Hypotension Prediction Index is a unitless number that is derived from an arterial pressure waveform trace, and as the number increases, the risk of hypotension occurring in […]
Read MoreAUTHORS: Komen, Helga MD et al Anesthesia & Analgesia: April 2019 – Volume 128 – Issue 4 – p 802-810 BACKGROUND: Approximately 50 million US patients undergo ambulatory surgery annually. Postoperative opioid overprescribing is problematic, yet many patients report inadequate pain relief. In major inpatient surgery, intraoperative single-dose methadone produces better analgesia and reduces opioid use […]
Read MoreAUTHOR: Drummond, John C. MD Anesthesia & Analgesia: April 2019 – Volume 128 – Issue 4 – p 759-771 There are occasionally intraoperative circumstances in which reduction of mean arterial pressure (MAP) to levels well below those that occur in nonanesthetized adults is necessary or unavoidable. In these situations, clinicians are inevitably concerned about the limits […]
Read MoreRarities With Anesthetic Implications Elizabeth A.M. Frost, MD Professor of Anesthesiology Mount Sinai Medical Center New York, New York Anesthesiology News Fetal Alcohol Spectrum Disorders What Is It? The term “fetal alcohol spectrum disorders” (FASDs) indicates several pathologies that affect children born of mothers who drank alcohol during pregnancy. Disorders vary from mild to severe, […]
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