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Author: Chase Doyle Anesthesiology News Despite compelling potential mechanisms, a new study suggests that the combination of laparoscopic approach and Trendelenburg position does not increase risk for patients undergoing colorectal surgery. When compared with matched control cases, this retrospective analysis found that the combined approach did not alter postoperative estimated glomerular filtration rates (eGFRs) and […]
Read MoreAuthor: Michael Vlessides Anesthesiology News A study of factors that influence the amount of postoperative opioid consumption concluded that significantly fewer opioids were used in the first month after surgery by patients who were older, college graduates, more active and less anxious compared with their counterparts. The study also confirmed what many anesthesiologists already suspect: […]
Read MoreAuthors: Eduardo T.Moro MD, PhD et al Journal of Clinical Anesthesia Volume 53, March 2019, Pages 64-69 Highlights Immediate post-op pain control remains a challenge on remifentanil anesthesia. In this scenario, methadone was compared with morphine. We assessed the quality of recovery (QoR-40) from both analgesia techniques. Methadone use resulted in less sedation levels in the PACU. […]
Read MoreI thought this was interesting so I wanted to share with our readers. Authors: Scherrer JF et al. J Am Heart Assoc 2019 Feb 19 The observed links between PTSD and incident cardiovascular disease are likely due to other common psychiatric and medical risk factors. Post-traumatic stress disorder (PTSD) has been identified as a risk factor […]
Read MoreBy Ana Sandoiu A large study concludes that atrial fibrillation does, indeed, raise the risk of dementia even in people who did not have a stroke and that anticoagulants may reduce this risk. An irregular heartbeat may be a sign of A-fib, which may, in turn, raise dementia risk. Atrial fibrillation (A-fib) is a condition in which […]
Read MoreAuthor: Ajai Raj Anesthesiology News Perioperative nutrition in the United States is in dire straits and changes need to be made right away, according to leading researchers and clinicians. A recent national survey of gastrointestinal (GI) and oncologic surgeons found that although surgeons acknowledge that perioperative nutrition can have positive effects on surgical outcomes, there […]
Read MoreAuthor: Bob Kronemyer Anesthesiology News A multimodal analgesic approach to post–cesarean delivery pain management decreased the number of opioid tablets prescribed at discharge by 52%, according to a retrospective chart review presented at PAINWeek 2018. The multimodal approach at Mount Sinai Hospital, in Chicago, consisted of analgesics with various mechanisms of action for an additive […]
Read MoreAUTHORS: Qiang Zhu et al BMC Anesthesiology 2019 19:23 Background Quadratus lumborum (QL) block is increasingly being used as a new abdominal nerve block technique. In some studies of mid and lower abdominal and hip analgesia, continuous QL block achieved favorable outcomes as an alternative to continuous intravenous analgesia with opioids. However, the use of […]
Read MoreAuthors: Bronheim RS et al. Spine 2019 Feb 1 The Revised Cardiac Risk Index (RCRI; NEJM JW Gen Med Oct 1 1999 and Circulation 1999; 100:1043) predicts postoperative adverse cardiac events after noncardiac surgery; however, its applicability to patients undergoing high-risk spinal surgeries has not been demonstrated. Investigators used data from the National Surgical Quality Improvement Program […]
Read MoreAUTHORS: Hozumi, Jun, MD et al Anesthesia & Analgesia: March 2019 – Volume 128 – Issue 3 – p 563–568 BACKGROUND: Pro- and anti-inflammatory cytokines (adipokines) associated with adipose tissue can modulate inflammatory processes and lead to systemic inflammatory conditions such as metabolic syndrome. In the present pilot study, we investigated 3 major adipokines (leptin, adiponectin, […]
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