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AUTHORS: Vashishta, Rishi, MD et al Anesthesia & Analgesia: February 2019 – Volume 128 – Issue 2 – p 248–255 BACKGROUND: Patients on antidepressant or antianxiety medications often have complex perioperative courses due to difficult pain management, altered coping mechanisms, or medication-related issues. This study examined the relationship between preoperative antidepressants and antianxiety medications on postoperative […]
Read MoreAUTHORS: Pappas, Matthew A., MD, MPH et al Anesthesia & Analgesia: February 2019 – Volume 128 – Issue 2 – p 241–246 BACKGROUND: Current guidelines recommend that patients have preoperative assessment of cardiac risk and functional status, and that patients at “elevated” cardiac risk with poor or unknown functional status be referred for preoperative stress testing. […]
Read MoreAnesthesiology News Case Report Taizoon Dhoon, MD Assistant Professor, Department of Anesthesiology & Perioperative Care Waylan Wong, MD, MS Assistant Professor, Department of Anesthesiology & Perioperative Care University of California, Irvine School of Medicine Orange, California Ehlers-Danlos syndrome is a group of inherited disorders that affect connective tissues, including blood vessel walls. Ehlers-Danlos syndrome hypermobility […]
Read MoreAUTHORS: Gareth L. Ackland et al British Journal of Anesthesia May 2019 Volume 122, Issue 5, Pages 542–551 Background Perioperative arterial blood pressure management is a physiologically complex challenge influenced by multiple factors. Methods A multidisciplinary, international working subgroup of the Third Perioperative Quality Initiative (POQI) consensus meeting reviewed the (patho)physiology and measurement of arterial pressure […]
Read MoreSource: Futurity and Duke University Original Study DOI: 10.1016/j.neuron.2019.03.033 The discovery of general anesthesia 170 years ago was a medical miracle, enabling millions of patients to undergo invasive, life-saving surgeries without pain. General anesthesia drugs induce unconsciousness by activating a tiny cluster of cells at the base of the brain called the supraoptic nucleus (shown in […]
Read MoreAUTHORS: Zorrilla-Vaca, Andres, BS et al Anesthesia & Analgesia: January 14, 2019 BACKGROUND: Perioperative IV dextrose infusions have been investigated for their potential to reduce the risk of postoperative nausea and vomiting. In this meta-analysis, we investigated the use of an intraoperative or postoperative infusion of dextrose for the prevention of postoperative nausea and vomiting. METHODS: Our group […]
Read MoreAUTHORS: Cho, Brian C., MD et al Anesthesia & Analgesia: May 2019 – Volume 128 – Issue 5 – p 981–992 BACKGROUND: Erythropoietic-stimulating agents such as erythropoietin have been used as part of patient blood management programs to reduce or even avoid the use of allogeneic blood transfusions. We review the literature to evaluate the effect […]
Read MoreAUTHOR: Radius Anesthesia Operations Management for clinics, hospitals, and surgical services represents multiple challenges with regards to managing patient flow and delivering services in a punctual, cost-sensitive manner. One important challenge that has gained interest in the press concerns the practice of double-booking surgeries. As the title indicates, double-booked surgeries relates to the practice in […]
Read MoreAUTHORS: Yonekura, Hiroshi, MD, MPH et al Anesthesia & Analgesia: February 2019 – Volume 128 – Issue 2 – p 213–220 BACKGROUND: The effect of preoperative transthoracic echocardiography on the clinical outcomes of patients with hip fractures undergoing surgical treatment remains controversial. We hypothesized that preoperative echocardiography is associated with reduced postoperative morbidity and improved patient […]
Read MoreAUTHORS: Farag, Ehab, MD, FRCA, FASA et al Anesthesia & Analgesia: January 14, 2019 BACKGROUND: Hypotension is associated with acute kidney injury, but vasopressors used to treat hypotension may also compromise renal function. We therefore tested the hypothesis that vasopressor infusion during complex spine surgery is not associated with impaired renal function. METHODS: In this retrospective cohort analysis, […]
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