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Authors: Kristen K. MacKenzie, M.D. et al Anesthesiology 9 2018, Vol.129, 417-427. What We Already Know about This Topic: Up to 20% of patients undergoing major surgery experience postoperative delirium or cognitive dysfunction Intraoperative management strategies to reduce the risk of postoperative delirium remain unclear What This Article Tells Us That Is New: The heterogeneity of […]
Read MoreAuthor: John C. Drummond, M.D., F.R.C.P.C. Anesthesiology 7 2018, Vol.129, 187-189. Abstract A Comparison of the Direct Cerebral Vasodilating Potencies of Halothane and Isoflurane in the New Zealand White Rabbit. By Drummond JC, Todd MM, Scheller MS, and Shapiro HM. Anesthesiology 1986; 65:462–7. Reprinted with permission. Halothane is commonly viewed as a more potent cerebral vasodilator than […]
Read MoreOn Friday the FDA approved a supplemental new drug application (sNDA) for the administration of liposomal bupivacaine (Exparel, Pacira) via interscalene brachial plexus block for postoperative regional analgesia. Liposomal bupivacaine now becomes the first long-acting, single-dose nerve block available for upper extremity surgeries, such as total shoulder arthroplasty. The approval comes despite an earlier, marginally […]
Read MoreAuthors: Stavros G. Memtsoudis, M.D., Ph.D., F.C.C.P. et al Anesthesiology 9 2018, Vol.129, 428-439. What We Already Know about This Topic: Neuraxial anesthesia is being used more frequently for elective hip and knee replacements It is unclear whether increasing rates of hospital-level use of neuraxial anesthesia are associated with beneficial medical or economic outcomes What This […]
Read MoreAuthor: Jeffrey B. Cooper, Ph.D. Anesthesiology 9 2018, Vol.129, 402-405. Abstract Teamwork is now recognized as important for safe, high-quality perioperative care. The relationship in each surgeon–anesthesiologist dyad is perhaps the most critical element of overall team performance. A well-functioning relationship is conducive to safe, effective care. A dysfunctional relationship can promote unsafe conditions and contribute […]
Read MoreAuthors: Chad M. Brummett, M.D. et al Anesthesiology 9 2018, Vol.129, 396-398. Low back pain is one of the most common causes of chronic pain, disability, lost productivity, and cost, affecting more than 66 million Americans in 2012.1–3 A large number of treatments are available, including behavioral therapies, chiropractic care, exercise, injections, massage, medications, surgery, and others, […]
Read MoreAuthors: Michael J. Devinney, M.D., Ph.D. et al Anesthesiology 9 2018, Vol.129, 389-391. “…[is] delirium…simply a marker for other factors that may contribute to postoperative cognitive dysfunction risk…[or does] delirium itself actually contribute to longer-term postoperative cognitive dysfunction[?]” Are postoperative delirium and postoperative cognitive dysfunction entirely separate disorders, or are they two manifestations of the same […]
Read MoreNot about anesthesia but I wanted to share this with our readers. American Academy of Neurology Summary: Women with high physical fitness at middle age were nearly 90 percent less likely to develop dementia decades later, compared to women who were moderately fit, according to a new study. The study […]
Read MoreYou arrive at high quality surgical outcomes the same way you arrive at Carnegie Hall: practice, practice, practice. It may not be the only — or even the most important — driver of superlative operative results, but it’s fairly well established that people (and places) who do a lot of operations tend to have better […]
Read MorePreoperative chronic opioid use is associated with poor outcomes and continued dependence after posterior lumbar fusion, according to a study published online in Spine. Nikhil Jain, M.D., from The Ohio State University in Columbus, and colleagues used commercial insurance data (from 2007 to Q3-2015) to evaluate preoperative opioid use in 24,610 patients undergoing primary one- and two-level posterior […]
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