In this post, we will be taking a closer look at some of the most popular anesthesiology-related articles recently published across medical journals.

Increasing Sweep Gas Flow Reduces Respiratory Drive and Dyspnea in Nonintubated Venoarterial Extracorporeal Membrane Oxygenation Patients: A Pilot Study

  • Anesthesiology
  • July 2024
  • There is a lack of data regarding the assessment and management of dyspnea in patients undergoing venoarterial extracorporeal membrane oxygenation (ECMO) for cardiogenic shock. Our hypothesis is that increasing the sweep gas flow through the venoarterial ECMO may alleviate dyspnea in non-intubated patients experiencing significant respiratory distress. This intervention may also lead to a decrease in respiratory drive.
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Postoperative Delirium and the Older Adult: Untangling the Confusion

  • Journal of Neurosurgical Anesthesiology
  • July 2024
  • Postoperative delirium is a common complication following surgery, particularly among older adults. The incidence of postoperative delirium is projected to increase due to advancements in surgical techniques, changing demographics, and longer life expectancies. Despite being a temporary change in brain function, postoperative delirium is linked to negative consequences such as cognitive decline and the development of dementia, which can have a significant impact on patients and healthcare systems. As a result, there is a growing focus on researching the underlying mechanisms of postoperative delirium in order to develop more effective prevention and treatment strategies.
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Failed spinal anesthesia for cesarean delivery: prevention, identification and management

  • Current Opinion in Anesthesiology
  • June 2024
  • Postoperative delirium is a common complication following surgery, particularly among older adults. The incidence of postoperative delirium is projected to increase due to advancements in surgical techniques, changing demographics, and longer life expectancies. Despite being a temporary change in brain function, postoperative delirium is linked to negative consequences such as cognitive decline and the development of dementia, which can have a significant impact on patients and healthcare systems. As a result, there is a growing focus on researching the underlying mechanisms of postoperative delirium in order to develop more effective prevention and treatment strategies.
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Effect of Propofol Infusion on Need for Rescue Antiemetics in Postanesthesia Care Unit After Volatile Anesthesia: A Retrospective Cohort Study

  • Anesthesia & Analgesia
  • June 2024
  • Postoperative nausea and vomiting (PONV) commonly occur following volatile anesthesia. Our hypothesis is that the concurrent administration of propofol with volatile anesthetics, as opposed to using solely volatile anesthetics, will reduce the necessity for postoperative antiemetic interventions and expedite recovery time in the postanesthesia care unit (PACU).
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High dose glucocorticoids for treatment of postoperative pain: A systematic review of the literature and meta-analysis

  • Anesthesia & Analgesia
  • May 2024
  • The researchers conducted a comprehensive review of randomized controlled trials (RCTs) to assess the efficacy of peri-operative high-dose corticosteroid therapy compared to placebo or no treatment in enhancing post-operative pain management. The primary outcome measures included a reduction of 10 mm on a 100 mm Visual Analogue Scale (VAS), a decrease of 1 point on a 0-10 point VAS scale, a reduction of 1 point on an 11-point Numerical Rating Scale (NRS) score, or a decrease in the need for rescue opioid analgesia in patients undergoing various surgical procedures.
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Comparisons in analgesic effects between ultrasound-guided erector spinae plane block and surgical intercostal nerve block after video-assisted thoracoscopic surgery: A randomized controlled trial

  • Anesthesia & Analgesia
  • August 2024
  • The objective of this study was to compare the analgesic effects of anesthesiologist-administered erector spinae plane block (ESPB) and surgeon-administered intercostal nerve block (ICNB) following video-assisted thoracoscopic surgery (VATS).
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Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report from a multisociety international working group

  • Regional Anesthesia & Pain Medicine
  • July 2024
  • Postdural puncture headache (PDPH) may occur as a result of an accidental dural puncture during epidural procedures or a deliberate dural puncture during neuraxial techniques like lumbar punctures or spinal anesthesia. Despite the prevalence of this issue, there is a lack of evidence-based guidance on how to prevent, diagnose, and manage PDPH. This collaborative guidance from multiple medical societies seeks to address this gap by offering healthcare providers thorough information and patient-centered recommendations for the prevention, diagnosis, and management of PDPH.
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Association between general anesthesia in early childhood and neurodevelopment up to 4 years of age: the Japan Environment and Children’s Study

  • Journal of Anesthesia
  • June 2024
  • The impact of general anesthesia on neurodevelopment in children continues to be a topic of debate. Our study delved into the correlation between general anesthesia and neurodevelopment in children enrolled in the Japan Environment and Children’s Study (JECS).
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There you have it – a look at some of the most popular anesthesiology articles recently released. Sign up for alerts and stay informed on the latest published guidelines and articles.

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