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Ultrasonographic pulmonary interstitial syndrome is present in more than half of the women with with severe features and correlates with diastolic dysfunction, high blood pressure, and acute-onset breathlessness.

Link -
https://pubmed.ncbi.nlm.nih.gov/36727867/

"Deconstructing Postoperative Analgesia for Gynecologic Malignancy Surgery: Stand-Alone Intrathecal Morphine "

link -
https://pubmed.ncbi.nlm.nih.gov/37590797/

Sociodemographic Disparities in Postoperative Nausea and Vomiting
Link-

https://pubmed.ncbi.nlm.nih.gov/37205607/

An analysis of outcomes in more than 3 million lower extremity joint surgery patients found that evidence-based perioperative practice, while increasingly used, was less likely to be used with Black patients than with white patients.

Link -
https://pubs.asahq.org/anesthesiology/article/139/6/769/138697/Evidence-based-Perioperative-Practice-Utilization

Preoperative Spirometry in Patients With Known or Suspected Chronic Obstructive Pulmonary Disease Undergoing Major Surgery: The Prospective Observational PREDICT Study

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https://buff.ly/3FuazWf

Does Anesthesia QI Participation Lead to Savings in a surgical population? ASPIRE

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https://buff.ly/49V8q3J

Original Case Report: Intraoperative EEG biomarkers of abnormal cognition differ between propofol and sevoflurane under generalanesthesia. Neuroanesthesia TIVA

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https://buff.ly/47Ul7dB

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It has been unclear whether mechanical power during ventilation is associated with adverse outcomes. Now, research indicates higher mechanical power during ventilation is statistically associated with a greater risk of postoperative respiratory failure.

Link -
https://pubmed.ncbi.nlm.nih.gov/35475882/

Anesthesiology infographic on features Traumatic BrainInjury and Hypothermia.

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https://buff.ly/3u2Wpce

Regional Tissue in Patient

Is this a new tool for our toolbox?

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https://buff.ly/40PEDW5

Post Anesthesia Care Unit Recovery Time According to Volatile Anesthetic Used

Is there a clinically significant different in recovery time among the anesthetics?

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https://buff.ly/3uelGjH

New research indicates that—over the clinical concentration range—oliceridine is an with a favorable safety profile over morphine when considering analgesia and neurocognitive function.

Link-
https://pubmed.ncbi.nlm.nih.gov/37656771/

The use of a suitably trained, artificial intelligence, expert system can detect epileptiform abnormalities in the EEG with accuracy comparable to that of human experts.

Link - https://jamanetwork.com/journals/jamaneurology/fullarticle/2806244

What preoperative anesthetic GI concerns should one have when taking care of a patient on GLP1 receptor agonists??

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https://buff.ly/3QE4aOC

Global challenges to capnography access are still a pressing issue today. It's time for to rise to the challenge by closing the capnographygap

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https://buff.ly/3sdTpsZ

One of this month's featured clinical anesthesia on capnography.

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https://buff.ly/47bo3lt

Debate: Does guided anesthesia decrease the risk for ?

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https://buff.ly/3sndZHg

A spinal cord neuroprosthesis for locomotor deficits due to Parkinson’s disease.


Research Link -

A spinal cord neuroprosthesis for locomotor deficits due to Parkinson’s disease - Nature Medicine A spinal cord neuroprosthesis targeting leg motor neurons in real time improves walking and reduces freezing of gait in non-human primate models and in one individual with advanced Parkinson’s disease.

Compared to intermittent oscillometric arterial pressure monitoring, continuous finger-cuff arterial pressure monitoring helps clinicians reduce hypotension within 15 minutes after starting induction of and during noncardiac surgery.

Link -
https://pubmed.ncbi.nlm.nih.gov/37265355/ #:~:text=Conclusions%3A%20Continuous%20finger%2Dcuff%20arterial,intermittent%20oscillometric%20arterial%20pressure%20monitoring.

In a recent randomized double-blinded study of healthy older adults undergoing lower extremity orthopedic surgery, dexmedetomidine showed a lower incidence of postoperative delirium than propofol.

Link-
https://pubmed.ncbi.nlm.nih.gov/36534899/

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and , the pathophysiological bases of Protective and Open lung ventilation.

Link -
https://pubmed.ncbi.nlm.nih.gov/27477213/

Based on the causes for delayed and/or failed , the authors developed a scoring system to better predict the extubation success that may facilitate decisions regarding extubation management in neurosurgical patients.

Link-
ncbi.nlm.nih.gov/pmc/articles/PMC10566588/

In critically ill adult patients intubated in an emergency room or intensive care unit, video laryngoscopy led to higher first-attempt intubation success rates over direct laryngoscopy.

Link-
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7821955/

Perspectives on Ethnic and Language Diversity in Perioperative Neurocognitive Disorders
👉 The onus is on the scientific community to examine how ethnoracial factors and social determinants of health may impact perioperative neurocognitive disorders

Link -
https://journals.lww.com/anesthesia-analgesia/citation/2023/10000/perspectives_on_ethnic_and_language_diversity_in.13.aspx

POCUS This apparently complex figure just shows, from left to right, simple features. On the far left, the five areas of investigation are shown. Next the type of probe used is listed, i.e., only one probe. Then the depth used, i.e., a standard distance (85 mm) in most steps. Then the timing, for ruling out, sequentially, tension pneumothorax, lower femoral DVT, free abdominal fluids (or massive GI tract fluid), followed by pericardial tamponade. When the heart comes to analysis, most reversible cases have been a ssessed.
Critical care ultrasound in cardiac arrest 💔

Embrace Strong Bones on World Osteoporosis Day! 💪🦴

Today, we unite to raise awareness about osteoporosis – a condition that affects millions of people worldwide. Let's stand together to promote bone health, educate ourselves and others, and support those living with osteoporosis.

Remember, it's never too late to start taking care of your bones. 💙 Whether it's through a balanced diet, regular exercise, or getting the right medical advice, we can all make a difference.

Multi-modal prehabilitation: addressing the why, when, what, how, who and where next? 🏃🏻‍♂️🏃🏼‍♀️🥝🥑🍏🍗🥚 Just as there is growing interest in enhancing recovery after surgery, prehabilitation is becoming a recognised means of preparing the patient physically for their operation and/or subsequent treatment. Exercise training is an important stimulus for improving low cardiovascular fitness and preserving lean muscle mass, which are critical factors in how well the patient recovers from surgery. Despite the usual focus on exercise, it is important to recognise the contribution of nutritional optimisation and psychological wellbeing for both the adherence and the response to the physical training stimulus.

Link -
https://pubmed.ncbi.nlm.nih.gov/30604416/

Guidelines for the safe practice of total intravenous anaesthesia (TIVA)

Link -
https://doi.org/10.1111/anae.14456

ApnoeicOxygenation ⏳💡 Everything you need to know about apnoeic oxygenation, including preoxygenation, THRIVE and special patient groups.
First described in 1667, but arguably now revolutionising the practice of anaesthesia?

Link -
https://doi.org/10.1111/anae.14565

ApnoeicOxygenation ⏳💡 Everything you need to know about apnoeic oxygenation, including preoxygenation, THRIVE and special patient groups.
First described in 1667, but arguably now revolutionising the practice of anaesthesia?

Link -
https://doi.org/10.1111/anae.14565

World Nutrition Day And, one of my favorite staples would be U.S. Potatoes

Did you know U.S. Potatoes is a nutritious food ingredient to incorporate into making wholesome recipes for WND - Fuel for the future or anytime of the year. U.S. potatoes are great for sustainable living and providing you the nutrients and energy for our everyday daily routines and performance

One medium U.S. Potato provides about 110 calories of easy-to-digest calories, has zero cholesterol, zero sodium and zero fat… it also contains 26 grams of carbohydrates (9% daily value) to fuel one’s muscles and brain. Carbohydrates provides energy to sustain your energy levels and keep your day going.

U.S. Potatoes are rich in Vitamin C (30% daily value) which makes healthier meals and play a key role in supporting the body’s immune system and Vitamin B6, with one medium potato providing 10% of the recommended daily value. Vitamin B6 is important for proper cell function and helps with metabolism.

U.S. Potatoes have 3 grams of plant-based protein per serving. Protein is the building block for growth and a key component of muscles, ligaments, and connective tissues.

Check out Chef Jason Manson’s Oven Baked US Hash Brown Potato Bruschetta Topped with Sour Cream Avocado and Salmon Cucumber Salsa recipe for a yummy dish that keeps you healthy and at the peak of your performance.

Open Lung Concept: responders have more homogeneous lung; non-responders greater overdistension. 💥 Recommendation: OLC for responders and ARDSNet for non-responders.

Link -
https://ccforum.biomedcentral.com/articles/10.1186/s13054-019-2365-1

Serratus plane block: a novel ultrasound‐guided thoracic wall nerve block. 🔊

Link -
https://doi.org/10.1111/anae.12344

On this World Mental Health Day, let's celebrate the strength that resides within each of us. Your journey is a testament to resilience, a roadmap of triumph over adversity. One day, your story will be the light that guides someone through their darkest moments. Together, we forge a path of healing and support, proving that no one walks alone.

The European guideline on management of major bleeding and coagulopathy following trauma: fifth edition -

Link -
https://ccforum.biomedcentral.com/track/pdf/10.1186/s13054-019-2347-3

Ketamine analgesia may consist of acute analgesic effects, antihyperalgesic effects, and modulation of opioid-mediated analgesia, each potentially mediated by a different set of peripheral and central nervous system circuits.” Authors untangled the properties of a devilishly complicated drug.

Link -
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5009833/

Study Exposes Need for Better Management of Anaemia.
A large study just published in the journal Anaesthesia raises important questions about the way anaemia is currently managed in surgical patients.

Link -
https://ifpbm.org/news/new-study-exposes-need-for-better-management-of-anaemia/

Airway Management - Predicting a Difficult Airway.

Link -
https://www.ncbi.nlm.nih.gov/books/NBK470224/