Cannabis users may need more anesthesia for surgery
(Reuters Health) - People who regularly use cannabis may need more than twice the usual dose of anesthesia for surgery, a U.S. study suggests.
CONCLUSIONS: It seems that one should focus on searching risk factors outside the procedures, and that certain recommendations should be developed regarding perioperative proceedings which might be beneficial for patients at risk of the impairment of their cognitive functions after a surgical procedure. PMID: 31008471 [PubMed - in process]
Thought exercise: So let's say you have a million bucks sitting around, and you wanted to invest it in such a way that it provided revenue, as opposed to growth for retirement. Think either a bit of salary replacement in order to work less, or maybe cover your housing costs (I assume most of you wouldn't just use it to pay off a mortgage at 3.5%). Where would you put it? Are there mutual funds comprised solely of dividend-earning stocks that kick out money? Annuities (ha!)? Laddered... Investments to Generate Revenue
Cerebral near-infrared spectroscopy (NIRS), a noninvasive means of monitoring cerebral oxygenation, is inferred to reflect the balance between tissue oxygen delivery and consumption. Although some studies have demonstrated an association between cerebral NIRS and intellectual outcome in special populations, such as those with hypoplastic left heart syndrome (J Thorac Cardiovasc Surg 2016;151:1358-66), questions remain regarding broader applicability. Although frequently used during anesthesia for congenital heart surgery, use in a broader surgical population is not established, including in adult patients (Anesth Analg 2012;115:1373-83).
Condition: Anesthesia, Regional Intervention: Other: Invitation to regional anesthesia survey Sponsors: Medical University of Warsaw; Department of Anesthesiology and Intensive Care, Czerniakowski Hospital, Warsaw; Polskie Towarzystwo Znieczulenia Regionalnego i Leczenia Bólu (Polish ESRA); Sekcja Znieczulenia Regionalnego i Terapii Bólu, Polskie Towarzystwo Anestezjologii i Intensyw nej Terapii (PTAiIT) Not yet recruiting
Conditions: Surgery; Surgery--Complications; Perioperative/Postoperative Complications Intervention: Device: Anesthesia Control Tower monitoring Sponsor: Washington University School of Medicine Not yet recruiting
ConclusionUnder general anesthesia several factors such as hypotension can mask the signs of subclavian artery injury. This case indicates that clinicians should be aware of the complications of central venous catheterization and take prompt action.ResumoJustificativa e objetivosA cateterização da veia jugular interna guiada por ultrassom é um procedimento comum e geralmente seguro em sala de cirurgia. No entanto, a punção inadvertida de uma artéria não compressível, como a artéria subclávia, embora rara, pode estar associada a sequelas com risco para vi...
[Citizen] Dar es Salaam -In Tanzania, where a population of a million people relies on a single anesthesiologist, the worry is always about the fate of women and newborn children during childbirth at the country's less-equipped rural hospitals.
This study aimed to assess the long-term outcomes of ESD for patients with severe and non-severe comorbidities.MethodsWe enrolled 1081 patients who underwent ESD for EGC between February 2004 and June 2013. Based on the American Society of Anesthesiologists Physical Status (ASA-PS) classification, we defined patients with severe and non-severe comorbidities as ASA-PS 3 and 1/2, respectively. We retrospectively compared the overall survival, risk factors for mortality, and adverse events between these two groups using propensity score matching and inverse probability of treatment weighting.ResultsA total of 488 patients met...
Publication date: Available online 21 April 2019Source: Anaesthesia Critical Care &Pain MedicineAuthor(s): Saber Davide Barbar, Laurent Muller, Vincent Brucker, Marc Leone, Mervyn Singer
Publication date: Available online 21 April 2019Source: Anaesthesia Critical Care &Pain MedicineAuthor(s): Souhayl Dahmani, Vincent Laudenbach