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pearl
1
Cerebral perfusion is probably maintained during prone positioning for spinal surgery during stable hemodynamics.
Bombardieri AM, Beckman J, Urban M et al. An Observational Study of Cerebral Blood Flow Velocity Evaluation in the Prone Position During Posterior Lumbar Surgery. Anesth. Analg. 2019 Aug 1; 129 (2): 487-492.
  Daniel Jolley
pearl
1
The single greatest predictor of the amount of opioid used after surgical discharge is the amount of postoperative opioid prescribed.
Howard R, Fry B, Gunaseelan V et al. Association of Opioid Prescribing With Opioid Consumption After Surgery in Michigan. JAMA Surg. 2019 Jan 1; 154 (1): e184234.
  Daniel Jolley
pearl
1
Intraoperative remifentanil infusions above a certain threshold may be associated with Opioid Induced Hyperalgesia and Acute Opioid Tolerance, although the clinical significance is uncertain,
Collection: Is remifentanil associated with Opioid Induced Hyperalgesia and Acute Opioid Tolerance?
  Daniel Jolley
pearl
1
Beware anesthesiologist number 7... the quality of intraoperative conduct of anesthesia effects patient outcomes.
Slogoff S Keats AS. Does perioperative myocardial ischemia lead to postoperative myocardial infarction? Anesthesiology. 1985 Feb 1; 62 (2): 107-14.
  Daniel Jolley
comment
1
Also see Carbon Footprint from Anaesthetic gas use [pdf] from the UK’s Sustainable Development Unit.

Collection: What contribution does anesthesia make to climate change?
  Daniel Jolley
pearl
1
Anesthesiologists have the ability to contribute either positively or negatively to the growing opioid misuse crisis.
Soffin EM, Lee BH, Kumar KK et al. The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and misuse. Br J Anaesth. 2019 Jun 1; 122 (6): e198e208e198-e208.
  Daniel Jolley
comment
1
Metajournal now automatically tracks and can filter for retracted articles – simply hit search in your article view and filter by article type. Easily check if there are any retracted articles among those you’ve favourited or read previously.
It’s a sad indictment on a minority in the medical community that this kind of technology is now necessary...
Collection: Retracted anesthesia & perioperative medicine publications
  Daniel Jolley
pearl
1
Chewing gum for one hour does not change gastric fluid volume.
Valencia JA, Cubillos J, Romero D et al. Chewing gum for 1 h does not change gastric volume in healthy fasting subjects. A prospective observational study. J Clin Anesth. 2019 Sep 1; 56: 100-105.
  Daniel Jolley
pearl
0
Pre-operative single-shot paravertebral blocks reduce post-operative pain for up to 24 hours after nephrectomy.
Collection: Paravertebral block for post-operative nephrectomy analgesia
  Daniel Jolley
pearl
1
Continuous paravertebral block is an effective alternative to thoracic epidural for managing post-operative pain after open nephrectomy, with a better side-effect profile.
Collection: Paravertebral block for post-operative nephrectomy analgesia
  Daniel Jolley