anesthesiology

In response to reported medication errors that harmed patients in Nashville, the Society for Obstetric Anesthesia and Perinatology (SOAP), the Anesthesia Patient Safety Foundation (APSF) and the American Society of Anesthesiologists (ASA) today reaffirmed that spinal anesthesia remains a safe and essential anesthetic technique when administered with appropriate medication. These devastating event…

BackgroundAnticholinergic drugs are commonly used as premedication in clinical practice. The effects of premedication of atropine, penehyclidine, and glycopyrrolate on postoperative delirium in older patients remain unclear.ObjectiveThe aim of this study was to observe the effects of premedication with atropine, penehyclidine, and glycopyrrolate on postoperative delirium (POD) in older patients u…

IntroductionSepsis remains a significant clinical challenge characterized by complex inflammatory responses and hemodynamic instability, often modeled via cecal ligation and puncture (CLP). This study investigated the cardiovascular impacts of various anesthetic protocols in spontaneously hypertensive rats (SHR) subjected to abdominal sepsis.MethodsSeptic SHR were allocated into five anesthetic g…

BackgroundPerioperative stress and immunosuppression may influence tumor recurrence and long-term survival in cancer patients. Dexmedetomidine, a widely used anesthetic adjunct, remains controversial regarding its impact on postoperative prognosis. Some studies suggest it may attenuate immunosuppression, whereas others point to a potential tumor-promoting effect. This meta-analysis aimed to synth…

Ketamine given during C-sections could help ease early symptoms of postpartum depression. Common pain relievers, such as ibuprofen, may reduce the risk of delirium after surgery. Patients who take sleep medication before surgery may sleep better, have less pain and use fewer opioids after surgery. And cannabis use may increase the risk of a heart attack around the time of surgery but lower the ri…

Ketamine given during C-sections could help ease early symptoms of postpartum depression. Common pain relievers, such as ibuprofen, may reduce the risk of delirium after surgery. Patients who take sleep medication before surgery may sleep better, have less pain and use fewer opioids after surgery. And cannabis use may increase the risk of a heart attack around the time of surgery but lower the ri…

BackgroundKetamine gargle is considered a highly effective measure for preventing postoperative sore throat (POST). This randomized controlled study aimed to explore the efficacy, safety, and optimal dosage of esketamine gargle for preventing POST following laryngeal mask airway insertion.MethodsA total of 150 patients were randomly assigned to receive normal saline (NS), 25 mg, or 50 mg of esket…

BackgroundPostoperative nausea and vomiting (PONV) is common after painless gastroscopy. The independent predictive value of preoperative albumin, total bilirubin, Apfel score, and opioid type for PONV in decompensated cirrhosis is unknown.ObjectiveIn this exploratory post-hoc secondary analysis of a double-blind randomized controlled trial, we aimed to determine whether preoperative albumin, tot…

The American Society of Anesthesiologists (ASA) and American Board of Anesthesiology (ABA) today announced that "perioperative medicine" will be added as a new clinical topic within the subspecialty section to the Content Outline for Initial Certification in Anesthesiology. Developed at the request of the ASA's Center for Perioperative Medicine (CPMed), the update expands the ABA's content outlin…

The American Society of Anesthesiologists (ASA) and American Board of Anesthesiology (ABA) today announced that "perioperative medicine" will be added as a new clinical topic within the subspecialty section to the Content Outline for Initial Certification in Anesthesiology. Developed at the request of the ASA's Center for Perioperative Medicine (CPMed), the update expands the ABA's content outlin…

IntroductionPropofol-based total intravenous anesthesia (TIVA) with remifentanil is widely used for general anesthesia but is frequently associated with hypotension and bradycardia. Remimazolam, an ultra–short-acting benzodiazepine, provides rapid onset and offset, with the additional advantage of reversal by flumazenil, and may result in less hemodynamic depression. Previous randomized studies h…

BackgroundMagnesium sulfate gargle is widely used as an intervention for preventing postoperative sore throat (POST) due to its analgesic effect achieved by inhibiting calcium influx mediated by peripheral NMDA receptors. This study aimed to investigate its optimal dosage following laryngeal mask airway (LMA) ventilation.MethodsA total of 239 patients aged 18–60 years, with ASA grades I-II, who u…

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