@j-clin-anesth.bsky.social
An International Journal of Anesthesiology and Perioperative Medicine.
βΌοΈNew podcastβΌοΈ
@roesslermd.bsky.social interviews Dr. Christopher Wolla on preoperative ultrasound assessment of gastric volume in fasted surgical patients taking GLP-1 agonists.
π½οΈwatch here: youtu.be/5ebe7frmR8I
πread the article: doi.org/10.1016/j.jclinane.2025.111853
#MedSky #AnSky
This new retrospective study found that elective nonβcardiac surgeries performed in the afternoon, especially with starting time between 3β6β―pm, were linked to increased mortality and more complications in highβrisk patients.
π doi.org/10.1016/j.jclinane.2025.111879
New prospective study from our June issue!
β‘οΈ In patients undergoing cesarean delivery, altered complement and coagulation pathways in pre-op cerebrospinal fluid proteome were linked to persistent pain or postpartum depression at 3 months.
π doi.org/10.1016/j.jclinane.2025.111855
#AnSky #MedSky
Ultrasound assessment of preoperative gastric volume in fasted diabetic surgical patients: A prospective observational cohort study on the effects of glucagon-like peptide-1 agonists on gastric emptying
π doi.org/10.1016/j.jclinane.2025.111853
Repeated maternal voice orientation effectively reduces the incidence and severity of postoperative emergence agitation among pediatric patients.
Read this new 360 patient #RCT from our June issue!
π doi.org/10.1016/j.jclinane.2025.111851
Predicting admission to and length of stay in intensive care units after general anesthesia?
β‘οΈintraoperative data likely more important for predicting ICU admission
β‘οΈpreoperative data seems more important for predicting length of stay
π doi.org/10.1016/j.jclinane.2025.111810
Check out our latest interview for the JCA podcast!
#AnSky #MedSky
βΌοΈNew podcast alertβΌοΈ
Our April podcast is here!
@roesslermd.bsky.social interviews Dr. A. Kaserer on his new trial on phosphate substitution in iron deficiency treatment with ferric carboxymaltose.
π½οΈwatch here: youtu.be/UA-D6955LCY
πread the article: doi.org/10.1016/j.jclinane.2024.111727
#AnSky
βΌοΈNew podcast alertβΌοΈ
Our April podcast is here!
@roesslermd.bsky.social interviews Dr. A. Kaserer on his new trial on phosphate substitution in iron deficiency treatment with ferric carboxymaltose.
π½οΈwatch here: youtu.be/UA-D6955LCY
πread the article: doi.org/10.1016/j.jclinane.2024.111727
#AnSky
This retrospective analysis of 58,175 non-cardiac surgical procedures found that patients with chronic renal disease tend to improve kidney function after surgery - but only if they did not have AKI.
By @roesslermd.bsky.social
#MedSky #AnSky
π doi.org/10.1016/j.jclinane.2025.111745
Non-research industry payments to anesthesiologists in the U.S. between 2014 and 2023:
β‘οΈ 75% of anesthesiologists and 46% of non-physician anesthesia providers received paymentsβ¨β‘οΈ Top 1Β % of anesthesiologists received 78% of total payments
π doi.org/10.1016/j.jclinane.2025.111742
βΌοΈNew podcast alertβΌοΈ
Our January 2025 podcast is here!
Dr. Moore interviews Dr. Saugel on his recent pilot trial on personalized perioperative blood pressure management.
π½οΈwatch here: youtu.be/OU_WtQYEVI4?si=fixRAY7plz9MfXdB
πread the article: doi.org/10.1016/j.jclinane.2024.111687
#AnSky #MedSky
Cerebral oximetry index may be a promising metric for predicting postoperative delirium or new-onset overt stroke in patients having carotid endarterectomy.
Optimal thresholds:
β‘οΈ 0.7 in the pre-clamping phase
β‘οΈ 0.4 in the post-clamping phase
π doi.org/10.1016/j.jclinane.2024.111733
Personalized perioperative blood pressure management in patients having major non-cardiac surgery: A bicentric pilot randomized trial
β‘οΈ Preoperative automated blood pressure monitoring & targeting nighttime MAP during surgery is feasible.
#AnSky #MedSky
π doi.org/10.1016/j.jclinane.2024.111687
Individual FiO2 guided by SPO2 prevents hyperoxia and reduces postoperative atelectasis in colorectal surgery: A randomized controlled trial.
Check out this new #RCT from our February issue.
π doi.org/10.1016/j.jclinane.2024.111732
Can having surgery affect progression of chronic kidney disease?
Our new retrospective analysis of 58,175 non-cardiac surgeries, found that having surgery was associated with improved kidney function in patients with CKD - but only if there was no AKI.
π doi.org/10.1016/j.jclinane.2025.111745
VVZ-149 is a novel, non-opioid, non-NSAID analgesic drug: It inhibits type 2 glycine transporter and type 2A serotonin receptor.β¨β¨In this phase 3 trial, VVZ-149 showed a significant reduction of pain and opioid use within the first 12h after surgery.
π doi.org/10.1016/j.jclinane.2024.111729
Evidence into practice!
Adequate TOF monitoring is still not ubiquitous. This large interrupted time series & quality improvement project shows successful large-scale integration of quantitative TOF monitoring and evidence based NMB management.
π doi.org/10.1016/j.jclinane.2024.111709
New podcast coming soon!
In the new year, we will continue our series of podcasts to highlight articles from the journal.
Remember last Januaryβs interview with @MayoClinic's Dr. Weingarten on neuromuscular block reversal and urinary retention?
π¬youtu.be/pEIWiIU7OJA
Future prospective studies should explore the causality between low etCOβ and severe PPCs.
20.12.2024 19:58 β π 1 π 0 π¬ 0 π 0Potential mechanisms include hyperventilation causing ventilator-induced lung injury, ventilation-perfusion mismatching, or an underlying pulmonary pathology.
20.12.2024 19:58 β π 1 π 0 π¬ 1 π 0
Severe PPCs were more common in the βlow etCOββ group (35 % vs. 18 %). Propensity score matching did not alter the results, showing a robust association.
20.12.2024 19:58 β π 1 π 0 π¬ 1 π 1No significant difference was found in overall PPCs between βlow etCOβ (below 35 mmHg)β and βnormal to high etCOβ (β₯ 35 mmHg)β patients (20 % vs. 19 %).
20.12.2024 19:58 β π 1 π 1 π¬ 1 π 0
This secondary analysis of the LAS VEGAS observational study aimed to examine the association between etCOβ levels and the occurrence of postoperative pulmonary complications (PCCs).
By the PROVE network.
#AnSky #MedSky
π doi.org/10.1016/j.jclinane.2024.111728
Have you seen this @icostache.bsky.social ?
Good work! The OG #MTP block ππΎππΎ
#RAsky #AnSky #MedSky #POCUSky &
Paravertebral-by-Proxy
The Journal of Clinical Anesthesia celebrates its 100th issue!
All articles in this special issue with free access for 100 days.
π www.sciencedirect.com/journal/jour...
I'm getting the impression that placing local anywhere in that region works.
19.12.2024 14:53 β π 4 π 1 π¬ 0 π 0
Possible alternative to paravertebral blocks?
β‘οΈIntertransverse process blocks at the retro-superior costotransverse ligament space
This study evaluated local anesthetic spread using MRI and sensory block in healthy volunteers.
#RASky #AnSky #MedSky
π doi.org/10.1016/j.jclinane.2024.111718
Mitochondrial oxygenation monitoring and acute kidney injury risk in cardiac surgery: A prospective cohort study
Read this article & more from our February issue!
π doi.org/10.1016/j.jclinane.2024.111715
The DeFicit #RCT found that oral phosphate supplementation for 30 days after ferric carboxymaltose administration did not affect mean lowest phosphate levels, but reduced the incidence of hypophosphatemia.
@roesslermd.bsky.social et al.
#PBM #MedSky #AnSky
π doi.org/10.1016/j.jclinane.2024.111727
