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Early initiation of methadone take-home dosing (5-24 weeks post-induction) reduces mortality and treatment discontinuation, surpassing benefits seen with no take-home dosing. Flexible dosing policies improve retention without increasing ove
This study investigates the association between continuation of non-full code status during surgery and early postoperative mortality, revealing higher mortality risk that aligns with clinical care decisions rather than missed rescue opport
This survey reveals a paradox in shared airway management where anesthesiologists value otolaryngology input but often fail to utilize it due to systemic barriers, highlighting the need for integrated communication solutions and joint train
This study identifies that vasovagal responses causing bradycardia occur in 8.9% of adult suspension microlaryngeal surgeries, emphasizing the need for vigilant monitoring and prompt interventions such as glycopyrrolate administration to pr
A prospective study shows that sedation combined with tumescent anesthesia and TAP block meets or exceeds patient expectations for comfort and accelerates postoperative recovery in lipoabdominoplasty.
Patients with opioid use disorder (OUD) face higher postoperative complications, longer inpatient stays, and increased costs following hysterectomy. This review synthesizes clinical evidence and explores implications for surgical management
A recent randomized controlled trial demonstrates that nonopioid analgesia is noninferior to routine opioid prescribing for pain control after minimally invasive hysterectomy, with high patient satisfaction and markedly reduced opioid use.
A systematic review and meta-analysis of 18 RCTs found that acupoint stimulation reduces postoperative pain scores after Cesarean delivery by small but statistically significant amounts across 48 hours, with moderate-to-high certainty evidence.
This study examines emergency physician-performed awake intubations over 10 years, highlighting a 7.2% incidence, high success rates (92%), and low adverse events in a tertiary emergency department.
This review synthesizes evidence from the WAFER trial and related studies comparing WALANT to GA/RA in flexor tendon repair, highlighting functional outcomes, safety, cost-effectiveness, and patient-centered benefits including earlier retur
A large RCT found that adding behavioral therapies to patient-centered opioid tapering did not improve taper success at 12 months, though CBT may reduce adverse effects; complementary digital support programs show feasibility but require fu
A novel 3D-printed transoral airway device, the Orocannula, provides reliable oxygen delivery and CO2 monitoring during sedation with high retention and minimal flow obstruction, potentially improving patient safety during procedural sedati
In hypertensive high-risk patients undergoing major abdominal surgery, targeting an intraoperative mean arterial pressure ≥80 mmHg reduces postoperative organ dysfunction and acute kidney injury compared to the standard target of ≥65 mmHg.
This study reveals that general anesthesia selectively modulates ketamine-induced EEG changes, preserving beta-gamma oscillations while attenuating theta augmentation, highlighting discrete neurophysiologic components underlying ketamine
In PSV patients, passive leg raising–induced PPV change predicted preload responsiveness, especially when inspiratory effort was low by P0.1.
This review analyzes significant inter-hospital variations in opioid prescribing for vaginal births with complications, highlighting the need for standardized postdischarge pain management protocols to reduce unnecessary opioid exposure.
The American Thyroid Association’s updated consensus refines who can safely undergo outpatient thyroid surgery and what teams must do before, during, and after the operation to reduce complications.
A rare, severe neurologic complication has been linked to general anesthesia in patients of maternal Venezuelan descent. Ophthalmologists should screen for ancestry and family history, involve anesthesiology early, and consider genetic eval
A national study reveals significant state-level and urban-rural variations in opioid prescribing following toothache diagnoses, with 15 states exceeding the national average and rural areas showing slightly lower prescription rates.
The Risk Analysis Index (RAI) significantly outperforms the modified frailty index-5 (mFI-5) in predicting mortality and major complications after uvulopalatopharyngoplasty, supporting its adoption for preoperative risk assessment in sleep
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