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American Society of Anesthesiologists, Oct. 19-23

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ANESTHESIOLOGY 2019 The annual meeting of the American Society of Anesthesiologists was held from Oct. 19 to 23 in Orlando, Florida, and attracted...
The presence of presumed postdural puncture headache after neuraxial anesthesia (epidural or spinal) in childbirth is associated with an increased risk for being diagnosed with an intracranial subdural hematoma

Headache From Epidural for Labor May Up Subdural Hematoma Risk

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Presumed postdural puncture headache tied to greater risk for intracranial subdural hematoma
Patients undergoing preoperative peripheral nerve block placement have a similar change in anxiolytic scores when they receive music medicine versus midazolam

Music Relieves Preop Anxiety Before Peripheral Nerve Block

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Similar changes seen in levels of preoperative anxiety for patients receiving music medicine, midazolam
Exposure to a surgical procedure requiring anesthesia does not seem to increase the risk for postoperative multiple sclerosis relapse

MS Relapse Risk Not Increased in Postoperative Period

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Odds of postoperative versus preoperative relapse were not increased in unadjusted, adjusted analyses
Multiple exposures to general anesthesia may be associated with neurocognitive impairment and brain imaging abnormalities in long-term survivors of childhood acute lymphoblastic leukemia

Anesthesia Tied to Neurocognitive Impairment in Childhood ALL Survivors

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Survivors experience impairment with exposure to propofol, fluranes, longer anesthesia duration
Among patients at average risk undergoing screening colonoscopies

Colonoscopy Quality Not Affected by Sedation Method

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No difference found in adenoma or polyp detection rates between moderate and deep sedation
Older patients who develop delirium after surgery are more likely to show signs of cognitive dysfunction one month later

Postop Delirium May Briefly Up Risk for Cognitive Dysfunction

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Correlation seen at one month was no longer significant at two months, six months
In conjunction with the American Academy of Pediatric Dentistry

Guidance Updated for Sedation in Pediatric Dental Patients

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Importance of having two individuals present during deep sedation and/or general anesthesia emphasized
For patients with moderate-to-severe acute respiratory distress syndrome receiving mechanical ventilation

Early Neuromuscular Blockade No Better in ARDS Patients on Vent

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Mortality similar for those receiving continuous infusion of cisatracurium, lighter sedation targets
Regular cannabis users require a significantly higher amount of sedation for endoscopic procedures compared with nonusers

Need for Sedation Up for Regular Cannabis Users

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Regular cannabis users undergoing endoscopic procedures need higher dose than nonusers