HeyJaredAnesthesia Thoughts
Cutting through the noise of academic publications by sharing only what is clinically relevant and potentially practice-changing.
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What’s new in the prevention of postoperative nausea and vomiting? (opens the original)
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The fifth consensus guidelines for the prevention and management of postoperative nausea and vomiting (PONV) were published in August 2026. Here are some of the changes and highlights I thought were important.The guidelines reiterate that sugammadex reduces PONV compared to reversal with neostigmine. Whether or not there is a difference in postoperative respiratory outcomes between the reversal agents, this would be a good reason to favor sugammadex.Nitrous oxide used only during emergence does
The problem with using stairs to assess METs (opens the original)
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The teaching in anesthesia is that if a patient can climb one or two flights of stairs without stopping,1 then the person is at low risk for cardiac complications while undergoing anesthesia. Unfortunately, assessing a person’s functional capacity in this subjective manner is wholly inaccurate.2Metabolic equivalents (METs) are a measure of the rate of oxygen consumption, with 1 MET being defined as an oxygen consumption of 3.5 mL oxygen/
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