🧠Can we save more brain tissue after stroke?
Prof. @OzanAkca_ explores why successful clot removal is only half the battle.⚡Oxygenation, blood pressure & brain perfusion all matter!
Think beyond recanalization. Protect the brain! 🩺
👉link.springer.com/article/10…
#Stroke
💧 Fluids or vasopressors? Stop choosing sides. 🎯
In septic shock, the real goal isn’t just a better blood pressure—it’s better tissue perfusion! 🫀
📉 Less fluid ≠ less care.
💉 Higher MAP ≠ better perfusion.
👉link.springer.com/article/10…
#Sepsis #CriticalCare
🔬 P < 0.05 ≠ Clinical Benefit! 🚨
Our latest Letter in APS questions the clinical significance of TEAS for postoperative pain.
Blinding, statistics, and clinical relevance matter! 💡
🧐link.springer.com/article/10…
#Anesthesiology #PainManagement
🩺 How high is high enough?
A new meta-analysis of 18 RCTs (16,573 patients) challenges the “higher MAP is better” idea.
🔹No clear benefit for AKI, myocardial injury or mortality
🔹POD may decrease—but the evidence remains fragile
🔹MAP≠organ perfusion
link.springer.com/article/10…
🚀A new expert consensus:LVAD is more than “unloading the LV” — it’s a balancing act between both ventricles and the pump.
🎯 CI >2.2 | MAP 70–90 | CVP ≤12 | PAWP ≤15
🔍 PAC + TEE = precision hemodynamics
📎link.springer.com/article/10…
#LVAD #CardiacAnesthesia
🚀 From a new journal to a Q1 publication!@DaveGLambert
In just 3 years, APS has reached its first Impact Factor: 7.5 🎯
🏆 #4 in Anesthesiology
🏆 #11 in Surgery
⚡ 8 days to first decision
📚 ~250K downloads in 2025
🧐link.springer.com/article/10…
#Anesthesiology
🤖🩺 The most helpful AI may not be the safest.
A new anesthesia study found:
🎯 OpenAI-o1 → higher accuracy
⚡ DeepSeek-R1 Chinese → greater practicality
😮 95.2% of junior physicians felt less anxious with DSC.
But remember: actionable ≠ reliable.
🧐link.springer.com/article/10…
😴 Can anesthesia disrupt sleep long after we wake up?
🔬A new study points to the dorsomedial hypothalamus (DMH)
🧠One surprising player: CB1R
👀Could the endocannabinoid system be the next target for better recovery?
👉link.springer.com/article/10…
#Neuroscience #Sleep
🩺 MAP ≠ Perfusion.
MAP 65 mmHg ≠ organ safety.
🎯Stop chasing numbers.
Think flow, vascular tone & venous congestion.
🚨MAP is a warning signal—not the endpoint.
From fixed thresholds → physiology-guided perfusion.
🧐link.springer.com/article/10…
#Anesthesia #Hemodynamics
🚨New RCT alert!💉
🎯A multicenter trial in China showed that peri-induction IV aprepitant (32 mg) boosted the 24-h complete response rate to 81.4% vs 39.0% with placebo, while reducing vomiting and rescue antiemetic use—with comparable safety.
🧐link.springer.com/article/10…
#ERAS
⏰Early epidural anesthesia = higher risk of fever?
🩺Latest evidence shows: primiparous women who start epidural analgesia at 0–2 cm cervical dilation have a higher risk of maternal fever than those who start at ≥3 cm.
👉link.springer.com/article/10…
#ObstetricAnesthesia
🤖 AI won't replace anesthesiologists—it will empower them.
The future of perioperative care is Human-centered AI: smarter decisions, safer patients, better outcomes. 🩺✨
AI + Clinicians = Better Care. 💙
👉link.springer.com/article/10…
#AI #Anesthesiology #PerioperativeMedicine
🧠⚡How does #Electroacupuncture fight #KneeOsteoarthritis?
🎯This study uncovers EA does more than relieve symptoms—it rewires inflammation!
A new brain-to-joint mechanism for #Electroacupuncture! 🔬✨
link.springer.com/article/10…
#Osteoarthritis #Acupuncture #PainResearch
🩸Surgery risk isn’t just about glucose
⚡Meet HGI: how your body “reacts” to sugar
HbA1c doesn’t tell the whole story 📉
High HGI → more complications ↑
Low HGI → higher severe risk ⚠️
🧭U-shaped curve: middle is safest
link.springer.com/article/10…
#HGI #SurgeryRisk
🧠 A new review proposes a vicious cycle: Neuroinflammation → Glymphatic dysfunction → Chronic pain♻️.
✨Could enhancing lymphatic system function be the next breakthrough in chronic pain treatment?
👉link.springer.com/article/10…
#Pain #Neurinflammation
🧠Not all MoCA domains are created equal.
📍 Orientation stood out.
⚠️ It was the strongest predictor of postoperative delirium and adverse outcomes in older surgical patients.
Simple to assess. Powerful in practice.
🧐link.springer.com/article/10…
#BrainHealth #MoCA #Delirium
🚨Is ScvO₂ fooling us in septic shock?
A “normal” or high ScvO₂👀doesn’t always mean tissues are getting enough oxygen.
🔍O₂ER may reveal what ScvO₂ misses:
⬆️Earlier detection of oxygen debt
⬆️Better insight into DO₂–VO₂ balance
👉link.springer.com/article/10…
#SepticShock
💥Thoracic analgesia showdown!
A new RCT shows #IIMOB beats #TPVB after #VATS:🔽pain,🔽opioids,🔽hypotension, and🔽block failure.
🧪Longer local anesthetic retention may explain its superior analgesia.
🔗link.springer.com/article/10…
#Anesthesia #VATS


