Glucocorticoid Receptor 

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  • ||||||||||  methylprednisolone sodium succinate / Generic mfg.
    Epidemiological and Clinical Outcome Determinants of Post-COVID-19 Myelopathy (Gold) -  Jul 21, 2023 - Abstract #MSMilan2023MSMilan_183;    
    Our findings show COVID-19 severity and history of autoimmunity may be risk factors for higher TM severity. The reason for immune response directed to the spinal cord is unclear.
  • ||||||||||  dexamethasone / Generic mfg.
    Preclinical, Journal:  Effect of dexamethasone administration on gonadal-fertility functions in female albino rats. (Pubmed Central) -  Jul 21, 2023   
    The ovary sections showed degenerative tissue with necrosis of the Graafian follicles, stromal fibrosis, and vacuolation of the interstitial cells. the study concludes that dexamethasone administration has a potentially adverse effect on gonadotropin, prolactin, and ovarian follicle cells in female albino rats.
  • ||||||||||  dexamethasone / Generic mfg.
    Journal:  Improving Emergency Medicine Clinician Awareness of Prehospital-Administered Medications. (Pubmed Central) -  Jul 21, 2023   
    Innovations that improve accessibility of written documentation of prehospital medication administration were associated with improved subjective assessment of EM clinician awareness of prehospital medications, but not the outcome measure of medication error. Effective error reduction likely requires better system integration between prehospital and EM records.
  • ||||||||||  dexamethasone / Generic mfg.
    Journal:  Dexamethasone-Enhanced Continuous Online Microdialysis for Neuromonitoring of O after Brain Injury. (Pubmed Central) -  Jul 21, 2023   
    Consistent with prior reports on glucose, O exhibited a variety of responses to spreading depolarization and a prolonged, essentially permanent decline in the days after controlled cortical impact. These findings confirm that Dex-enhanced coMD delivers valuable information regarding the impact of spreading depolarization and controlled cortical impact on O levels in the rat cortex.
  • ||||||||||  dexamethasone / Generic mfg., dexmedetomidine / Generic mfg.
    RCL403. Local anesthetics refresher: a clinically-oriented update on drugs that are more than one-trick ponies (South: 211/212) -  Jul 20, 2023 - Abstract #ASA2023ASA_3530;    
    Session Learning Objective 2: Summarize the evidence how to improve efficacy and duration of the block. Session Learning Objective 3: Explain the systemic and long-term effects of local anesthetics and how they should be interpreted in the context of drafting an individual patient's anesthesia plan.
  • ||||||||||  An Awake Craniotomy At 4pm! What A Way To End The Day! (South: Hall D-7) -  Jul 20, 2023 - Abstract #ASA2023ASA_3136;    
    Vital signs are as follows: BP=75/60, HR=46 (bpm), and SpO2= 77%.1.Discuss possible methods of pre-empting and managing airway compromise in patient undergoing "awake" craniotomy.The patient reestablishes spontaneous ventilation, the Mayfield head clamp is removed, and the surgical incision dressed and wrapped. She is then transported to the neurosurgical intensive care unit without further incident.
  • ||||||||||  Some Kids That  (South: Hall D-7) -  Jul 20, 2023 - Abstract #ASA2023ASA_2916;    
    Two weeks earlier, the patient had been seen by his primary care physician who prescribed amoxicillin, albuterol, and oral prednisolone for a respiratory tract infection (RTI) with croup...Empirically, the patient received an epinephrine nebulizer and oral prednisolone without improvement of his stridor...Another midazolam 1mg IV dose is administered with good effect.What are your goals for airway management?...Because you wish to maintain spontaneous ventilation, Sevoflurane 2% is started...Rocuronium was administered prior to advancing the ETT with a flexible bronchoscope; rapid return to SpO2 95% and normalization of the heart rate ensued.Could this code event have been prevented?...Pathology revealed poorly differentiated neuroblastoma. The patient was extubated after 7 weeks and discharged home 4 months after arriving in the ED.
  • ||||||||||  Some Kids That  (South: Hall D-7) -  Jul 20, 2023 - Abstract #ASA2023ASA_1846;    
    Two weeks earlier, the patient had been seen by his primary care physician who prescribed amoxicillin, albuterol, and oral prednisolone for a respiratory tract infection (RTI) with croup...Empirically, the patient received an epinephrine nebulizer and oral prednisolone without improvement of his stridor...Another midazolam 1mg IV dose is administered with good effect.What are your goals for airway management?...Because you wish to maintain spontaneous ventilation, Sevoflurane 2% is started...Rocuronium was administered prior to advancing the ETT with a flexible bronchoscope; rapid return to SpO2 95% and normalization of the heart rate ensued.Could this code event have been prevented?...Pathology revealed poorly differentiated neuroblastoma. The patient was extubated after 7 weeks and discharged home 4 months after arriving in the ED.
  • ||||||||||  Here We Go Again: Acromegalic Patient For Repeat Pituitary Tumor Resection (South: Hall D-7) -  Jul 20, 2023 - Abstract #ASA2023ASA_1530;    
    Current medications include metformin, insulin, lisinopril, metoprolol and PRN lorazepam for anxiety, which he admits to using for sleep on occasion.1...Should the patient receive perioperative dexamethasone for PONV prophylaxis?The surgeon begins topicalization of the nasal mucosa using injected lidocaine 1% with epinephrine...What additional labs would you request to determine the diagnosis?15. How would you treat this condition?
  • ||||||||||  An Awake Craniotomy At 4pm! What A Way To End The Day! (South: Hall D-7) -  Jul 20, 2023 - Abstract #ASA2023ASA_1350;    
    Vital signs are as follows: BP=75/60, HR=46 (bpm), and SpO2= 77%.1.Discuss possible methods of pre-empting and managing airway compromise in patient undergoing "awake" craniotomy.The patient reestablishes spontaneous ventilation, the Mayfield head clamp is removed, and the surgical incision dressed and wrapped. She is then transported to the neurosurgical intensive care unit without further incident.
  • ||||||||||  Activase (alteplase) / Roche, Boehringer Ingelheim, Kyowa Kirin, Mitsubishi Tanabe
    Hocus Pocus - Evaluating Shock Through The Magic Of Ultrasound. (South: Hall D-7) -  Jul 20, 2023 - Abstract #ASA2023ASA_1346;    
    She also has HTN for which she takes furosemide 20 mg and lisinopril 10 mg daily, DM type I (HgbA1c 8.6) on glargine 29 U every morning as well as aspartate 6 mg before meals, hypothyroidism on 0.025 mcg levothyroxine, hyperlipidemia on simvastatin 20 mg daily, history of Charcot arthropathy and recent hardware removal...100 mg hydrocortisone bolus is given, and a cortisol level is sent...Why is dobutamine added?...Alteplase (TPA) 100 mg is infused over 2 hours...She becomes net neg of 1.5 liters for the day over the next 4 hours and bumetanide is further decreased to 0.05 mg/hr...She is given fluids of 300 cc over the next 4 hours. After 15 days in the ICU, she is transferred to the floor and after 1 month she has her left BKA and by the 7th week she is transferred to rehab.
  • ||||||||||  Dynastat (parecoxib) / Pfizer
    A Four-year-old Child Scheduled For Elective Out-patient Adenotonsillectomy: Avoiding The Pitfalls. (South: Hall D-7) -  Jul 20, 2023 - Abstract #ASA2023ASA_1184;    
    After 15 days in the ICU, she is transferred to the floor and after 1 month she has her left BKA and by the 7th week she is transferred to rehab. Case continuation: After the usual monitors are applied you proceed with a sevoflurane inhalation induction and you notice that the patient
  • ||||||||||  Here We Go Again: Acromegalic Patient For Repeat Pituitary Tumor Resection (South: Hall D-7) -  Jul 20, 2023 - Abstract #ASA2023ASA_1182;    
    Current medications include metformin, insulin, lisinopril, metoprolol and PRN lorazepam for anxiety, which he admits to using for sleep on occasion.1...Should the patient receive perioperative dexamethasone for PONV prophylaxis?The surgeon begins topicalization of the nasal mucosa using injected lidocaine 1% with epinephrine...What additional labs would you request to determine the diagnosis?15. How would you treat this condition?
  • ||||||||||  dexamethasone / Generic mfg., clonidine / Generic mfg., epinephrine / Generic mfg.
    Rct Comparing Liposomal Bupivacaine To Bupivacaine + Adjuncts In Erector Spinae Blocks For Breast Surgery Analgesia (Exhibit Hall) -  Jul 20, 2023 - Abstract #ASA2023ASA_948;    
    No other randomized control trials to date have compared liposomal bupivacaine to our standard solution in ESPB for breast surgery. Thus, our study may provide additional data of clinical relevance, while informing future protocols investigating analgesic alternatives in ESPB for breast surgical intervention.
  • ||||||||||  dexamethasone / Generic mfg., methylprednisolone acetate / Generic mfg., morphine sulphate / Generic mfg.
    Anterior Quadratus Lumborum Block (aQLB) for Microvascular Free-Flap Breast Reconstruction (Hall D-11) -  Jul 20, 2023 - Abstract #ASA2023ASA_627;    
    Methods 170 patients were enrolled in a Continuous Quality Improvement (CQI) project, including Baseline (N=72, with surgeon-placed intraoperative transversus abdominis plane (TAP) block using bupivacaine plus liposomal bupivacaine) and pilot (N=98, with preoperative bilateral aQLB using bupivacaine plus dexamethasone and methylprednisolone acetate) patients who underwent unilateral (n=72) or bilateral (n= 98) deep inferior epigastric perforator (DIEP) flap reconstruction either immediately (unilateral n = 49, bilateral n =69) or delayed (unilateral n=23, bilateral n=29) after mastectomy...There were no post-procedural thromboembolic events in either cohort. conclusions Pre-operative aQLB is an effective alternative to the conventional surgeon placed TAP block as an opioid-reducing pain control modality for DIEP flap reconstruction immediately after unilateral or bilateral mastectomy.
  • ||||||||||  prednisone / Generic mfg., baclofen / Generic mfg., methylprednisolone sodium succinate / Generic mfg.
    A Novel Approach To Corticosteroid Therapy For Acute Arachnoiditis: A Case Series And Literature Review (Exhibit Hall) -  Jul 20, 2023 - Abstract #ASA2023ASA_562;    
    The symptoms persisted, requiring IV Methylprednisolone 1000 mg daily for 3 days followed by 6 weeks of weekly infusions...In cases of corticosteroid-resistant-therapy, conservative treatments with NSAIDs, opioids, and neuropathic pain agents may provide mild symptoms relief. Surgical procedures may provide slightly better results than conservative treatments, but pain recurs in the long-term due to accumulation of scar tissue and increased inflammation.
  • ||||||||||  Bridion (sugammadex) / Merck (MSD)
    Does Pre-emptive Dexamethasone Provide Prophylaxis Against Sugammadex-induced Bradycardia? A Retrospective Study (Hall D-9) -  Jul 20, 2023 - Abstract #ASA2023ASA_78;    
    There was no significant change in heart rate slowing between the dexamethasone and non-dexamethasone group, potentially negating the theory of a transient early binding of sugammadex to corticosteroids with later more avid binding to rocuronium and unbinding the corticosteroids, or, it may be that other corticosteroids, such as hydrocortisone are required to prevent this effect. Prospective trials evaluating this effect with cortisol concentration measurement are needed to further evaluate the hypothesis.
  • ||||||||||  Activase (alteplase) / Roche, Boehringer Ingelheim, Kyowa Kirin, Mitsubishi Tanabe
    Hocus Pocus - Evaluating Shock Through The Magic Of Ultrasound. (South: Hall D-7) -  Jul 20, 2023 - Abstract #ASA2023ASA_50;    
    She also has HTN for which she takes furosemide 20 mg and lisinopril 10 mg daily, DM type I (HgbA1c 8.6) on glargine 29 U every morning as well as aspartate 6 mg before meals, hypothyroidism on 0.025 mcg levothyroxine, hyperlipidemia on simvastatin 20 mg daily, history of Charcot arthropathy and recent hardware removal...100 mg hydrocortisone bolus is given, and a cortisol level is sent...Why is dobutamine added?...Alteplase (TPA) 100 mg is infused over 2 hours...She becomes net neg of 1.5 liters for the day over the next 4 hours and bumetanide is further decreased to 0.05 mg/hr...She is given fluids of 300 cc over the next 4 hours. After 15 days in the ICU, she is transferred to the floor and after 1 month she has her left BKA and by the 7th week she is transferred to rehab.
  • ||||||||||  dexamethasone / Generic mfg.
    Preclinical, Journal:  Characterization of gut microbiota in mouse models of aging and sarcopenia. (Pubmed Central) -  Jul 20, 2023   
    This study contained two experimental designs using the ICR mouse model for 1) determining the association between aging and gut microbiota (by analyzing murine fecal samples) and 2) determining the association between sarcopenia and gut microbiota in mice treated with microorganisms or dexamethasone...Although the sample size was small, these results point to similarities in the gut microbiota between aging and sarcopenia and to differences between young and old individuals. The results on gut microbiota obtained in this study form a basis for studying the development of sarcopenia in geriatric animal models in the future.
  • ||||||||||  marizomib (NPI-0052) / Triphase Accelerator Corporation, BMS
    Trial completion date, Trial primary completion date:  Marizomib Central Nervous System (CNS) (clinicaltrials.gov) -  Jul 20, 2023   
    P2,  N=30, Not yet recruiting, 
    Trial completion date: Jan 2023 --> Dec 2023 Trial completion date: Dec 2025 --> Dec 2027 | Trial primary completion date: Dec 2023 --> Dec 2025
  • ||||||||||  hydrocortisone / Generic mfg.
    Trial completion date, Trial primary completion date:  Subcutaneous Hydrocortisone Children With Congenital Adrenal Hyperplasia (clinicaltrials.gov) -  Jul 20, 2023   
    P1,  N=11, Completed, 
    Trial completion date: Jul 2023 --> Jul 2024 | Trial primary completion date: Jul 2023 --> Jul 2024 Trial completion date: Jan 2022 --> Feb 2023 | Trial primary completion date: Jan 2022 --> Feb 2023
  • ||||||||||  letrozole / Generic mfg.
    Trial completion date, Trial primary completion date:  The Letrozole Administration During Luteal Phase (clinicaltrials.gov) -  Jul 20, 2023   
    P3,  N=50, Not yet recruiting, 
    Trial completion date: Jun 2023 --> Jun 2024 Trial completion date: Mar 2017 --> Dec 2024 | Trial primary completion date: Dec 2016 --> Mar 2024
  • ||||||||||  Xpovio (selinexor) / Karyopharm, Menarini, FORUS Therap
    New trial, Combination therapy:  Selinexor (Nexpovio (clinicaltrials.gov) -  Jul 20, 2023   
    P=N/A,  N=100, Recruiting,