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Authors: Deborah J. Culley, M.D. et al Anesthesiology published on September 14, 2017. Background: The American College of Surgeons and the American Geriatrics Society have suggested that preoperative cognitive screening should be performed in older surgical patients. We hypothesized that unrecognized cognitive impairment in patients without a history of dementia is a risk factor for development of […]
Read MoreASA Monitor 09 2017, Vol.81, 22-24. The following article was developed by ASA to introduce the ASA Monitor readership to the latest technology and advancements in the specialty. It should not be construed as an endorsement by ASA of any specific product or service. Despite continued improvements in pain treatment, moderate to severe postoperative pain remains the focus […]
Read MoreAuthors: Steven M. Frank, M.D. et al Anesthesiology published on September 7, 2017. Background: Patient blood management programs are gaining popularity as quality improvement and patient safety initiatives, but methods for implementing such programs across multihospital health systems are not well understood. Having recently incorporated a patient blood management program across our health system using a clinical […]
Read MoreAuthors: Warwick D. Ngan Kee, M.D., F.A.N.Z.C.A., F.H.K.A.M. Anesthesiology published on September 7, 2017 Background: Norepinephrine has been investigated as a potential alterative to phenylephrine for maintaining blood pressure during spinal anesthesia for cesarean delivery with the advantage of less depression of maternal heart rate and cardiac output. However, the relative potencies of these two vasopressors have […]
Read MoreAuthors: Jan Hofland, M.D., Ph.D. et all Anesthesiology published on September 7, 2017. Background: Ischemic myocardial damage accompanying coronary artery bypass graft surgery remains a clinical challenge. We investigated whether xenon anesthesia could limit myocardial damage in coronary artery bypass graft surgery patients, as has been reported for animal ischemia models. Methods: In 17 university hospitals in France, […]
Read MoreAuthors: Hilary P. Grocott, M.D., F.R.C.P.C., F.A.S.E. Anesthesiology 10 2017, Vol.127, 723-724. To the Editor: The recent comprehensive review article by Drs. Brull and Kopman1 outlines the challenges and opportunities of the current status of neuromuscular reversal and monitoring. Their superlative and informative review is clearly destined to be a go-to reference on the subject. Importantly, it […]
Read MoreAuthors: Michael W. Manning, M.D., Ph.D. et al Anesthesiology 10 2017, Vol.127, 720-721. To the Editor: We read with interest the study by Roshanov et al.1 comparing outcomes in patients undergoing noncardiac surgery, following the withholding or continuing of an Angiotensin-converting Enzyme Inhibitor (ACEi) or Angiotensin II Receptor Blocker (ARB). Although this was a large and comprehensive retrospective […]
Read MoreAuthors: Henrik Kehlet, M.D., Ph.D. et al Anesthesiology 10 2017, Vol.127, 718. To the Editor: McIsaac et al.1 recently published their population-based cohort study on outcomes after total knee arthroplasty in relation to the use of peripheral nerve blocks. The primary outcome was length of stay (LOS), and they concluded that nerve blocks reduced LOS (risk ratio = […]
Read MoreAuthors: Jung-Won Hwang, M.D., Ph.D. et al Anesthesiology 10 2017, Vol.127, 718-719. To the Editor: We read the article by McIsaac et al.1 with great interest. The authors should be commended for attempting to estimate the effects of peripheral nerve blocks (PNBs) on healthcare resource use. These efforts could decrease the cost of health care without compromising patient […]
Read MoreAuthors: Elizabeth M. S. Lange, M.D. et al Anesthesiology published on September 7, 2017. Background: Intrapartum maternal fever is associated with several adverse neonatal outcomes. Intrapartum fever can be infectious or inflammatory in etiology. Increases in interleukin 6 and other inflammatory markers are associated with maternal fever. Magnesium has been shown to attenuate interleukin 6–mediated fever in […]
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