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Authors: Grace Lim, M.D., M.S. et al Anesthesiology published December 2017. Background: Cost-effectiveness analyses on cell salvage for cesarean delivery to inform national and societal guidelines on obstetric blood management are lacking. This study examined the cost-effectiveness of cell salvage strategies in obstetric hemorrhage from a societal perspective. Methods: Markov decision analysis modeling compared the cost-effectiveness of three […]
Read MoreAuthors: Savino Spadaro, M.D., Ph.D. et al Anesthesiology published December 2017. Background: Arterial oxygenation is often impaired during one-lung ventilation, due to both pulmonary shunt and atelectasis. The use of low tidal volume (VT) (5 ml/kg predicted body weight) in the context of a lung-protective approach exacerbates atelectasis. This study sought to determine the combined physiologic effects […]
Read MoreAuthors: Aaron Louie, B.S. et al Anesthesiology published December 2017. Background: Pulse oximeter performance is degraded by motion artifacts and low perfusion. Manufacturers developed algorithms to improve instrument performance during these challenges. There have been no independent comparisons of these devices. Methods: We evaluated the performance of four pulse oximeters (Masimo Radical-7, USA; Nihon Kohden OxyPal Neo, Japan; […]
Read MoreThe recommendation is outdated, but many hospitals still mistakenly encourage it. Why? By Marina Kamenev Patients can have light meals six hours before their procedures—but instructions often still call for fasting. In 1946, obstetrician and cardiologist Curtis Lester Mendelson discovered a disturbing phenomenon: He found that some women who had anesthesia in labor were vomiting and […]
Read MoreAuthor: Hans-Joachim Priebe, M.D. Anesthesiology 1 2018, Vol.128, 233-234. To the Editor: I read with great interest the review on cricoid pressure (CP) by Salem et al.1 The authors assure the reader that they have “used discretion in deciding which articles to finally include, favoring peer-reviewed articles from highly ranked journals written in English.” However, a couple of […]
Read MoreAuthors: Jonathan V. Roth, M.D. Anesthesiology 1 2018, Vol.128, 233. To the Editor: In their excellent review, Salem et al.1 suggest that the dominant hand should be used to apply cricoid pressure (CP) because even though either hand can achieve adequate CP, the applied force may become inadequate if it needs to be sustained with the nondominant hand.2 I […]
Read MoreIt turns out the age of a physician does influence the likelihood patients will have a complaint. However, the older the doctor, the fewer patient complaints, according to a study published in JAMA Ophthalmology. Researchers from Vanderbilt University School of Medicine in Nashville, Tennessee, wanted to see if physician age was associated with an increased […]
Read MoreAuthors: Arthur James, M.D. et al Anesthesiology 1 2018, Vol.128, 228. To the Editor: We read with great interest Hajjar et al.’s article1 that was published in the January 2017 issue of Anesthesiology. Norepinephrine, the most commonly recommended vasopressor agent for vasoplegic shock states, can cause unfortunate side effects; therefore, researchers strive to find a therapeutic alternative. Several […]
Read MoreAuthor: Ajay Kumar Jha, M.D., D.M. Anesthesiology 1 2018, Vol.128, 227. To the Editor: I read the article by Hajjar et al. with great enthusiasm.1 First, I would like to congratulate the authors for their ambitious study and reasonable conclusions. They concluded that vasopressin improved clinical outcomes better than norepinephrine in vasoplegic shock after cardiac surgery. I would […]
Read MoreAuthors: Antonio Montes, M.D., Ph.D. et al Anesthesiology 1 2018, Vol.128, 224. To the Editor: The article by Bayman et al.,1 evaluating predictors of chronic pain 6 months after thoracic surgery, provides important evidence of the high incidence and severity of chronic postsurgical pain (CPSP) after both thoracotomy and video-assisted thoracic surgery. However, we are surprised the authors […]
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