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Authors: Vesela P. Kovacheva, MD, PhD et al ASA Monitor June 2021, Vol. 85, 34–35. Imagine a future day at work powered by artificial intelligence (AI) technologies. Your patient that day has been risk-stratified preoperatively, and all conditions have been optimized according to the most current guidelines. As you talk to the patient, the preoperative […]
Read MoreAuthor: Karen S. Sibert, MD, FASA ASA Monitor June 2021, Vol. 85, 14–15. There was a time, at the peak of the pandemic, when many of us believed that anesthesiologists finally would get the public recognition and respect we’ve earned – at a painful price – for our front-line work in airway management and critical […]
Read MoreAuthor: Anderson, T. Anthony PhD, MD Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1261-1263 EDITORIAL Traditionally, many aspects of perioperative anesthesia require a qualitative approach to managing patient care. Intraoperative intravenous fluid management is still typically based on estimated blood loss, calculated insensible losses, patient hourly fluid requirements, and […]
Read MoreAUTHORS: Lakha, Sameer MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1167-1175 BACKGROUND: Reimbursement for anesthesia services has been shifting from a fee-for-service model to a value-based model that ties payment to quality metrics. The Centers for Medicare & Medicaid Service’s (CMS) value-based payment program includes a quality […]
Read MoreAUTHORS: Cherifa, Ményssa MSc et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1157-1166 BACKGROUND: Acute hypotensive episodes (AHE), defined as a drop in the mean arterial pressure (MAP) <65 mm Hg lasting at least 5 consecutive minutes, are among the most critical events in the intensive care unit (ICU). […]
Read MoreAuthors: Brian M. Ilfeld, M.D., M.S. et al Anesthesiology July 2021, Vol. 135, 95–110. Background Percutaneous peripheral nerve stimulation is an analgesic technique involving the percutaneous implantation of a lead followed by the delivery of electric current using an external pulse generator. Percutaneous peripheral nerve stimulation has been used extensively for chronic pain, but only […]
Read MoreAuthors: Andres Laserna, M.D. et al Anesthesiology July 2021, Vol. 135, 31–56. Background Although there are thousands of published recommendations in anesthesiology clinical practice guidelines, the extent to which these are supported by high levels of evidence is not known. This study hypothesized that most recommendations in clinical practice guidelines are supported by a low […]
Read MoreAuthors: Ken Lee, MD et al ASA Monitor June 2021, Vol. 85, 27–29. Irreversible electroporation (IRE) Irreversible electroporation (IRE) is an emerging non-thermal ablative technique with recent studies demonstrating its efficacy in destroying solid organ malignancies (Figure). The principle underlying IRE is applying sufficient electrical pulses to permanently increase cell membrane permeability. Subsequent formation of […]
Read MoreAuthors: Anahita Dabo-Trubelja, MD, FASA and Vijaya Gottumukkala, MBBS, MD, FRCA ASA Monitor June 2021, Vol. 85, 26–27. Innovations in imaging, technological advancements in micro-instrumentation, changing patient expectations and demands, and a general shift toward minimizing hospital stay are driving and expanding interventional radiology (IR) procedural growth as a more cost-effective acute care practice with positive impact […]
Read MoreAuthors: Christian B. Woods, B.S. et al Anesthesiology June 2021, Vol. 134, 901–914. Background Ndufs4 knockout (KO) mice are defective in mitochondrial complex I function and hypersensitive to inhibition of spinal cord–mediated response to noxious stimuli by volatile anesthetics. It was hypothesized that, compared to wild-type, synaptic or intrinsic neuronal function is hypersensitive to isoflurane in […]
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