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Authors: Charles H. Brown, IV, M.D., M.H.S. et al Anesthesiology September 2022, Vol. 137, 303–314. Background Neurofilament light is a marker of neuronal injury and can be measured in blood. Postoperative increases in neurofilament light have been associated with delirium after noncardiac surgery. However, few studies have examined the association of neurofilament light changes with postdischarge […]
Read MoreAuthors: Vignesh Sankar, BS et al ASA Monitor October 2021, Vol. 85, 41. Mount Sinai Medical Center-Miami Beach is Florida’s largest private, nonprofit teaching hospital focused on providing high-quality care to the diverse community of South Florida through teaching, research, and community advocacy. Established in 1949, our system includes 4,000 employees across 11 medical campuses, 672 […]
Read MoreAuthors: Phillip E. Vlisides, MD et al Anesthesiology August 2022. Background The relationship between intraoperative physiology and postoperative stroke is incompletely understood. Preliminary data suggest that either hypo- or hypercapnia coupled with reduced cerebrovascular inflow (e.g., due to hypotension) can lead to ischemia. This study tested the hypothesis that the combination of intraoperative hypotension and […]
Read MoreAuthors: Milena Siciliano Nascimento, M.Sc. et al Anesthesiology August 2022 To the Editor: Anesthesia is associated with the development of atelectasis, which may affect lung ventilation. These changes persist into the postoperative period and are associated with postoperative respiratory complications. Electrical impedance tomography has been used in the operating room to monitor changes in aeration and […]
Read MoreAuthors: Piper Nash, M.D. et al Anesthesiology August 2022. This figure is a lateral cervical radiograph of a nasally intubated 16-yr-old patient with Crouzon syndrome obtained after completion of cranial fossa surgery for Chiari malformation and returning to supine from a prone position. The standard endotracheal tube was severely kinked in the nasopharynx, as shown […]
Read MoreAuthors: Shahla Siddiqui, MD, MSc, FCCM et al ASA Monitor April 2022, Vol. 86, 40–41. Our institution, Beth Israel Deaconess Medical Center (BIDMC) in Boston, is a teaching tertiary referral academic hospital of Harvard Medical School. There are 673 licensed beds, including 493 medical/surgical beds. There are 77 critical care beds and 62 OB/GYN beds. The […]
Read MoreAuthors: Michael R. Mathis, M.D. et al Anesthesiology August 2022. Background Postoperative hemodynamic deterioration among cardiac surgical patients can indicate or lead to adverse outcomes. Whereas prediction models for such events using electronic health records or physiologic waveform data are previously described, their combined value remains incompletely defined. The authors hypothesized that models incorporating electronic […]
Read MoreAuthors: Alparslan Turan, MD et al Anesthesiology August 2022. Background Intraoperative mechanical ventilation is a major component of general anesthesia. The extent to which various intraoperative tidal volumes and positive end-expiratory pressures (PEEP) on postoperative hypoxia and lung injury remains unclear. We hypothesized that adult patients having orthopedic surgery, ventilation using different tidal volumes and […]
Read MoreAuthors: Benjamin J. Marsh, MD et al Anesthesiology August 2022. Background Increasing wildfire activity worldwide has led to exposure to poor air quality and numerous detrimental health impacts. This study hypothesized an association between exposure to poor air quality from wildfire smoke and adverse respiratory events under general anesthesia in pediatric patients. Methods This was […]
Read MoreAuthors: Luis Sequera-Ramos, M.D. et al Anesthesiology August 2022 Background Sedated and awake tracheal intubation approaches are considered safest in adults with difficult airways, but little is known about the outcomes of sedated intubations in children. The primary aim of our study is to compare the first attempt success rate of tracheal intubation during sedated […]
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