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AUTHORS: Cole, Devon C. MD et al Anesthesia & Analgesia 124(1):p 300-307, January 2017. BACKGROUND: Anesthesiology residency primarily emphasizes the development of medical knowledge and technical skills. Yet, nontechnical skills (NTS) are also vital to successful clinical practice. Elements of NTS are communication, teamwork, situational awareness, and decision making. METHODS: The first 10 consecutive senior residents […]
Read MoreAuthors: Karim Kouz, M.D. et al Anesthesiology June 2023. Background Finger-cuff methods allow non-invasive continuous arterial pressure monitoring. We aimed to determine whether continuous finger-cuff arterial pressure monitoring helps clinicians reduce hypotension within 15 minutes after starting induction of anesthesia and during non-cardiac surgery. Specifically, we tested the hypotheses that continuous finger-cuff – compared to […]
Read MoreAuthors: T. Andrew Bowdle, M.D., Ph.D., F.A.S.E. et al Anesthesiology July 2023, Vol. 139, 6–15. Background The dose of sugammadex recommended by the manufacturer for reversal of rocuronium is 2 mg/kg when the train-of-four count is 2 or more and 4 mg/kg when it is less than 2 but there is a posttetanic count of at least 1. […]
Read MoreAUTHORS: Tricia A. Meyer et al Anesthesia Safety Patient Foundation Newsletter Volume 38, No. 2 June 2023 BACKGROUND Administering the wrong medication is one of the most feared complications in any field of medicine. Anesthesia professionals are some of the only providers who prescribe, prepare, and administer their own medications. Therefore, the perceived fear among […]
Read MoreAUTHOR: Toby N. Weingarten, MD Anesthesia Safety Patient Foundation Newsletter Volume 38, No. 2 June 2023 More than a decade ago the APSF established a clear edict: “No patient should be harmed by opioid-induced respiratory depression in the postoperative period.”1 Research studies established a strong association between obstructive sleep apnea (OSA) and adverse postoperative opioid-related outcomes. […]
Read MoreAuthors: Eleonora Balzani, M.D. et al Anesthesiology May 2023. To the Editor: We read the interesting review published by Tacquard et al. and appreciated the effort to provide evidence on the epidemiology, clinical manifestations, and management of perioperative anaphylaxis. While we recommend reading this review to the practitioner who wishes to better understand the mechanisms underlying drug-induced […]
Read MoreAuthors: Mark Nelson, M.D., M.Ed. et al Anesthesiology May 2023. To the Editor: We read with great interest the erudite review of anaphylaxis by Tacquaer et al. and summary by Avram which appeared in the January 2023 issue of Anesthesiology. The review is comprehensive and timely. The mechanisms for hypotension associated with anaphylaxis are identified as vasoplegia, […]
Read MoreAuthors: Charles Tacquard, M.D., Ph.D. et al Anesthesiology May 2023. In Reply: We thank the authors of the four letters to the editor for their interest in our work regarding our article and would like to respond to them as follows. Valach et al. suggest intramuscular epinephrine should be used as first-line treatment in perioperative anaphylaxis. We disagree with […]
Read MoreAuthors: Vivek Arora, M.B.B.S., M.D.; Alex Lee, M.D. Anesthesiology May 2023. To the Editor: We read with great interest the clinical focus review titled “Perioperative Anaphylaxis” published by Tacquard et al. in the January 2023 issue of Anesthesiology. The authors’ suggestion in Table 6, “Management Considerations for Perioperative Anaphylaxis,” that sugammadex may be considered as a therapy for rocuronium-induced […]
Read MoreAuthor: Selma H. Calmes, M.D. Anesthesiology May 2023. This interesting and well-written book documents the beginning of modern intensive care, focusing on polio epidemics in Copenhagen, Denmark, in the 1940s through the 1950s. These epidemics left many patients dead from respiratory failure when polio paralyzed the muscles needed for ventilation. Little could be done then […]
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