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Anesthesiology December 2023, A 67-year-old man is scheduled to receive monitored anesthesia care for cardiac magnetic resonance imaging. His current medications include carvedilol, lisinopril, and transdermal nicotine. Which of these should MOST likely be held prior to this procedure? A. Carvedilol X B. Lisinopril X C. Transdermal nicotine ✔ Discussion Transdermal drug delivery systems may contain nicotine, hormonal contraceptives, opioids, scopolamine, […]
Read MoreAuthors: LaRae C. Brown, MD, MHA, FACOG; Keya A. Locke, MD, MBA ASA Monitor December 2023, Vol. 87, 28–29. During an emergency cesarean delivery, communication, clinical expertise, and collaboration are imperative for the multidisciplinary team. In that moment, there is nothing more crucial to the well-being of the patient than the dyad of an obstetrician and anesthesiologist. […]
Read MoreAuthors: Maxime Léger, M.D., Ph.D. et al Anesthesiology November 2023. Background Opioid-free anesthesia (OFA) is increasingly being adopted to reduce opioid consumption, but its impact on early postoperative recovery following major surgery has not been evaluated in comparative trials. We hypothesized that an OFA protocol would enhance the early quality of recovery (QoR) for patients […]
Read MoreAuthors: Amit K. Saha, PhD; Scott Segal, MD, MHCM Anesthesiology November 2023. Background An intraoperative transfer of care from one anesthesia provider to another, or handover, may result in information loss and contribute to adverse patient outcomes. In 2019 we undertook a quality improvement effort to increase the use of a structured intraoperative handover tool […]
Read MoreAuthors: Justin E. Richards, M.D. et al Anesthesiology November 2023. Trauma remains the leading cause of death and disability in individuals younger than 44 yr of age, and hemorrhage is the most common cause of preventable death after a traumatic mechanism of injury. Each year nearly 1.5 million deaths worldwide are the result of trauma-related […]
Read MoreAuthors: Domenico Luca Grieco, M.D. et al Anesthesiology December 2023, Vol. 139, 801–814. Background Positive end-expiratory pressure (PEEP) benefits in acute respiratory distress syndrome are driven by lung dynamic strain reduction. This depends on the variable extent of alveolar recruitment. The recruitment-to-inflation ratio estimates recruitability across a 10–cm H2O PEEP range through a simplified maneuver. Whether […]
Read MoreAuthor: Patsy Newitt Becker’s ASC Review ASCs in many markets are facing major anesthesia provider shortages and declining reimbursements, affecting their ability to provide care. “Anesthesia used to be a seemingly unlimited commodity,” Jeff Dottl, principal at Ventura, Calif.-based Physicians Surgery Centers, told Becker’s. “They were lucky to be invited to work at your surgery center. The […]
Read MoreAuthors: Brent T. Boettcher, DO, FASA; Jennie Ngai, MD, FASA ASA Monitor December 2023, Vol. 87, 1–4. Heart transplantation remains the treatment of choice for many patients with end-stage heart failure. Heart transplant volume in the United States had remained relatively stable from the early 1990s until 2012, falling in the 2,100-2,200 transplants per year range. […]
Read MoreAuthors: Laurence Moss, M.D. et al Anesthesiology December 2023, Vol. 139, 746–756. Background Oliceridine (Olinvyk) is a μ-opioid receptor agonist that in contrast to conventional opioids preferentially engages the G-protein–coupled signaling pathway. This study was designed to determine the utility function of oliceridine versus morphine based on neurocognitive tests and cold pressor test. Methods The study had a […]
Read MoreAuthors: Deepu S. Ushakumari, M.B.B.S., M.H.C.D.S., D.F.P.M., F.A.S.A., F.A.C.H.E., C.P.E. et al Anesthesiology November 2023. To the Editor: Glucagon-like polypeptide-1 (GLP-1) agonists are being increasingly used for their effectiveness in enhancing glycemic control in type 2 diabetes mellitus as well as weight loss in obesity. Their potential for gastroparesis, retained gastric contents, perioperative regurgitation, and […]
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