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AUTHORS: GEORGE TEWFIK, MD, MBA et al KevinMD.com A guest column by the American Society of Anesthesiologists, exclusive to KevinMD. Put yourself in the anesthesiologist’s shoes. It’s 7:00 a.m., and you’ve just finished setting up the operating room (OR). You make your way to the preoperative unit to evaluate your patient and find a prescription […]
Read MoreAUTHORS: Kain, Zeev N. MD, MBA et al Anesthesia & Analgesia Editorial 138(3):p 488-490, March 2024. While there is no universal definition for the Metaverse, many define it as “a virtual reality space in which users can interact with an environment generated by computer and with other users.”a The Metaverse is described as a virtual world […]
Read MoreAUTHORS: Zhang, Simin MD et al Anesthesia & Analgesia November 23, 2023. BACKGROUND: Ventral tegmental area (VTA) glutamatergic neurons promote wakefulness in the sleep-wake cycle; however, their roles and neural circuit mechanisms during isoflurane (ISO) anesthesia remain unclear. METHODS: Fiber photometry and in vivo electrophysiology were used to observe the changes in neuronal or terminal […]
Read MoreAuthor: Patsy Newitt Becker’s Physician Leadership Revenue and expense data from the last year could point to a need for to reconsider the traditional physician employment model, according to Kaufman Hall’s “Physician Flash Report for 2023.” Here are three takeaways and three action steps, according to the report. Takeaways: 1. Investment per provider is up […]
Read MoreAUTHORS: Reppucci, Marina L. MD et al Anesthesia & Analgesia 138(3):p 562-571, March 2024. BACKGROUND: Postpartum hemorrhage (PPH) is the leading cause of maternal death worldwide. Early recognition and management are imperative for improved outcomes. The compensatory reserve index (CRI) is a novel physiological parameter that trends changes in intravascular volume, by continuously comparing extracted photoplethysmogram […]
Read MoreAUTHORS: Carr, Shane G. MD et al Anesthesia & Analgesia 138(3):p 517-529, March 2024. BACKGROUND: We assessed the association between education-based interventions, the frequency of train-of-four (TOF) monitoring, and postoperative outcomes. METHODS: We studied adults undergoing noncardiac surgery from February 1, 2020 through October 31, 2021. Our education-based interventions consisted of 3 phases. An interrupted time-series […]
Read MoreAuthors: Wada, Nozomi MD et al A & A Practice 17(5):p e01682, May 2023. Abstract A peripheral nerve block may be used to improve patient tolerance of awake intubation. During an awake intubation, the glossopharyngeal, superior laryngeal, and recurrent laryngeal nerves can mediate discomfort, pain, cough, glottic closure, and gag reflexes. We describe the use of […]
Read MoreAUTHORS: Lasocki, Sigismond MD, PhD et al Anesthesia & Analgesia 137(1):p 182-190, July 2023. BACKGROUND. Assessment of anemia and iron deficiency before surgery is pivotal for patient blood management (PBM), but few data on current practices are available in the French context. The objective of this study was to describe anemia and iron deficiency management and […]
Read MoreAUTHORS: Wang, Tzu Chun MD et al Anesthesia & Analgesia July 10, 2023. BACKGROUND: Electroencephalographic pattern changes during anesthesia reflect the nociception-analgesia balance. Alpha dropout, delta arousal, and beta arousal with noxious stimulation have been described during anesthesia; however, data on the reaction of other electroencephalogram signatures toward nociception are scarce. Analyzing the effects of […]
Read MoreAuthor: Michael Walter Cardiovascular Business The International Liaison Committee on Resuscitation (ILCOR), a global group focused on improving patient outcomes after in-hospital cardiac arrest (IHCA), has shared 10 steps hospitals can take to improve the quality of care IHCA patients receive at their facilities. The full document was published in Circulation: Cardiovascular Quality and Outcomes.[1] The ILCOR, […]
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