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Author: Christian S. Guay, MD International Anesthesia Research Society Leading experts came together to discuss the latest advancements in understanding and preventing perioperative neurocognitive disorders (PND), during the symposium titled “Targets for Prevention of Perioperative Neurocognitive Disorders: What’s New in Town?” co-sponsored by the Society for the Advancement of Geriatric Anesthesia (SAGA), at the 2024 […]
Read MoreAuthor: Robert N. Sladen, M.B.Ch.B., M.R.C.P.(U.K.), F.R.C.P.C., F.C.C.M. Anesthesiology May 2024. Background Acute renal dysfunction and subsequent acute renal failure after cardiac surgery are associated with high mortality and morbidity. Early therapeutic or preventive intervention is hampered by the lack of an early biomarker for acute renal injury. Recent studies showed that urinary neutrophil gelatinase–associated […]
Read MoreAuthors: Evangelia Akoumianaki, M.D., Ph.D. et al Anesthesiology May 2024. Background Patient-ventilator dyssynchrony is frequently observed during assisted mechanical ventilation (MV). However, the effects of expiratory muscle contraction on patient-ventilator interaction are underexplored. We hypothesized that active expiration would affect patient-ventilator interaction and we tested our hypothesis in a mixed cohort of invasively ventilated patients […]
Read MoreAuthor: Robert N. Sladen, M.B.Ch.B., M.R.C.P.(U.K.), F.R.C.P.C., F.C.C.M. Anesthesiology May 2024. Background Acute renal dysfunction and subsequent acute renal failure after cardiac surgery are associated with high mortality and morbidity. Early therapeutic or preventive intervention is hampered by the lack of an early biomarker for acute renal injury. Recent studies showed that urinary neutrophil gelatinase–associated […]
Read MoreAuthors: Gamonmas Ekkapat, M.D. et al Anesthesiology May 2024. A 43-yr-old woman experienced acute respiratory failure with right ventricular dysfunction following a complex left pneumonectomy (fig. 1A) with cardiopulmonary bypass. She was intubated and mechanically ventilated. Fig. 1. (A) Chest x-ray showing patchy opacities at the right middle and lower lung zones along with loculated […]
Read MoreAuthors: Kim I. Albers-Warlé, MD et al Anesthesiology May 2024. Background The number of trials investigating the effects of deep neuromuscular blockade (NMB) on surgical conditions and patient outcomes is steadily increasing. Consensus on which surgical procedures benefit from deep NMB (a post tetanic count of 1-2) and how to implement it has not been […]
Read MoreAuthors: Zain Wedemeyer, BS et al Anesthesiology May 2024. Background The accuracy and precision of currently available, widely used acceleromyograph and electromyograph neuromuscular blockade monitors have not been well studied. In addition, the normalization of the train-of-four ratio from acceleromyography (train-of-four ratio [T4/T1] divided by the baseline train-of-four ratio) has not been validated in comparison […]
Read MoreAuthors: Mark I. Zakowski, M.D. et al Anesthesiology June 2024, Vol. 140, 1236–1237. To the Editor: The American Society of Anesthesiologists (ASA; Schaumburg, Illinois) House of Delegates recently approved the “Statement on Pain during Cesarean Delivery” from the Committee on Obstetric Anesthesia advising all practitioners on the pervasive problem of failure to achieve pain-free cesarean delivery. […]
Read MoreAuthors: Bingcheng Zhao, MD et al Anesthesiology May 2024. Background Patients undergoing noncardiac surgery have varying risk of cardiovascular complications. This study evaluated preoperative N-terminal pro–B-type natriuretic peptide and high-sensitivity cardiac troponin T to enhance cardiovascular events prediction for major noncardiac surgery. Methods This prospective cohort study included adult patients with cardiovascular disease or risk factors […]
Read MoreAuthors: Hong Yu, M.D. et al Anesthesiology June 2024, Vol. 140, 1201–1202. Figure 1 depicts the user interface of the National Remote Emergency System for Malignant Hyperthermia for dantrolene mobilization in China. In National Remote Emergency System for Malignant Hyperthermia, dantrolene can be mobilized in three steps: (1) calculating the minimum dantrolene vials needed; (2) identifying […]
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