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Authors: Daniel I. Sessler, MD; Ahmad Al Jarkas, MD ASA Monitor May 2024, Vol. 88, 15–17. Intraoperative mortality has decreased by a factor of 10 in recent decades and is now so rare that it is hard to quantify (Lancet Reg Health West Pac 2023;37:100787; Eur J Anaesthesiol 1998;15:520-3). Consequently, clinicians and family often conclude that patients who arrive stable […]
Read MoreAuthor: Steven L. Shafer, MD, FASA ASA Monitor May 2024, Vol. 88, 14. “Carpe diem.” –Daniel Sessler, MD Okay, Dan Sessler isn’t the first person to say “carpe diem” (“seize the day”). Evidently that honor goes to Horatius, who said that in a poem published in 13 B.C. (asamonitor.pub/4ajj9Vf). However, Dr. Sessler has repeatedly urged our […]
Read MoreAuthor: Olga L. Quintero, M.D. Anesthesiology April 2024. It was the second week at my first job as a freshly graduated anesthesiologist. I was both nervous and anxious that morning because I had been assigned a case in the angio-suite. I had had a triumphant first week: no intraoperative complications; everyone, including my boss, seemed […]
Read MoreAuthors: Aurora N. Quaye, M.D. et al Anesthesiology Newly Published on April 2024. doi: Background Colorectal cancer is a leading cause of cancer-related death. Adenomas and serrated polyps are precursors of colorectal cancer, with serrated polyps being more difficult to detect during colonoscopy. The relationship between propofol use and polyp detection remains unclear. The authors investigated […]
Read MoreAuthors: Jakob Wittenstein, M.D. et al Anesthesiology Newly Published on April 2024. Background During one-lung ventilation (OLV), positive end-expiratory pressure (PEEP) can improve lung aeration, but might over-distend lung units and increase intrapulmonary shunt. We hypothesized that higher PEEP shifts pulmonary perfusion from the ventilated to the non-ventilated lung, resulting in a U-shaped relationship with intrapulmonary […]
Read MoreAuthors: Yujie Wu, M.M et al Anesthesiology Newly Published on April 2024. Background Stimulation of the paraventricular thalamus has been found to enhance anesthesia recovery; however, the underlying molecular mechanism by which general anesthetics modulate paraventricular thalamus is unclear. Here, we aimed to test the hypothesis that the sodium leak channel (NALCN) maintains neuronal activity in […]
Read MoreAuthor: Claire Wallace Becker’s ASC Review The anesthesia market has had a challenging last several years, as systems struggle to find qualified professionals in a competitive market. Often, small systems cannot afford to pay specialists and are left without anesthesia providers, who are critical for virtually every procedure in the ASC setting and beyond. While […]
Read MoreAuthor: Noah Tong Fierce Healthcare A new report finds the Medicare hospital trust fund will be solvent for 12 more years instead of seven. (Getty Images/ Andrii Yalanskyi) The Hospital Insurance Trust Fund will be fully solvent for longer than previously projected, according to an annual Medicare Trustee report. Though the report (PDF) details “significant financing issues,” […]
Read MoreAUTHORS: Hofer, Ryan E. MD et al Anesthesia & Analgesia October 06, 2023. BACKGROUND: Kidney transplant is the most common transplant operation performed in the United States. Although various approaches to pain management have been described, the optimal analgesic strategy remains undefined. Specifically, the role of intrathecal opioids in this patient population has not been […]
Read MoreAUTHORS: Okada, Carol R. MD et al Anesthesia & Analgesia 138(1):p 99-107, January 2024. BACKGROUND: Childhood obesity is a significant problem. Obesity may alter the pharmacokinetics (PKs) of medications. Fentanyl is commonly used for procedural sedation, but there is a paucity of bolus dose fentanyl PK data in obese children. Better understanding of fentanyl PK in […]
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