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Autors: Matthew K. Whalin, MD, PhD et al ASA Monitor November 2024, Vol. 88, 1–4. Stroke is a national and global issue – compounded by an aging patient population with progressive comorbidities such as hypertension, diabetes mellitus, heart disease, and cardiac arrhythmias. Almost 800,000 people suffer acute stroke each year in the United States (Circulation 2023;147:e93-621). Many […]
Read MoreInhibition of IL-11 signalling extends mammalian healthspan and lifespan. Nature 2024; 632:157–65. PMID: 39020175. Author: Beatrice Beck-Schimmer, M.D. Anesthesiology December 2024, Vol. 141, A13–A15. The cell signaling pathways ERK, AMPK, and mTORC1 are well-known lifespan regulators in different species. In aging animals, these pathways play a crucial role in terms of activating hallmarks of aging such […]
Read MoreAuthors: Jason Sung Chi, MD et al ASA Monitor December 2024, Vol. 88, 20–21. Being involved in a medical malpractice claim is not an uncommon experience among the practicing physicians in the United States. The annual rate of paid malpractice claims across all specialties is 14.1 per 1,000 physician-years, while anesthesiologists have a lower rate of […]
Read MoreAuthors: Rima Abhyankar, MD et al ASA Monitor December 2024, Vol. 88, 17–19. As the patient’s blood pressure and heart rate precipitously drop, you, the anesthesiologist, are becoming tachycardic. You take a deep breath and spring into action. Years of education, training, and complex cases have prepared you to intervene. You call for help, start fluids, […]
Read MoreAuthors: Amit Bardia, M.B.B.S., MPH et al Anesthesiology November 2024. Background Antibiotics play a crucial role in preventing surgical site infections, yet adherence to Infectious Disease Society of America (IDSA) guidelines varies widely. This qualitative study aimed to explore factors influencing perioperative antibiotic administration and assess the potential impact of a clinical decision support (CDS) […]
Read MoreWe are seeking a dedicated anesthesiologist to join our all-anesthesiologist group. Our team will consist of 4 full-time providers and 1 for vacation relief, managing 3 operating rooms. Position Highlights: Zero call for 3 weeks, followed by 1 week of call without daytime work only call after 7 PM therefore you may not work the […]
Read MoreAuthors: Hong Wang, M.D.; Rui Dong, M.D. Anesthesiology November 2024. To the Editor: After reading Dr. Olga L. Quintero’s article, “A Lesson in Loss: A Novice Anesthesiologist’s Journey,” I was deeply moved by the profound challenges she encountered early in her career. For any newly graduated anesthesiologist, such an experience is an emotional and psychological blow. First […]
Read MoreContinuation vs discontinuation of renin-angiotensin system inhibitors before major noncardiac surgery: The Stop-or-Not randomized clinical trial. JAMA 2024; 332:970–8. PMID: 39212270. Author: Martin J. London, M.D. Image: Adobe Stock. Anesthesiology December 2024, Vol. 141, A13–A15. The impact of preoperative administration of renin-angiotensin system inhibitors (RASIs; angiotensin-converting enzyme inhibitors or angiotensin receptor blockers) on intra- and postoperative […]
Read MoreAuthors: Joshua A. Nicholas, M.D. et al Anesthesiology December 2024, Vol. 141, 1051–1064. Background Bleeding during cardiac surgery may be refractory to standard interventions. Off-label use of factor eight inhibitor bypass activity (FEIBA) has been described to treat such bleeding. However, reports of safety, particularly thromboembolic outcomes, show mixed results, and reported cohorts have been small. […]
Read MoreAuthors: Rodney A. Gabriel, M.D., M.A.S. et al Anesthesiology December 2024, Vol. 141, 1039–1050. Background Pectoralis-II and paravertebral nerve blocks are both used to treat pain after breast surgery. Most previous studies involving mastectomy identified little difference of significance between the two approaches. Whether this is also accurate for nonmastectomy procedures remains unknown. Methods Participants undergoing […]
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