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Authors: Deborah J. Culley, M.D. et al Anesthesiology 11 2017, Vol.127, 765-774. Background: The American College of Surgeons and the American Geriatrics Society have suggested that preoperative cognitive screening should be performed in older surgical patients. We hypothesized that unrecognized cognitive impairment in patients without a history of dementia is a risk factor for development of postoperative […]
Read MoreA Penned Point The observations of Karen Sullivan Sibert, MD a Los Angeles anesthesiologist, writer, and mother. No, I’m not talking about putting fentanyl into my own veins — a remarkably bad idea. I’m questioning the habitual, reflex use of fentanyl, a synthetic opioid, in clinical anesthesiology practice. I’ve been teaching clinical anesthesiology, supervising residents and […]
Read MoreAuthors: David W. Barbara, M.D.; Troy G. Seelhammer, M.D.; William J. Mauermann, M.D. Anesthesiology 11 2017, Vol.127, 902-903. To the Editor: We read with great interest the intriguing study by Mathis et al.1 involving 702 noncardiac procedures performed in patients with left ventricular assist devices (LVADs). We commend the authors for their work in this important area and share their […]
Read MoreAuthors: Robert E. Freundlich, M.D., M.S.; Adam J. Kingeter, M.D. Anesthesiology 11 2017, Vol.127, 901-902. doi:10.1097/ALN.0000000000001852 To the Editor: We read with great interest the manuscript in the March 2017 issue of Anesthesiology by Mathis et al.1 that provided an overview of the authors’ experiences managing patients with left ventricular assist devices (LVADs) who were undergoing noncardiac surgery. We would […]
Read MoreAuthors: Rebecca Gerlach, M.D., F.R.C.P.C.; Avery Tung, M.D., F.C.C.M. Anesthesiology 11 2017, Vol.127, 899-900. doi:10.1097/ALN.0000000000001845 To the Editor: We read with interest the recent Clinical Concepts and Commentary article on perioperative glucose control.1 However, we worry that it overstates available evidence with respect to the benefit/risk ratio of using insulin to target specific intraoperative glucose levels in patients […]
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