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Authors: Andrew Sedivy, MD et al ASA Monitor October 2022, Vol. 86, 20–21. When adverse outcomes occur postoperatively, anesthesiologists and surgeons often are at odds about the mechanism and may blame each other. If the creatinine changes after cardiac, vascular, or other surgeries, the surgeon may infer that the patient was over- or under-hydrated or there […]
Read MoreA case report of a woman with a history of drug use presenting with fatigue and hypotension whose adrenal insufficiency was likely masked by opioid use. Authors: Bush DA, OMS IV, Erika Barbero MD. Pract Pain Manag. 2022 September/October;22(5). About Opioid Induced Adrenal Insufficiency Opioid induced adrenal insufficiency (OIAI) is a complication of opioid use […]
Read MoreAuthors: Charlotte Martin, M.D. et al Anesthesiology December 2022, Vol. 137, 749–751. To the Editor: The waste produced by an operating room represents on average 20 to 30% of the waste of a health institution.1 At the Toulouse University Hospital (Toulouse, France), more than 100 tons of waste are produced per month. In 2020, only noninfectious […]
Read MoreAuthors: Roger L. Royster, M.D. et al Anesthesiology December 2022, Vol. 137, 733–734. Hypoxic pulmonary vasoconstriction occurs when the microvasculature perfusing hypoxic alveoli vasoconstricts, diverting blood to oxygenated alveoli to match ventilation with perfusion. Hypoxic pulmonary vasoconstriction can occur within seconds and reach a maximum intensity within minutes of hypoxia developing. It appears to be triggered by […]
Read MoreAuthor: David O. Warner, M.D. Anesthesiology October 2022, Vol. 137, 484–508. Tobacco use will kill a projected 1 billion people in the 21st century in one of the deadliest pandemics in history. Tobacco use disorder is a disease with a natural history, pathophysiology, and effective treatment options. Anesthesiologists can play a unique role in fighting this […]
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