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Daniel J. Pallin, MD, MPH reviewing Vinson DR et al. Ann Emerg Med 2017 Sep 29. Ibutilide successfully cardioverted 55% of patients within 4 hours in a multicenter retrospective cohort study. Ibutilide is a class III antiarrhythmic drug that is effective for cardioverting atrial fibrillation or flutter (AF/F). However, reported rates of induced ventricular tachycardia of around 1% may […]
Read MoreAuthors: Robert I. Block, Ph.D. et al Anesthesiology 11 2017, Vol.127, 788-799. Background: Anesthetics have neurotoxic effects in neonatal animals. Relevant human evidence is limited. We sought such evidence in a structural neuroimaging study. Methods: Two groups of children underwent structural magnetic resonance imaging: patients who, during infancy, had one of four operations commonly performed in otherwise healthy […]
Read MoreResearchers assessed more than 35,000 patients in an effort to tease out a clearer understanding of the association between gastroesophageal reflux disease and fibromyalgia. Interviews with Don Goldenberg, MD, and Michael R. Clark, MD, MPH, MBA Fibromyalgia (FM) and gastroesophageal reflux disease (GERD) appear to arise frequently in the same patient, an interrelationship that has […]
Read MoreAuthor: Robert M. Knapp, D.O., J.D. Anesthesiology 11 2017, Vol.127, 904-905. To the Editor: The editorial by Garcia and Sleigh1 provided an outstanding discussion of ketamine’s complexities. Their conclusion, that we use a flawed concept of anesthesia depth, was insightful and provides a reason as well as an opportunity to suggest something more meaningful. Anesthetic “depth” is […]
Read MoreAuthors: 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 […]
Read MoreAuthors: Charles W. Buffington, M.D.; Cynthia M. Q. Wells, M.D.; Ryan J. Soose, M.D. Anesthesiology 11 2017, Vol.127, 897. To the Editor: We compliment Sato et al.1 on their recent article concerning mask ventilation during the induction of general anesthesia. A prominent feature of this study is the occurrence of expiratory flow limitation during positive pressure ventilation in 29% of subjects. This […]
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