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Authors: Lei Wang, M.D.; Lingxin Wei, M.D. Anesthesiology 11 2017, Vol.127, 896-897. To the Editor: With great interest, we read the article by Sato et al.,1 which reports the influences of obstructive sleep apnea on mask ventilation during induction of general anesthesia by comparing patients with or without sleep-disordered breathing.In addition to the limitations described in the discussion, we […]
Read MoreAuthors: Zhiqiang Zhou, M.D.; Xueren Wang, M.D., Ph.D. Anesthesiology 11 2017, Vol.127, 896. doi:10.1097/ALN.0000000000001826 To the Editor: With great interest, we read the article by Sato et al.,1 which reported the effect of sleep-disordered breathing on tidal volume with mask ventilation during anesthetic induction. Additional details might better clarify this study and affect the interpretation of the results. The […]
Read MoreAuthors: Moritz Kretzschmar, M.D., Ph.D., D.E.S.A. et al Anesthesiology 11 2017, Vol.127, 800-812. Background: Increasing numbers of patients with obstructive lung diseases need anesthesia for surgery. These conditions are associated with pulmonary ventilation/perfusion (VA/Q) mismatch affecting kinetics of volatile anesthetics. Pure shunt might delay uptake of less soluble anesthetic agents but other forms of VA/Q scatter have […]
Read MoreAuthors: Guillaume Besch, M.D. et Anesthesiology 11 2017, Vol.127, 775-787. Background: We aimed to assess the clinical effectiveness of intravenous exenatide compared to insulin in perioperative blood glucose control in coronary artery bypass grafting surgery patients. Methods: Patients more than 18 yr old admitted for elective coronary artery bypass grafting were included in a phase II/III nonblinded randomized […]
Read MoreAuthors: Matthew D. Neal, M.D. et al Anesthesiology 11 2017, Vol.127, 744-746. EMERGENCY care providers need to have therapies for the acutely bleeding patient, especially for trauma patients and those requiring emergency surgery. Trauma is a leading cause of mortality worldwide with hemorrhage as the leading cause of preventable death. As many as 30% of severely […]
Read MoreAuthor: Jonathan H. Waters, M.D. Anesthesiology 11 2017, Vol.127, 738-740. “…this report highlights the role that an anesthesiologist can play in leading patient blood management.” IN this issue of Anesthesiology is a report on the next evolution of a patient blood management program.1 This report explores what was done at the Johns Hopkins Health System to take a […]
Read MoreShould Elective Surgeries Be Permitted to Be Performed in the Evening? (PC10) In an era where quality measurements are used to grade and reimburse physicians, perioperative teams are in the spotlight if outcomes are less than optimal. One area drawing attention is elective surgeries performed late in the day, when perioperative teams could be tired […]
Read MoreShahzad Shaefi, M.D., M.P.H.: ‘Pharmacologic prevention and treatment of delirium remains controversial, and non-pharmacologic management of delirium remains the cornerstone of delirium prevention and treatment.’ Delirium is associated with increased morbidity and mortality in older surgical patients, and its causes and treatments are not well understood. Recent research, though, has produced advances in recognition of […]
Read MoreBuilding the Best Cardiac Operating Room Team: Lessons in Leadership, Teamwork and Communication (218) By Atilio Barbeito, M.D., M.P.H and Jonathan B. Mark, M.D. Good chemistry is required in medicine — not just in pharmaceutical treatments but among the members of the treatment team. The qualities of a good team and how they can be […]
Read MoreAtul Gawande, M.D.: ‘What we are working for is pretty simple. It’s the right care at the right time every time.’ Anesthesia and sterile environments are seen as the first two foundations of improved outcomes in surgery, but teamwork is establishing itself as an equally important part of that foundation. Atul Gawande, M.D., explained that […]
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