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Authors: Gabriela K. Fragiadakis B.A. et al Anesthesiology 12 2015, Vol.123, 1241-1255. doi:10.1097/ALN.0000000000000887 Background: Recovery after surgery is highly variable. Risk-stratifying patients based on their predicted recovery profile will afford individualized perioperative management strategies. Recently, application of mass cytometry in patients undergoing hip arthroplasty revealed strong immune correlates of surgical recovery in blood samples collected shortly after surgery. However, the […]
Read MoreAuthor: Larry M. Silver MD ASA Monitor 11 2015, Vol.79, 40-42. Larry M. Silver, M.D. is Private Practice Anesthesiologist, Coastal Anesthesia Medical Associates; Medical Product Developer for Tahoe Institute of Rural Health Research, San Luis Obispo, California. Acute care cognitive aids (ACCAs) are tools used by clinicians to deliver emergent treatment to patients with acute medical […]
Read MoreAuthors: George Diaiani, MD, FRCA, FRCPC, et al Anesthesiology published on 11 2015. Background: Postoperative delirium (POD) is a serious complication after cardiac surgery. Use of dexmedetomidine to prevent delirium is controversial. The authors hypothesized that dexmedetomidine sedation after cardiac surgery would reduce the incidence of POD. Methods: After institutional ethics review board approval, and informed consent, a single-blinded, […]
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Read MoreAuthor: Emily Richardson, MD ASA Monitor 11 2015, Vol.79, 36-38. Emily Richardson, M.D. is Chief Quality Officer, Encompass Medical Partners, Fort Collins, Colorado. Collection of data is all well and good, but improvement in patient outcomes requires the ability to turn information into action. The AQI Practice Quality Improvement Committee (PQIC) will collect and present examples […]
Read MoreAuthor: Kristin Forner, MD ASA Monitor 11 2015, Vol.79, 28-30. Kristin Forner, M.D., is Assistant Professor, University of North Carolina, Mission Palliative Care, Mission Hospital, Asheville, North Carolina. The potential for creative cross-over, stimulating overlap of expertise, and ground-breaking collaboration between palliative care and anesthesiology within the Perioperative Surgical Home (PSH) environment is enormous. Palliative care has […]
Read MoreAuthor: Uday Jain, MD, PhD ASA Monitor 11 2015, Vol.79, 16-18. Uday Jain, M.D., Ph.D. is Staff Anesthesiologist, Alameda Health System, Oakland, California. Classification: Perioperative acute kidney injury (AKI) was previously known as “acute renal failure.” To facilitate its management, standardized classification of severity of AKI is utilized. Two sets of criteria are popular for classification of […]
Read MoreAuthor: David P. Martin, MD, PhD ASA Monitor 11 2015, Vol.79, 14-15. Physician anesthesiologists have long recognized the importance of measuring and maintaining normal body temperature. Multiple research studies have demonstrated that hypothermia increases cardiac arrhythmias, increases blood loss, raises rates of surgical infections and delays patient awakening. Reflecting that importance, temperature management was one of the […]
Read MoreAuthors: Vito Fanelli MD, PhD, et al Anesthesiology published on 11 2015. Background: Neuromuscular blocking agents (NMBAs) bind the nicotinic acetylcholine receptor α1 (nAChRα1) that also contributes to inflammatory signaling. Thus, the author hypothesized that the use of NMBA mitigates lung injury by improving ventilator synchrony and decreasing inflammatory responses. Methods: Lung injury was induced by intratracheal instillation of hydrogen […]
Read MoreAuthors: Judith A. R. van Waes, MD, et al Anesthesiology published on 11 2015. Background: Postoperative myocardial injury occurs frequently after noncardiac surgery and is strongly associated with mortality. Intraoperative hypotension (IOH) is hypothesized to be a possible cause. The aim of this study was to determine the association between IOH and postoperative myocardial injury. Methods: This cohort study […]
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