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Authors: Shiri Zarour, MD et al Anesthesiology July 2024. Background Intraoperative hypotension might contribute to the development of postoperative delirium through inadequate cerebral perfusion. However, evidence regarding the association between intraoperative hypotension and postoperative delirium is equivocal. We therefore tested the hypothesis that in patients>70 years having elective non-cardiac surgery, intraoperative hypotension is associated with […]
Read MoreAuthors: Andrew King, MD, MS et al ASA Monitor April 2024, Vol. 88, 33. A family history of deaths under general anesthesia – an unlikely nightmare for the modern anesthesiologist. But for Dr. Jim Villiers, that was a challenge he had to face for his patient in 1960s Melbourne, Australia. Malignant hyperthermia (MH), a topic we […]
Read MoreAuthors: Steven Gayer, MD, MBA, FASA et al ASA Monitor November 2023, Vol. 87, 29. The warning signs are present. In 2023, some medical specialties are reporting the most severe drug shortages in recent memory (asamonitor.pub/3LkTVMd). These trends have sparked fervent discussions among lawmakers, regulators, and the health care community on how best to mitigate drug […]
Read MoreAuthor: Christian S. Guay, MD International Anesthesia Research Society Beverley A. Orser, MD, PhD, FRCPC, FRSC, Chair of the IARS Board of Trustees, opened this year’s Annual Meeting, on Friday, May 17, by acknowledging the diligent work and dedication of the IARS Trustees and staff. She also traced the illustrious history of the IARS and […]
Read MoreAUTHORS: Takei, Yusuke MD, PhD et al Anesthesia & Analgesia 139(2):p 385-396, August 2024. BACKGROUND: Currently, clinical indicators for evaluating endothelial permeability in sepsis are unavailable. Endothelium-derived extracellular vesicles (EDEVs) are emerging as biomarkers of endothelial injury. Platelet endothelial cell adhesion molecule (PECAM) and vascular endothelial (VE)-cadherin are constitutively expressed endothelial intercellular adhesion molecules that regulate […]
Read MoreAuthors: Hongye Zhang, MD et al Anesthesiology July 2024. Background A brachial plexus block plays an important role in providing perioperative analgesia for shoulder surgery; however, the inherent risk of phrenic nerve block and resulting hemidiaphragmatic paralysis may limit its use in patients with compromised pulmonary function. This study aimed to evaluate safety, efficacy, the […]
Read MoreAuthors: Zain Wedemeyer, B.S. et al Anesthesiology August 2024, Vol. 141, 262–271. Background The accuracy and precision of currently available, widely used acceleromyograph and electromyograph neuromuscular blockade monitors have not been well studied. In addition, the normalization of the train-of-four ratio from acceleromyography (train-of-four ratio [T4/T1] divided by the baseline train-of-four ratio) has not been validated […]
Read MoreAuthors: Robert G. Hahn, M.D., Ph.D.; Patrick Y. Wuethrich, M.D., Ph.D. Anesthesiology July 2024. To the Editor: We have read the article by Tallarico et al. on perioperative oliguria and congratulate the authors on their well-articulated exploration of this complex topic. We would, however, like to highlight some commonly overlooked aspects. We believe that the diagnostic criteria for […]
Read MoreAuthors: Matthieu Legrand, M.D., Ph.D. et al Anesthesiology July 2024. In Reply: In response to Hahn and Wuethrich’s comment on our article we agree that creatinine-based definitions of acute kidney injury (AKI) are imperfectly specific for damage to kidney tissue, and many such cases of AKI may represent adaptive changes in renal hemodynamics in response to […]
Read MoreAUTHORS: Bailey, Jonathan G. MD, MSc, FRCPC et al Anesthesia & Analgesia 139(2):p 375-384, August 2024. BACKGROUND: Burnout, depression, and anxiety are increasingly recognized as common among health care providers. Risks for these conditions are exacerbated in low-resource settings by excessive workload, high disease burden, resource shortage, and stigma against mental health issues. Based on discussions […]
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