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Authors: Lena Scotto, MD; Natalie Moreland, MD ASA Monitor March 2024, Vol. 88, 35. Individuals over the age of 65 make up the largest proportion of patients seeking surgical care. Advanced age and underlying cognitive disorders are risk factors for the development of cognitive impairment, the most common complication in this age group. Perioperative neurocognitive disorders (PNDs) […]
Read MoreAuthors: Julie Helms, M.D., Ph.D. et al Anesthesiology July 2024, Vol. 141, 75–86. Background Extracorporeal membrane oxygenation (ECMO) is associated with a high risk of bleeding complications. The specific impact of ECMO on fibrinolysis remains unexplored. The objective of the current pilot observational prospective study was to investigate the longitudinal dynamics of fibrinolytic markers—i.e., changes over […]
Read MoreThe central renin-angiotensin system: A genetic pathway, functional decoding, and selective target engagement characterization in humans. Proc Natl Acad Sci U S A 2024; 121:e2306936121. PMID: 38349873. Author: Charles Emala, M.D. Anesthesiology July 2024, Vol. 141, A13–A15. The peripheral renin angiotensin system (RAS) is a well-characterized hormonal system classically understood to regulate cardiovascular and renal functions, […]
Read MoreAuthors: Côme Bureau, M.D., Ph.D. et al Anesthesiology July 2024, Vol. 141, 87–99. Background Data on assessment and management of dyspnea in patients on venoarterial extracorporeal membrane oxygenation (ECMO) for cardiogenic shock are lacking. The hypothesis was that increasing sweep gas flow through the venoarterial extracorporeal membrane oxygenator may decrease dyspnea in nonintubated venoarterial ECMO patients […]
Read MoreAuthors: Ashish Agrawal, MD et al ASA Monitor October 2023, Vol. 87, 35. Delirium is likely the most well-known perioperative cognitive disorder. Delirium, an acute and fluctuating alteration in the level of consciousness and attention, has significant consequences for patients, families, and the health care system. The incidence of delirium is associated with increased mortality, cognitive […]
Read MoreAuthor: Carly Behm Becker’s Spine Review Pain medicine and spine care can work in tandem, and their success will involve four key elements, according to one spine surgeon. “Pain medicine is navigating an era of unprecedented progress, and one of the key driving forces behind this evolution is the collaborative relationship between pain specialists and […]
Read MoreAuthor: Alicia Ault Medscape Anesthesiology A single course of treatment with emotional awareness and expression therapy (EAET) was associated with a significantly greater reduction in chronic pain severity than cognitive-behavioral therapy (CBT), the current psychotherapeutic gold standard, a new study suggested. Two thirds of the patients who received EAET reported at least a 30% reduction […]
Read MoreAuthor: Beatrice Beck-Schimmer Anesthesiology July 2024, Vol. 141, A13–A15. Individualized treatment effects of oxygen targets in mechanically ventilated critically ill adults. JAMA 2024; 331:1195–204. PMID: 38501205. Based on data from randomized trials, no oxygenation targets are known to affect patient outcome. Also, oxygenation targets specific to a patient’s characteristics have not been reported. This study was […]
Read MoreAuthors: Seyed A. Safavynia, MD, PhD; Shobana Rajan, MD, FASA ASA Monitor May 2024, Vol. 88, 28–29. Electroencephalographic (EEG) monitoring has become increasingly commonplace in the anesthesiologist’s practice since the Bispectral IndexTM (BISTM) Monitor (Medtronic) was approved by the U.S. Food and Drug Administration (FDA) in 1996 for monitoring anesthetic depth. Today, several other intraoperative EEG devices exist, […]
Read MoreAuthors: Shan-Shan Xu, M.D.; Linlin Zhang, M.D., Ph.D.; Jian-Xin Zhou, M.D., Ph.D. Anesthesiology July 2024, Vol. 141, 196–197. In Reply: WE would like to thank Yamazaki and Hosokawa for their interest in our article. The authors highlight four concerns about using the Swallowing, Tongue protrusion, Airway protection reflected by spontaneous and suctioning cough, and Glasgow coma scale Evaluation (STAGE) […]
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