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Authors: 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: Mathias Maleczek, M.D. et al Anesthesiology July 2024, Vol. 141, 32–43. Background Research on electronic health record physiologic data is common, invariably including artifacts. Traditionally, these artifacts have been handled using simple filter techniques. The authors hypothesized that different artifact detection algorithms, including machine learning, may be necessary to provide optimal performance for various vital […]
Read MoreAuthor: BobbieJean Sweitzer, M.D. Anesthesiology July 2024, Vol. 141, A13–A15. Risk of mortality following surgery in patients with a previous cardiovascular event. JAMA Surg 2024; 159:140–9. PMID: 37991772. Appropriate timing of noncardiac surgery after a stroke or an acute coronary syndrome is unknown. This longitudinal, retrospective, population-based cohort study combined data from United Kingdom National Health […]
Read MoreAuthor: Patsy Newitt Becker’s ASC Review ASCs and other healthcare providers have been facing major obstacles to secure anesthesia coverage as reimbursements continue to sink. Here are 10 notes on the decline of anesthesia reimbursements: 1. CMS anesthesia reimbursements declined 8.2% from 2019 to 2024 — from $22.27 per unit to $20.44, VMG Health said […]
Read MoreAuthors: Markus Zadrazil, M.D. et al Anesthesiology July 2024, Vol. 141, 24–31. Background Little is known about the pharmacodynamic characteristics of liposomal bupivacaine. Hypothesizing that they would not identify pharmacodynamic differences from plain bupivacaine during the initial period after administration, but would find better long-term pharmacodynamic characteristics, the authors designed a randomized, controlled, triple-blinded, single-center study […]
Read MoreAuthors: William G. Tharp, M.D., Ph.D. Image: J. P. Rathmell. Anesthesiology July 2024, Vol. 141, A13–A15. Key Papers from the Most Recent Literature Relevant to Anesthesiologists Glucagon-like peptide-1 receptor agonist use and residual gastric content before anesthesia. JAMA Surg 2024 Mar 6 Glucagon-like peptide-1 receptor agonist use has precipitously increased as effective treatment for type […]
Read MoreAuthor: Patrick J. McCormick, M.D., M.Eng. Anesthesiology July 2024, Vol. 141, 4–6. “Vital sign data artifacts not only are a problem for retrospective observational research but also pose a threat to the accuracy of automated quality measures and pragmatic prospective clinical trial results.” An essential skill of an experienced anesthesiologist is to quickly determine when a […]
Read MoreAuthors: Jakob Wittenstein, M.D. et al Anesthesiology July 2024, Vol. 141, 44–55. Background During one-lung ventilation (OLV), positive end-expiratory pressure (PEEP) can improve lung aeration but might overdistend lung units and increase intrapulmonary shunt. The authors hypothesized that higher PEEP shifts pulmonary perfusion from the ventilated to the nonventilated lung, resulting in a U-shaped relationship with […]
Read MoreAuthors: Mandeep Singh, MBBS, MD, MSc, FRCPC et al Anesthesia Patient Safety Fountation June 2024 Volume 39, No. 2 INTRODUCTION The Society of Anesthesia and Sleep Medicine (SASM) was founded in 2010 as a collaboration between anesthesia professionals and sleep specialists focused on the perioperative safety of patients with sleep disorders. Obstructive sleep apnea (OSA) […]
Read MoreAuthors: Myles Hardeman, M.D. et al Anesthesiology June 2024. To the Editor: We read the study titled “Evidence-based Perioperative Practice Utilization among Various Racial Populations—A Retrospective Cohort Trending Analysis of Lower Extremity Total Joint Arthroplasty Patients.” It included 3.4 million lower extremity arthroplasty patients from 2006 to 2021. The authors used these data to determine […]
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