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Authors: Rui Dong, M.M. et al Anesthesiology July 2024, Vol. 141, 100–115. Background Although it has been established that elevated blood pressure and its variability worsen outcomes in spontaneous intracerebral hemorrhage, antihypertensives use during the acute phase still lacks robust evidence. A blood pressure–lowering regimen using remifentanil and dexmedetomidine might be a reasonable therapeutic option given […]
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 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: 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 […]
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