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Authors: Louanne M. Carabini, M.D. et al Anesthesiology December 2023. The number of complex spine surgeries performed worldwide on an annual basis continues to rise at a remarkable rate, with greater than 400,000 spinal fusions estimated to occur annually throughout the United States. Some of the purported reasons for this trend include an aging population, […]
Read MoreAuthors: Heather Lander, MD et al ASA Monitor September 2023, Vol. 87, 21. Projections from the United States census anticipate that one quarter of Americans will be 65 years or older within a decade, effectively doubling to 95 million older adults (asamonitor.pub/3pLIbun). The Administration on Aging finds over 17% of people living in the U.S. are […]
Read MoreAuthors: Huichen Zhu, M.D. et al Anesthesiology December 2023. Background Remimazolam, an ultra-short-acting benzodiazepine, may provide adequate sedation for endoscopy while causing less cardiovascular or respiratory disturbance than propofol. Although fixed-dose administration is suggested, body weight affects the volume of the central chamber and thus affects the sedation depth that can be achieved by the […]
Read MoreAuthors: Louanne M. Carabini, M.D. et al Anesthesiology December 2023. The number of complex spine surgeries performed worldwide on an annual basis continues to rise at a remarkable rate, with greater than 400,000 spinal fusions estimated to occur annually throughout the United States. Some of the purported reasons for this trend include an aging population, with […]
Read MoreAuthor: David A. Story, M.B.B.S., M.D., B.Med.Sci., Dip.P.O.M., F.A.N.Z.C.A. Anesthesiology December 2023, Vol. 139, 860–867. All models are wrong but some are useful. —George Box, British statistician, 1976 Most patients receiving anesthesia care have some care-driven changes in their acid–base status, at least mild respiratory acidosis during general anesthesia with spontaneous ventilation. However, many high-risk patients […]
Read MoreAnesthesiology December 2023, A 67-year-old man is scheduled to receive monitored anesthesia care for cardiac magnetic resonance imaging. His current medications include carvedilol, lisinopril, and transdermal nicotine. Which of these should MOST likely be held prior to this procedure? A. Carvedilol X B. Lisinopril X C. Transdermal nicotine ✔ Discussion Transdermal drug delivery systems may contain nicotine, hormonal contraceptives, opioids, scopolamine, […]
Read MoreAuthors: LaRae C. Brown, MD, MHA, FACOG; Keya A. Locke, MD, MBA ASA Monitor December 2023, Vol. 87, 28–29. During an emergency cesarean delivery, communication, clinical expertise, and collaboration are imperative for the multidisciplinary team. In that moment, there is nothing more crucial to the well-being of the patient than the dyad of an obstetrician and anesthesiologist. […]
Read MoreAuthors: Maxime Léger, M.D., Ph.D. et al Anesthesiology November 2023. Background Opioid-free anesthesia (OFA) is increasingly being adopted to reduce opioid consumption, but its impact on early postoperative recovery following major surgery has not been evaluated in comparative trials. We hypothesized that an OFA protocol would enhance the early quality of recovery (QoR) for patients […]
Read MoreAuthors: Amit K. Saha, PhD; Scott Segal, MD, MHCM Anesthesiology November 2023. Background An intraoperative transfer of care from one anesthesia provider to another, or handover, may result in information loss and contribute to adverse patient outcomes. In 2019 we undertook a quality improvement effort to increase the use of a structured intraoperative handover tool […]
Read MoreAuthors: Justin E. Richards, M.D. et al Anesthesiology November 2023. Trauma remains the leading cause of death and disability in individuals younger than 44 yr of age, and hemorrhage is the most common cause of preventable death after a traumatic mechanism of injury. Each year nearly 1.5 million deaths worldwide are the result of trauma-related […]
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