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Author: Patsy Newitt Becker’s ASC Review Here are four statistics on the anesthesiologist shortage that leaders should know: 1. More than 2,872 anesthesiologists left the workforce from 2021 to 2022, according to a report from Definitive Healthcare. 2. In the 2022 match, 44% of applicants seeking an anesthesiology residency did not match, according to the American Society of […]
Read MoreAuthor: Mariah Taylor Becker’s Clinical Leadership A study found patients who receive sedation from an anesthesiologist, instead of a physician who is not a trained anesthesiologist, are nearly 70% more likely to be discharged home than to a long-term care facility. The study, presented at the Anesthesiology 2023 annual meeting, analyzed data from 9,682 patients who had […]
Read MoreAuthors: Hyun-Jung Shin, M.D., Ph.D. et al Anesthesiology November 2023, Vol. 139, 710–711. In Reply: We thank Nelson et al., Goodwin et al., and Hughes et al. for their responses to our article. We would like to express our gratitude to Nelson et al. for raising important concerns. The fragility index is a novel method for measuring the robustness of results in […]
Read MoreAuthors: Lauren M. Hughes, M.D. et al Anesthesiology November 2023, Vol. 139, 709. To the Editor: We read with great interest the recent article by Shin et al. which concluded that dexmedetomidine shows a lower incidence of postoperative delirium compared to propofol sedation in healthy older adults undergoing lower limb surgery during spinal anesthesia, which included patients […]
Read MoreAuthors: Mark Nelson, M.D., M.Ed. et al Anesthesiology November 2023, Vol. 139, 708. To the Editor: We read with interest the randomized controlled trial in the journal by Shin et al. comparing postoperative delirium rates in patients undergoing major joint replacement surgery under spinal anesthesia using propofol versus dexmedetomidine sedation. Not only does this trial inform on which agent may […]
Read MoreAuthors: Benjamin Steinhorn, M.D., Ph.D. et al Anesthesiology November 2023, Vol. 139, 705–707. To the Editor: Since their introduction more than a decade ago, sodium glucose transporter 2 inhibiting drugs have established themselves as important tools in the management of diabetes, chronic kidney disease, and heart failure. However, periprocedural euglycemic diabetic ketoacidosis has been associated with […]
Read MoreAuthors: Jan Ngian, M.B.B.S. et al Anesthesiology November 2023, Vol. 139, 665–666. These images belong to a 30-yr-old man who underwent an arthroscopic knee meniscal repair. He had a body mass index of 29 kg/m2 and endorsed occasional mild gastroesophageal reflux after spicy food. Induction of anesthesia was unremarkable. A laryngeal mask airway (LMA) was inserted with a […]
Read MoreAuthors: Aurora Magliocca, M.D., Ph.D. et al Anesthesiology November 2023, Vol. 139, 628–645. Background The catabolism of the essential amino acid tryptophan to kynurenine is emerging as a potential key pathway involved in post–cardiac arrest brain injury. The aim of this study was to evaluate the effects of the modulation of kynurenine pathway on cardiac arrest […]
Read MoreAuthors: Nickil R Agni et al Lancet 2023 Jul 15;402(10397):196-202. Background: Hip fracture is the most common injury requiring treatment in hospital. Controversy exists regarding the use of antibiotic loaded bone cement in hip fractures treated with hemiarthroplasty. We aimed to compare the rate of deep surgical site infection in patients receiving high-dose dual-antibiotic loaded […]
Read MoreAuthors: Jacob N Schroder et al N Engl J Med 2023 Jun 8;388(23):2121-2131 Background: Data showing the efficacy and safety of the transplantation of hearts obtained from donors after circulatory death as compared with hearts obtained from donors after brain death are limited. Methods: We conducted a randomized, noninferiority trial in which adult candidates for heart transplantation […]
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