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Authors: Peter L. Kovacs, M.D. et al Anesthesiology November 2023, Vol. 139, 664. The figure is from the preanesthetic airway assessment of a 56-yr-old man scheduled for laparoscopic hernia repair. His epiglottis was visible on tongue protrusion (unusual “Mallampati Zero” classification) and was adhered to the uvula as well. The patient related an uneventful past surgical history, although […]
Read MoreAuthors: Russell L Gruen et al N Engl J Med 2023 Jul 13;389(2):127-136 Background: Whether prehospital administration of tranexamic acid increases the likelihood of survival with a favorable functional outcome among patients with major trauma and suspected trauma-induced coagulopathy who are being treated in advanced trauma systems is uncertain. Methods: We randomly assigned adults with major […]
Read MoreAuthors: Matthias Heringlake, M.D. et al Anesthesiology November 2023, Vol. 139, 701–704. To the Editor: Transfemoral transcatheter aortic valve replacement has become the standard of care for older patients with symptomatic aortic stenosis. While most procedures were initially performed under general anesthesia, based on the assumption that avoiding general anesthesia may improve postinterventional well-being and patient satisfaction, […]
Read MoreAuthors: Chin-Tsang Yang, Ph.D. et al Anesthesiology November 2023, Vol. 139, 646–663. Background Spinal cord stimulation (SCS) is an important pain treatment modality. This study hypothesized that a novel pulsed ultrahigh-frequency spinal cord stimulation (pUHF-SCS) could safely and effectively inhibit spared nerve injury–induced neuropathic pain in rats. Methods Epidural pUHF-SCS (± 3V, 2-Hz pulses comprising 500-kHz […]
Read MoreAuthor: Carly Behm Becker’s ASC Review AmSurg will be separated from Envision Healthcare and have its own separate leadership teams and owner groups, according to an Oct. 11 news release. The U.S. Bankruptcy Court for the Southern District of Texas Houston Division confirmed Envision’s plans to reorganize as it emerges from bankruptcy, which will eliminate 70% of […]
Read MoreAuthors: Ha-Jung Kim, M.D., Ph.D. et al Anesthesiology November 2023, Vol. 139, 591–601. Background Single-shot suprascapular nerve block and superior trunk block have been reported to provide a noninferior analgesic effect after shoulder surgery with a lesser incidence of hemidiaphragmatic paresis compared with interscalene brachial plexus block. This study hypothesized that continuous suprascapular nerve block […]
Read MoreAuthors: Phillip E. Vlisides, M.D. et al Anesthesiology November 2023, Vol. 139, 568–579. Background Perioperative neurocognitive disorders are a major public health issue, although there are no validated neurophysiologic biomarkers that predict cognitive function after surgery. This study tested the hypothesis that preoperative posterior electroencephalographic alpha power, alpha frontal-parietal connectivity, and cerebral oximetry would each correlate […]
Read MoreAuthors: Matthew E Prekker et al New England Journal of Medicine 2023 Aug 3;389(5):418-429. Background: Whether video laryngoscopy as compared with direct laryngoscopy increases the likelihood of successful tracheal intubation on the first attempt among critically ill adults is uncertain. Methods: In a multicenter, randomized trial conducted at 17 emergency departments and intensive care units (ICUs), we […]
Read MoreAuthors: Michael G Collins et al Lancet 2023 Jul 8;402(10396):105-117 Background: Delayed graft function (DGF) is a major adverse complication of deceased donor kidney transplantation. Intravenous fluids are routinely given to patients receiving a transplant to maintain intravascular volume and optimise graft function. Saline (0·9% sodium chloride) is widely used but might increase the risk of […]
Read MoreAuthor: Patsy Newitt Becker’s ASC Review Medicare reimbursements for anesthesia are declining, and with a rising provider shortage and increasing demand, many leaders are concerned about how these factors will affect patient care. “Anesthesia used to be a seemingly unlimited commodity,” Jeff Dottl, principal at Ventura, Calif.-based Physicians Surgery Centers, told Becker’s. “They were lucky to be […]
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