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AUTHORS: Samost-Williams, Aubrey MD, MS et al Anesthesia & Analgesia November 22, 2023. BACKGROUND: Intraoperative handoffs have been implicated as a contributing factor in many perioperative adverse events. Despite conflicting data around their impact on perioperative outcomes, they remain a vulnerable point in the perioperative system with significant attention focused on improving them. This study […]
Read MoreAuthor: Richard Novak, MD The Anesthesia Consultant The state of Alabama executed inmate Kenneth Smith on January 25, 2024, by forcing him to breathe 100% nitrogen gas. It was the first known execution in the United States by this method. Smith was 58 years old. He was sentenced to death for his role in a 1988 […]
Read MoreMichael Walter Cardiovascular Business Robotic-assisted coronary artery bypass grafting (CABG) procedures are associated with significant cost savings compared to traditional CABG, according to new research published in the American Journal of Cardiology.[1] This was even true after adding in the high cost—more than $1 million—of the state-of-the-art robot. “The use of robotic-assisted CABG has been slow […]
Read MoreAUTHORS: Leaman, Esrom E. MBBS et al Anesthesia & Analgesia November 22, 2023. BACKGROUND: Initiatives in perioperative care warrant robust cost-effectiveness analysis in a cost-constrained era when high-value care is a priority. A model of anesthesia-led early high-acuity postoperative care, advanced recovery room care (ARRC), has shown benefit in terms of hospital and patient outcomes, […]
Read MoreAUTHORS: GEORGE TEWFIK, MD, MBA et al KevinMD.com A guest column by the American Society of Anesthesiologists, exclusive to KevinMD. Put yourself in the anesthesiologist’s shoes. It’s 7:00 a.m., and you’ve just finished setting up the operating room (OR). You make your way to the preoperative unit to evaluate your patient and find a prescription […]
Read MoreAUTHORS: Kain, Zeev N. MD, MBA et al Anesthesia & Analgesia Editorial 138(3):p 488-490, March 2024. While there is no universal definition for the Metaverse, many define it as “a virtual reality space in which users can interact with an environment generated by computer and with other users.”a The Metaverse is described as a virtual world […]
Read MoreAUTHORS: Zhang, Simin MD et al Anesthesia & Analgesia November 23, 2023. BACKGROUND: Ventral tegmental area (VTA) glutamatergic neurons promote wakefulness in the sleep-wake cycle; however, their roles and neural circuit mechanisms during isoflurane (ISO) anesthesia remain unclear. METHODS: Fiber photometry and in vivo electrophysiology were used to observe the changes in neuronal or terminal […]
Read MoreAuthor: Patsy Newitt Becker’s Physician Leadership Revenue and expense data from the last year could point to a need for to reconsider the traditional physician employment model, according to Kaufman Hall’s “Physician Flash Report for 2023.” Here are three takeaways and three action steps, according to the report. Takeaways: 1. Investment per provider is up […]
Read MoreAUTHORS: Reppucci, Marina L. MD et al Anesthesia & Analgesia 138(3):p 562-571, March 2024. BACKGROUND: Postpartum hemorrhage (PPH) is the leading cause of maternal death worldwide. Early recognition and management are imperative for improved outcomes. The compensatory reserve index (CRI) is a novel physiological parameter that trends changes in intravascular volume, by continuously comparing extracted photoplethysmogram […]
Read MoreAUTHORS: Carr, Shane G. MD et al Anesthesia & Analgesia 138(3):p 517-529, March 2024. BACKGROUND: We assessed the association between education-based interventions, the frequency of train-of-four (TOF) monitoring, and postoperative outcomes. METHODS: We studied adults undergoing noncardiac surgery from February 1, 2020 through October 31, 2021. Our education-based interventions consisted of 3 phases. An interrupted time-series […]
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