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Author: Adaora M. Chima, MBBS, MPH IARS Newsletter Issue 4 Healthcare worker shortages are a growing problem on a global scale. Anesthesia care delivery has not escaped this phenomenon, a dilemma that was the focus of a panel session, “The Anesthesia Workforce: Who’s Doing the Work?” that closed out the IARS 2023 Annual Meeting on […]
Read MoreAUTHORS: Levy, Dominique T. BS et al Anesthesia & Analgesia 136(5):p 905-912, May 2023. BACKGROUND: There is a lack of reported clinical outcomes after opioid use in acute trauma patients undergoing anesthesia. Data from the Pragmatic, Randomized, Optimal Platelet and Plasma Ratios (PROPPR) study were analyzed to examine opioid dose and mortality. We hypothesized that higher […]
Read MoreAuthor: Christian S. Guay, MD IARS Newletter Issue 4 With the growth of perioperative medicine, anesthesiologists are increasingly turning to the preoperative period to identify modifiable risk factors that can be intervened upon to prevent postoperative complications and improve long-term outcomes. In a session, cosponsored by Early-Stage Anesthesiology Scholars (eSAS), “Improving Patient Outcomes through Prehabilitation: […]
Read MoreAuthor: Richard Cahill, JD, Vice President and Associate General Counsel, The Doctors Company Consider the following scenario: A successful and highly respected pediatrician with an unblemished record over decades of practice learns of a HIPAA breach by a member of his administrative staff. The employee is terminated after an investigation reveals that the employee had […]
Read MoreAuthors: Evan D. Kharasch, M.D., Ph.D. et al Anesthesiology October 2023, Vol. 139, 405–419. Background Contemporary perioperative practice seeks to use less intraoperative opioid, diminish postoperative pain and opioid use, and enable less postdischarge opioid prescribing. For inpatient surgery, anesthesia with intraoperative methadone, compared with short-duration opioids, results in less pain, less postoperative opioid use, and […]
Read MoreAuthors: Allan F. Simpao, M.D., M.B.I. et al Anesthesiology October 2023, Vol. 139, 393–404. Background Children undergoing complex cardiac surgery are exposed to substantial cumulative doses of sedative medications and volatile anesthetics and are more frequently anesthetized with ketamine, compared with healthy children. This study hypothesized that greater exposure to sedation and anesthesia in this population […]
Read MoreAuthor: Adaora M. Chima, MBBS, MPH IARS Newsletter Issue 4 Health inequity and health disparity are phrases that have grown in medical, scientific and secular use in recent years. Although often used interchangeably, these pervasive issues are distinct but interwoven complex phenomena that have a ripple effect on every single member of societies where they […]
Read MoreAmerican Society for Post Surgical Pain 01 Newsletter ABSTRACT Peripheral nerve stimulation (PNS) is a relatively novel therapeutic intervention that has been gaining popularity in the management of various chronic pain conditions. The new intervention has shown promising results with a narrow risk margin for complication and has gained US Food and Drug Administration (FDA) […]
Read MoreAUTHORS: Chen, Zhao-Rong MM et al Anesthesia & Analgesia 137(2):p 426-439, August 2023. BACKGROUND: Myocardial infarction is a common perioperative complication, and blood flow restoration causes ischemia/reperfusion injury (IRI). Dexmedetomidine (DEX) pretreatment can protect against cardiac IRI, but the mechanism is still insufficiently understood. METHODS: In vivo, myocardial ischemia/reperfusion (30 minutes/120 minutes) was induced via ligation […]
Read MoreAUTHORS: Zhang, Tracy MD et al Anesthesia & Analgesia 137(2):p 440-450, August 2023. Background: Intraoperative arterial hypotension (IOH) is a common side effect of general anesthesia (GA), associated with poor outcomes in ischemic stroke. While IOH is more prevalent with hypertension, it is unknown whether IOH may differ when GA is induced during ischemic stroke, versus […]
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