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Authors: Hadler RA, et al. Anesthesia & Analgesia 141(3): 485-488, September 2025. doi:10.1213/ANE.0000000000007450 This national ASA survey assessed anesthesiologists’ awareness, use, and attitudes toward guidelines on perioperative “Do Not [Attempt to] Resuscitate” (DN[A]R) orders. Among 28,431 members, 2,366 responded (8.3%). Just 38.7% were aware of the ASA guidelines, though most of those familiar with them […]
Read MoreAuthor: Sophie Eydis Becker’s ASC Review The anesthesiology workforce is under growing strain as provider shortages, reimbursement cuts and burnout collide with rising surgical demand. Experts warn the combination threatens not only operating room efficiency but also patient access to timely care, particularly in rural communities. The specialty, once considered stable, is facing what many […]
Read MoreAuthors: Peterson MB, et al. Pediatric Anesthesia. First published: September 8, 2025. doi:10.1111/pan.70046 This randomized controlled trial evaluated whether oral dexamethasone is a viable substitute for intravenous dexamethasone in preventing postoperative nausea and vomiting (PONV) in children undergoing tonsillectomy. The study was prompted by the 2020 shortage of intravenous dexamethasone due to its widespread use […]
Read MoreAuthors: Gómez-Ríos MÁ, et al. European Journal of Anaesthesiology 42(10): 872-888, October 2025. doi:10.1097/EJA.0000000000002210 This international consensus statement, led by the Spanish Society of Anaesthesiology (SEDAR), the Spanish Society of Emergency Medicine (SEMES), the Latin American Federation of Emergency Medicine (FLAME), and an international group of airway experts, sets out multidisciplinary recommendations advocating for universal […]
Read MoreAuthors: Gazzè G, et al. A & A Practice 19(7): e02010, July 2025. doi:10.1213/XAA.0000000000002010 This case report describes a rare adverse reaction to Patent Blue V (PBV), a dye commonly used for lymph node mapping and now increasingly applied in lymphatic reconstruction. A 60-year-old woman undergoing breast reconstruction developed widespread bluish skin discoloration, blue–green urine, […]
Read MoreAuthor: Reisinger Lisa, et al. Anesthesia & Analgesia ():10.1213/ANE.0000000000007631, July 23, 2025. doi:10.1213/ANE.0000000000007631 SummaryReisinger and colleagues analyzed national trends in total knee and hip arthroplasty among octogenarians and nonagenarians using the Premier Healthcare database from 2006–2022. Neuraxial anesthesia was more frequently used in older patients undergoing TKA. While length of stay declined over time across […]
Read MoreAuthors: Chen D, et al. Anesthesia & Analgesia 141(3): 492-501, September 2025. doi:10.1213/ANE.0000000000007228 This UK Biobank prospective cohort study examined the influence of pain intensity on the development and progression of cardiometabolic multimorbidity (CMM). Among 429,145 participants followed for a median of 12.8 years, 13.1% developed an initial cardiometabolic disease (ICMD), 19.6% of those progressed […]
Read MoreAuthors: Luo L, et al. Anesthesiology ():10.1097/ALN.0000000000005735, August 28, 2025. doi:10.1097/ALN.0000000000005735 This mouse study investigated whether the parafacial zone (PZ), a GABAergic sleep-promoting region, serves as a common neural node responsible for anesthetic-induced unconsciousness and respiratory depression. By combining chemogenetic and optogenetic approaches, the authors selectively modulated PZ GABAergic neurons and evaluated anesthetic sensitivity, cortical […]
Read MoreAuthors: Starnes JR, et al. Anesthesiology ():10.1097/ALN.0000000000005738, August 29, 2025. doi:10.1097/ALN.0000000000005738 This prospective study evaluated the effect of skin tone on near-infrared spectroscopy (NIRS) performance in children undergoing cardiac catheterization. A total of 110 patients under 21 years old were enrolled, with skin tone quantified using spectrophotometry and categorized by individual typology angle (ITA). Forehead […]
Read MoreAuthor: Sophie Eydis Becker’s ASC Review Anesthesia workforce shortages are hitting ambulatory surgery centers hard, driving up labor costs and disrupting operations. With fewer anesthesiologists and certified registered nurse anesthetists available, ASCs are paying more for staff, leaning on temporary providers, and in some cases delaying or canceling procedures — pressures that threaten margins and […]
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