AUTHORS: Lee, Chen-Tse MD et al Anesthesia & Analgesia 136(2):p 355-364, February 2023. BACKGROUND: Perioperative cerebral desaturation events (CDEs) and delayed neurocognitive recovery are common among patients undergoing beach chair position (BCP) shoulder surgery and may be caused by cerebral hypoperfusion. This study tested the hypothesis that the application of goal-directed hemodynamic therapy (GDHT) would attenuate […]
Read MoreAUTHORS: Fleischmann, Antonia MD et al Anesthesia & Analgesia 136(2):p 346-354, February 2023. BACKGROUND: Electroencephalogram (EEG)-based monitors of anesthesia are used to assess patients’ level of sedation and hypnosis as well as to detect burst suppression during surgery. One of these monitors, the Entropy module, uses an algorithm to calculate the burst suppression ratio (BSR) that […]
Read MoreAUTHORS: Cummings Joyner et al Anesthesia & Analgesia 136(2):p 317-326, February 2023. BACKGROUND: Prolonged opioid use after surgery (POUS), defined as the filling of at least 1 opioid prescription filled between 90 and 180 days after surgery, has been shown to increase health care costs and utilization in adult populations. However, its economic burden has not […]
Read MoreAUTHORS: Alalade, Emmanuel MD et al Anesthesia & Analgesia 136(2):p 308-316, February 2023. BACKGROUND: Chronic opioid use among adolescents is a leading preventable public health problem in the United States. Consequently, a sizable proportion of surgical patients in this age group may have a comorbid opioid use disorder (OUD). No previously published study has examined the […]
Read MoreAUTHORS: Elmi-Sarabi, Mahsa MSc et al Anesthesia & Analgesia 136(2):p 282-294, February 2023. BACKGROUND: Pulmonary hypertension (PH) and right ventricular (RV) dysfunction are major complications in cardiac surgery. Intraoperative management of patients at high risk of RV failure should aim to reduce RV afterload and optimize RV filling pressures, while avoiding systemic hypotension, to facilitate weaning […]
Read MoreAUTHORS: Rosero, Eric B. MD, MSc et al Anesthesia & Analgesia 136(2):p 218-226, February 2023. Abstract With increasing implantation of coronary artery stents over the past 2 decades, it is inevitable that anesthesiologists practicing in the outpatient setting will need to determine whether these patients are suitable for procedures at a free-standing ambulatory surgery center (ASC). […]
Read MoreAUTHORS: Olmos, Andrea V. MD et al Anesthesia & Analgesia 136(2):p 327-337, February 2023. BACKGROUND: Volatile anesthetic consumption can be reduced by minimizing excessive fresh gas flows (FGFs). Currently, it is unknown whether decision support tools embedded within commercial electronic health record systems can be successfully adopted to achieve long-term reductions in FGF rates. The authors […]
Read MoreAUTHORS: Morriss, Wayne W. MBChB, FANZCA et al Anesthesia & Analgesia 136(2):p 227-229, February 2023. The coronavirus disease 2019 (COVID-19) pandemic has focused attention on the anesthesia workforce around the world. In many countries, anesthesiologists have had to work in critical care units as well as the operating room, and deficiencies in the number of anesthesiologists […]
Read MoreAUTHORS: Gong, Selena BhSc et al Anesthesia & Analgesia 136(2):p 251-261, February 2023. Abstract BACKGROUND: Several frailty screening tools have been shown to predict mortality and complications after surgery. However, these tools were developed for in-person evaluation and cannot be used during virtual assessments before surgery. The FRAIL (fatigue, resistance, ambulation, illness, and loss of weight) […]
Read MoreAUTHORS: Salaün, Jean-Philippe MD, PhD et al Anesthesia & Analgesia 136(2):p 240-250, February 2023. BACKGROUND: One in 7 children will need general anesthesia (GA) before the age of 3. Brain toxicity of anesthetics is controversial. Our objective was to clarify whether exposure of GA to the developing brain could lead to lasting behavioral and structural brain […]
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