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Authors: Sher-Lu Pai, MD, FASA, SAMBA-F; Kelly Lebak, MD, FASA ASA Monitor June 2022, Vol. 86, 27. The coronavirus disease (COVID-19) pandemic has changed the world, and it may have changed the practice of medicine, including the specialty of anesthesiology (Anesth Analg 2020;131:31-6). From cancellation of elective procedures, perioperative testing protocols, lack of hospital inpatient beds, intraoperative […]
Read MoreAuthors: Emily Methangkool, MD, MPH; Richard D. Urman, MD, MBA ASA Monitor June 2022, Vol. 86, 25–26. Figure: Opportunities for quality improvement in non-operating room anesthetizing locations. NORA=non-operating room anesthesia; M&M=mortality and morbidity. Communication failures contribute to adverse events, morbidity, and mortality and may be complicated by both interprofessional and interdisciplinary dynamics within the procedural setting (J […]
Read MoreAuthor: Girish P. Joshi, MBBS, MD, FFARCSI ASA Monitor June 2022, Vol. 86, 24. Minimally invasive approaches, facilitated with advanced technology such as augmented reality, mixed reality, and robotics, as well as artificial intelligence (AI), novel imaging, innovative navigation systems, and 3D printing, will extend the capabilities of surgeons and proceduralists. Next-generation surgical robotics will be […]
Read MoreAuthors: David Amar, M.D. et al Anesthesiology June 2022, Vol. 136, 916–926. Background Postoperative atrial fibrillation may identify patients at risk of subsequent atrial fibrillation, with its greater risk of stroke. This study hypothesized that N-acetylcysteine mitigates inflammation and oxidative stress to reduce the incidence of postoperative atrial fibrillation. Methods In this double-blind, placebo-controlled trial, patients at […]
Read MoreAuthors: Marcelo Gama de Abreu, M.D. et al Anesthesiology July 2022, Vol. 137, 6–8. “[In mechanical ventilation,] power may be a better marker of lung injury than isolated parameters such as tidal volume, driving pressure, or respiratory rate.” Image: J. P. Rathmell. The concept of elastic and resistive energy transfer from mechanical ventilators to the respiratory […]
Read MorePosted by u/LoopyBullet r/anesthesiology I was reading an article in propofol pain in injection, and I’m having trouble understanding a paragraph on the bottom right portion of the first page, starting with, “It is not clear how…” I don’t understand the author’s rationale from an acid-base standpoint, and was hoping someone could please help me […]
Read MoreAuthors: Mike Charlesworth and Andrew Klein #TheAnesthesiaBlog Major airway complications are rare and the best evidence on which we base current practice comes from NAP4, which was published in 2011. This new contribution from Cumberworth et al. used similar methods within six hospitals to see what has changed and highlight key areas for further training and […]
Read MoreAuthors: Eva Rivas, M.D. et al Anesthesiology May 2022 In Reply: We sincerely thank Fuchita et al. for their interests and excellent comments on our article. We conducted a subanalysis of 673 patients enrolled in two trials who were recovering from abdominal surgery. Posture and movement were continuously monitored from postanesthesia care unit admission until 48 […]
Read MoreAuthors Mikita Fuchita, M.D.; Kyle J. Ridgeway, P.T., D.P.T.; Ana Fernandez-Bustamante, M.D., Ph.D. Anesthesiology May 2022. To the Editor: We read with great interest the article by Rivas et al., which found that pain scores, but not opioid consumption, were inversely related to postoperative mobilization. We applaud the use of accelerometers to provide measurable mobilization data over the routine […]
Read MoreAuthors: Wade A. Weigel, M.D. et al Anesthesiology June 2022, Vol. 136, 901–915. Background Residual neuromuscular blockade can be avoided with quantitative neuromuscular monitoring. The authors embarked on a professional practice initiative to attain documented train-of-four ratios greater than or equal to 0.90 in all patients for improved patient outcomes through reducing residual paralysis. Methods The […]
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