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Authors: Timothy D. Quinn, M.D. et al ASA Monitor May 2019, Vol. 83, 14–16 Anesthesiologist Intensivists and Evaluating High-risk Surgical Patients Perioperative management of high-risk surgical patients poses many challenges. Patients may be deemed high risk based on poor baseline functional status, severe or uncontrolled co-morbidities, poor scores on risk and frailty calculators, invasiveness of the […]
Read MoreAuthors: Ashish K. Khanna, M.D., FCCP, FCCM et al ASA Monitor May 2019, Vol. 83, 18–20. Historical Perspective More than 65 years ago, Dr. Bjorn Ibsen, a Copenhagen anesthesiologist, was savvy enough to recognize the need to create the first ICU – the stimulus for which was the polio epidemic of 1952-53. At that time, over […]
Read MoreAuthors: Adjoa Boateng, MD, MPH; Vivek K. Moitra, MD, MHA, FCCM ASA Monitor October 2021, Vol. 85, 38–40. While critical care medicine has been a recognized and valuable subspeciality of anesthesiology for many years and the scope of practice has expanded, in many respects the recent COVID-19 pandemic has accelerated its transformation. Until recently, and for many […]
Read MoreAuthors: David J. Douin, M.D.; Ana Fernandez-Bustamante, M.D., Ph.D. Editorial Anesthesiology July 2022, Vol. 137, 13–14. “[What is] the potential value of hypercoagulability assays in the management of patients with hypoxemia and ARDS?” Image: J. P. Rathmell The presence of coagulation abnormalities in acute respiratory distress syndrome (ARDS) has been identified and studied for decades and these investigations […]
Read MoreAuthor: Stuart A. Forman, M.D., Ph.D. Anesthesiology June 2022, Vol. 136, 880–882. Midazolam is a benzodiazepine that at low doses is widely used in periprocedural care settings to assure amnesia and produce anxiolysis and sedation, while high doses are less frequently used to induce hypnosis (unconsciousness). Midazolam is also used to acutely suppress seizures. The molecular […]
Read MoreAuthors: Sharon C. Reale, M.D. et al Anesthesiology May 2022, Vol. 136, 697–708. Background Estimates for the incidence of difficult intubation in the obstetric population vary widely, although previous studies reporting rates of difficult intubation in obstetrics are older and limited by smaller samples. The goals of this study were to provide a contemporary estimate of […]
Read MoreAuthors: Nicolas Nesseler, M.D., Ph.D. et al Anesthesiology May 2022, Vol. 136, 732–748. Background Despite expanding use, knowledge on extracorporeal membrane oxygenation support during the COVID-19 pandemic remains limited. The objective was to report characteristics, management, and outcomes of patients receiving extracorporeal membrane oxygenation with a diagnosis of COVID-19 in France and to identify pre-extracorporeal membrane […]
Read MoreCardiac anesthesiologist blog Furosemide, Bumetanide Loop diuretics (carboxylic acid derivatives) are used in severe heart failure to reduce peripheral and pulmonary oedema. They are also used in chronic and acute renal failure. Mechanism of Action Loop diuretics inhibit Na+ and Cl− reabsorption in the thick ascending limb of the loop of Henle and to […]
Read MoreCardiac Anesthesiologist blog Milrinone, an analogue of amrinone, is a bipyridine derivative with inotropic activity that is almost 20 times more potent than that of amrinone and a shorter half-life. Milrinone is an effective inodilator for patients with decompensated HF and low CO after cardiac surgical procedures. Suggested administration of milrinone is a loading dose […]
Read MoreAuthors: Peter Santer, M.D., D.Phil. et al Anesthesiology July 2022, Vol. 137, 41–54. Background Mechanical power during ventilation estimates the energy delivered to the respiratory system through integrating inspiratory pressures, tidal volume, and respiratory rate into a single value. It has been linked to lung injury and mortality in the acute respiratory distress syndrome, but little […]
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