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Authors: Benjamin J. Marsh, M.D. et al Anesthesiology November 2022, Vol. 137, 543–554. Background Increasing wildfire activity worldwide has led to exposure to poor air quality and numerous detrimental health impacts. This study hypothesized an association between exposure to poor air quality from wildfire smoke and adverse respiratory events under general anesthesia in pediatric patients. Methods […]
Read MoreAuthors: Olusanya A, Goree J. Pract Pain Manag. 2022 September/October;22(5). Low Back Pain Continues to Perplex Physicians A perpetual topic of discussion in interventional pain management is the treatment of chronic low back pain. The American Society of Pain and Neuroscience (ASPN) annual meeting, held in July 2022, was no different. Low back pain is […]
Read MoreAnesthesiology October 2022. The article by Boldt et al., entitled “Preoperative plasmapheresis in patients undergoing cardiac surgery procedures” by J Boldt, B von Bormann, D Kling, M Jacobi, R Moosdorf, G Hempelmann, published in Anesthesiology 1990;72:282–8 has been retracted in its entirety by the Journal Editor-in-Chief, Evan Kharasch, M.D., Ph.D. This article is being retracted following an […]
Read MoreAuthors: Steven Roth, M.D., F.A.R.V.O. et al Anesthesiology November 2022, Vol. 137, 620–643. The authors reviewed perioperative ocular complications and implications of ocular diseases during nonocular surgeries. Exposure keratopathy, the most common perioperative eye injury, is preventable. Ischemic optic neuropathy, the leading cause of perioperative blindness, has well-defined risk factors. The incidence of ischemic optic neuropathy […]
Read MoreAuthors: Andrew Sedivy, MD et al ASA Monitor October 2022, Vol. 86, 20–21. When adverse outcomes occur postoperatively, anesthesiologists and surgeons often are at odds about the mechanism and may blame each other. If the creatinine changes after cardiac, vascular, or other surgeries, the surgeon may infer that the patient was over- or under-hydrated or there […]
Read MoreA case report of a woman with a history of drug use presenting with fatigue and hypotension whose adrenal insufficiency was likely masked by opioid use. Authors: Bush DA, OMS IV, Erika Barbero MD. Pract Pain Manag. 2022 September/October;22(5). About Opioid Induced Adrenal Insufficiency Opioid induced adrenal insufficiency (OIAI) is a complication of opioid use […]
Read MoreAuthors: Charlotte Martin, M.D. et al Anesthesiology December 2022, Vol. 137, 749–751. To the Editor: The waste produced by an operating room represents on average 20 to 30% of the waste of a health institution.1 At the Toulouse University Hospital (Toulouse, France), more than 100 tons of waste are produced per month. In 2020, only noninfectious […]
Read MoreAuthors: Roger L. Royster, M.D. et al Anesthesiology December 2022, Vol. 137, 733–734. Hypoxic pulmonary vasoconstriction occurs when the microvasculature perfusing hypoxic alveoli vasoconstricts, diverting blood to oxygenated alveoli to match ventilation with perfusion. Hypoxic pulmonary vasoconstriction can occur within seconds and reach a maximum intensity within minutes of hypoxia developing. It appears to be triggered by […]
Read MoreAuthor: David O. Warner, M.D. Anesthesiology October 2022, Vol. 137, 484–508. Tobacco use will kill a projected 1 billion people in the 21st century in one of the deadliest pandemics in history. Tobacco use disorder is a disease with a natural history, pathophysiology, and effective treatment options. Anesthesiologists can play a unique role in fighting this […]
Read MoreAuthor: Igor Kissin, M.D., Ph.D. Anesthesiology October 2022. To the Editor: The state of general anesthesia is often presented with its analgesic component included. An example of this can be found in one of the classic definitions of the anesthetic state by Dr. Edmond Eger. He describes analgesia as an “unmeasurable component (the anesthetized patients cannot […]
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