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Author: Matthew T. Popovich, PhD ASA Monitor March 2022, Vol. 86, 37. In the first quarter of each year, anesthesiologists and their groups encounter a number of burdens for federal quality reporting. These burdens include choosing quality measures, updating measure specifications, and modifying workflows to accommodate new quality measure data capture. For 2022, ASA was able […]
Read MoreAuthor: Dibash Kumar Das ASA Monitor April 2021, Vol. 85, 1–13. Transcatheter aortic valve replacement (TAVI) has become the standard of care for patients with severe symptomatic aortic stenosis. Since its introduction, the majority of TAVI procedures have been performed under general anesthesia. Initially developed as a less invasive alternative to surgical aortic valve replacement for […]
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: Lei Xu, M.D. et al Anesthesiology April 2022, Vol. 136, 525–527. “…at 24 h after [interscalene] nerve block, the liposomal bupivacaine group had sustained reductions in both diaphragm excursion and respiratory function…” In orthopedic shoulder surgery, obtaining optimal pain control extending beyond the immediate postoperative period is desired for better outcomes second to improved mobilization and […]
Read MoreASA Monitor March 2022, Vol. 86, 17. A 16-yr-old patient underwent uneventful surgery for scoliosis. Uneventful intraop course, which included a low-dose ketamine infusion. Ketamine infusion was supposed to be d/c’d in the OR but was not and the patient was transported to the PACU with it infusing. PACU nurses assumed that ketamine was part of […]
Read MoreAuthors: Jia-Yan Li, M.D., Ph.D. et al Anesthesiology May 2022, Vol. 136, 709–731. Background The neural circuitry underlying sevoflurane-induced modulation of consciousness is poorly understood. This study hypothesized that the paraventricular thalamus bed nucleus of the stria terminalis pathway plays an important role in regulating states of consciousness during sevoflurane anesthesia. Methods Rabies virus–based transsynaptic tracing […]
Read MoreAuthors: Axelle Maurice, M.D.et al Anesthesiology April 2022, Vol. 136, 567–576. Background It is speculated that the anesthetic strategy during endovascular therapy for stroke may have an impact on the outcome of the patients. The authors hypothesized that conscious sedation is associated with a better functional outcome 3 months after endovascular therapy for the treatment of […]
Read MoreAuthors:Craig M. Palmer, M.D. and Yandong Jiang, M.D., Ph.D. Anesthesiology April 2022, Vol. 136, 528–530. “Is it time to rethink our current recommendations on oral intake during labor and delivery?” Limiting oral intake during labor is part of our standard orders for most parturients admitted to labor and delivery suites, but what exactly is the science that […]
Read MoreAuthors: John J. Finneran, IV, M.D. et al Anesthesiology June 2022, Vol. 136, 970–982. Background The common technique using a basal infusion for an ambulatory continuous peripheral nerve blocks frequently results in exhaustion of the local anesthetic reservoir before resolution of surgical pain. This study was designed to improve and prolong analgesia by delaying initiation using […]
Read MoreAuthors: Ting Yan, M.D. et al Anesthesiology April 2022, Vol. 136, 551–566. Background Postoperative pulmonary complications are common. Aging and respiratory disease provoke airway hyperresponsiveness, high-risk surgery induces diaphragmatic dysfunction, and general anesthesia contributes to atelectasis and peripheral airway injury. This study therefore tested the hypothesis that inhalation of penehyclidine, a long-acting muscarinic antagonist, reduces the […]
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