Author: Riz Hatton Becker’s ASC Review Here are three major concerns plaguing the anesthesia industry. Consolidation and private equity influence Thomas Durick, MD, anesthesiologist at Columbus-based Ohio State University Wexner Medical Center, told Becker’s: “As private equity firms keep buying up practices and making promises to hospital administrators they cannot keep (such as “We can reduce your […]
Science, Medicine, and the Anesthesiologist
Anesthesiology May 2024, Vol. 140, A13–A15. Conservative versus liberal oxygenation targets in critically ill children (Oxy-PICU): A UK multicentre, open, parallel-group, randomised clinical trial. Lancet 2024; 403:355–64. PMID: 38048787. Article Selection: Beatrice Beck-Schimmer, M.D. Image: Adobe Stock. Various clinical trials have been performed to identify the optimal oxygenation for invasively ventilated children, but it remains unclear […]
American Society of Anesthesiologists 2023 Guidance on Neurologic Complications of Neuraxial Analgesia/Anesthesia in Obstetrics
Authors: Manuel C. Vallejo, M.D., D.M.D. et al Anesthesiology April 2024. To the Editor: Both parturients and healthcare providers have fears of neurologic complications associated with neuraxial analgesia/anesthesia, even though the odds are 5- to 10-fold higher for obstetric-related injury. More than half of parturients want to be informed of anesthetic risks even at a […]
Leadership Driven by Compassion
Author: Brigette Hyacinth Linkin Healthcare Leadership Focus One of the most valuable leadership styles is servant leadership, which derives its philosophy from the basics of compassionate communication and emotional intelligence. It ensures a leader’s team members feel heard, seen and valued. This is proven to yield higher levels of job performance as well as outstanding […]
Association of Mechanical Energy and Power with Postoperative Pulmonary Complications in Lung Resection Surgery
Authors: Susie Yoon, M.D., Ph.D. et al Anesthesiology May 2024, Vol. 140, 920–934. Background Mechanical power (MP), the rate of mechanical energy (ME) delivery, is a recently introduced unifying ventilator parameter consisting of tidal volume, airway pressures, and respiratory rates, which predicts pulmonary complications in several clinical contexts. However, ME has not been previously studied in […]
Modified Thermodilution for Simultaneous Cardiac Output and Recirculation Assessment in Veno-venous Extracorporeal Membrane Oxygenation
Autors: David Berger, M.D. et al Anesthesiology May 2024, Vol. 140, 1002–1015. Background Thermodilution is unreliable in veno-venous extracorporeal membrane oxygenation (VV-ECMO). Systemic oxygenation depends on recirculation fractions and ratios of extracorporeal membrane oxygenation (ECMO) flow to cardiac output. In a prospective in vitro simulation, this study assessed the diagnostic accuracy of a modified thermodilution technique for recirculation […]
State-related Electroencephalography Microstate Complexity during Propofol- and Esketamine-induced Unconsciousness
Authors: Zhenhu Liang, Ph.D. et al Anesthesiology May 2024, Vol. 140, 935–949. Background Identifying the state-related “neural correlates of consciousness” for anesthetics-induced unconsciousness is challenging. Spatiotemporal complexity is a promising tool for investigating consciousness. The authors hypothesized that spatiotemporal complexity may serve as a state-related but not drug-related electroencephalography (EEG) indicator during an unconscious state induced […]
5 things anyone opening an ASC should know
Author: Paige Haeffele Becker’s ASC Review In the ever-changing healthcare market, starting a new venture can feel like a big risk. Becker’s connected with Vladimir Sinkov, MD, the founder and CEO of Sinkov Spine Center in Las Vegas, to learn valuable tips that anyone wanting to break into the ASC market should know. Question: What advice […]
Nerve injury triggers time-dependent activation of the locus coeruleus, influencing spontaneous pain-like behavior in rats
Authors: Irene Suárez-Pereira, Ph.D. et al Anesthesiology April 2024. Background Dynamic changes in neuronal activity and in noradrenergic locus coeruleus (LC) projections have been proposed during the transition from acute to chronic pain. Thus, we explored the cellular cFos activity of the LC and its projections, in conjunction with spontaneous pain-like behavior in neuropathic rats. […]
Science, Medicine, and the Anesthesiologist
Anesthesiology May 2024, Vol. 140, A13–A15. An electroencephalographic signature predicts craving for methamphetamine. Cell Rep Med 2024; 5:101347. PMID: 38151021. Article Selection: Jamie Sleigh, M.D. Image: Adobe Stock. The subjective drug craving is the core driver of methamphetamine use disorder and its relapse rate. There are no reliable biomarkers of this, but it is possible that […]