AUTHORS: Lakha, Sameer MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1167-1175 BACKGROUND:  Reimbursement for anesthesia services has been shifting from a fee-for-service model to a value-based model that ties payment to quality metrics. The Centers for Medicare & Medicaid Service’s (CMS) value-based payment program includes a quality […]

AUTHORS: Pinsky, Michael R. MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1176-1187 BACKGROUND:  Individualized hemodynamic monitoring approaches are not well validated. Thus, we evaluated the discriminative performance improvement that might occur when moving from noninvasive monitoring (NIM) to invasive monitoring and with increasing levels of featurization associated […]

Authors: Berger, Miles MD, PhD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1274-1277 EDITORIAL What physiologic monitors should we use in the operating room? Though it has been over 173 years since William T. G. Morton first successfully administered a general anesthetic, the question of how we should […]

Authors: Lonsdale, Hannah MBChB et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1111-1113 Artificial intelligence (A.I.) is moving into every aspect of our lives: selecting the online advertisements that we see, recognizing our voices, and providing automated answers when we speak to customer service helpline chatbots. Machine learning, a […]

Authors: Ashish K. Khanna, MD, FCCP, FCCM, FASA et al  ASA Monitor June 2021, Vol. 85, 28–30. While the intraoperative period is safe, the postoperative period is not. About 4,000 deaths per year occur in the first 30 days after non-cardiac surgery (Lancet 2019;393:401). Most cardio-respiratory events happen while patients are recovering from surgery during the […]

Authors: Vesela P. Kovacheva, MD, PhD et al  ASA Monitor June 2021, Vol. 85, 34–35. Imagine a future day at work powered by artificial intelligence (AI) technologies. Your patient that day has been risk-stratified preoperatively, and all conditions have been optimized according to the most current guidelines. As you talk to the patient, the preoperative […]

Author: Karen S. Sibert, MD, FASA ASA Monitor June 2021, Vol. 85, 14–15. There was a time, at the peak of the pandemic, when many of us believed that anesthesiologists finally would get the public recognition and respect we’ve earned – at a painful price – for our front-line work in airway management and critical […]

Author: Anderson, T. Anthony PhD, MD Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1261-1263 EDITORIAL Traditionally, many aspects of perioperative anesthesia require a qualitative approach to managing patient care. Intraoperative intravenous fluid management is still typically based on estimated blood loss, calculated insensible losses, patient hourly fluid requirements, and […]

AUTHORS: Lakha, Sameer MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1167-1175 BACKGROUND:  Reimbursement for anesthesia services has been shifting from a fee-for-service model to a value-based model that ties payment to quality metrics. The Centers for Medicare & Medicaid Service’s (CMS) value-based payment program includes a quality […]

AUTHORS: Cherifa, Ményssa MSc et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1157-1166 BACKGROUND:  Acute hypotensive episodes (AHE), defined as a drop in the mean arterial pressure (MAP) <65 mm Hg lasting at least 5 consecutive minutes, are among the most critical events in the intensive care unit (ICU). […]