Authors: Yukiko Yamazaki, M.D. Koji Hosokawa, M.D., Ph.D. Anesthesiology April 2024. To the Editor: We read with great interest the recent article by Xu et al. that discusses how the Swallowing, Tongue protrusion, Airway protection reflected by spontaneous and suctioning cough, and Glasgow coma scale Evaluation (STAGE) score of neurologic patients may predict the success of extubation. However, […]
Evaluate Extubation in Neurosurgical Patients: Reply
Authors: Shan-Shan Xu, M.D.; Linlin Zhang, M.D., Ph.D.; Jian-Xin Zhou, M.D., Ph.D. Anesthesiology April 2024. In Reply: We would like to thank Yamazaki and Hosokawa for their interest in our article. The authors highlight four concerns about using the Swallowing, Tongue protrusion, Airway protection reflected by spontaneous and suctioning cough, and Glasgow coma scale Evaluation (STAGE) score to […]
Influence of Fractional Inspired Oxygen Tension on Lung Perfusion Distribution, Regional Ventilation, and Lung Volume during Mechanical Ventilation of Supine Healthy Swine
Authors: Bruno M. Ribeiro, P.T. et al Anesthesiology April 2024, Vol. 140, 752–764. Background Lower fractional inspired oxygen tension (Fio2) during general anesthesia can reduce lung atelectasis. The objectives are to evaluate the effect of two Fio2 (0.4 and 1) during low positive end-expiratory pressure (PEEP) ventilation over lung perfusion distribution, volume, and regional ventilation. These variables were […]
Comparison of the Efficacy of HSK3486 and Propofol for Induction of General Anesthesia in Adults
Authors: Tong J. Gan, M.D. et al Anesthesiology April 2024, Vol. 140, 690–700. Background Propofol is an intravenous anesthetic associated with hypotension, respiratory depression, and injection-site pain. HSK3486 injectable emulsion (ciprofol) is a 2,6-disubstituted phenol derivative with fast onset and quick, stable recovery. Previous studies support HSK3486 as an effective, safe anesthetic with substantially less injection-site […]
Pilot Study Exploring if an Augmented Reality NeedleTrainer Device Improves Novice Performance of a Simulated Central Venous Catheter Insertion on a Phantom
Authors: Evans A et al Cureus 15(6): e40197. doi:10.7759/cureus.40197 Introduction Needle insertion and visualisation skills needed for ultrasound (US)-guided procedures can be challenging to acquire. The novel NeedleTrainer device superimposes a digital holographic needle on a real-time US image display without puncturing a surface. The aim of this randomised control study was to compare the […]
Using Predictive Models to Improve Outcomes Following Surgery and Critical Illness
Author: Bradley A. Fritz, MD, MSCI ASA Monitor April 2024, Vol. 88, 35–36. Figure: Prototype graphical user interface integrated into the electronic health record. A) Census view with summaries for all operating room patients. B) Patient detail view (two screenshots merged together because this view requires scrolling). Anesth Analg June 2023;doi 10.1213/ANE.0000000000006577 The OR and ICU are two […]
Inadvertent Placement of Thoracic Epidural Catheter in Pleural Cavity
Authors: Khan S et al Cureus 15(4): e37642. doi:10.7759/cureus.37642 Abstract Thoracic epidural placement is considered the gold standard for pain management for abdominal or thoracic surgery. It provides analgesia superior to that provided by opioids with a decreased risk of pulmonary complications. Insertion of a thoracic epidural catheter requires the knowledge and expertise of an […]
Quantifying and Interpreting Inequality in Surgical Site Infections per Quarter Among Anesthetizing Locations and Specialties
Authors: Dexter F, Epstein et al Cureus 15(3): e36878. doi:10.7759/cureus.36878 Background Earlier studies have shown that prevention of surgical site infection can achieve net cost savings when targeted to operating rooms with the most surgical site infections. Methodology This retrospective cohort study included all 231,057 anesthetics between May 2017 and June 2022 at a large […]
Plagiarism Is Ubiquitous
Author: Steven L. Shafer, MD, FASA ASA Monitor April 2024, Vol. 88, 1–9. I’ve been formally accused of plagiarism twice. I committed plagiarism last month. I am committing plagiarism in this essay. I plan to plagiarize again next week. Last November, I committed plagiarism on a witness stand. It’s amazing I’m not in jail. I’ve accused […]
Technology in Anesthesiology
ASA Monitor April 2024, Vol. 88, 14. Clearance for catheter for PAD treatment AngioDynamics has received FDA 510(k) clearance for the Auryon XL Catheter, a 225-cm radial access catheter used with the Auryon Atherectomy System to treat peripheral arterial disease (PAD). PAD affects millions globally, and studies suggest that radial access reduces bleeding and complications compared […]