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Authors: Robert I. Block, Ph.D. et al Anesthesiology 11 2017, Vol.127, 788-799. Background: Anesthetics have neurotoxic effects in neonatal animals. Relevant human evidence is limited. We sought such evidence in a structural neuroimaging study. Methods: Two groups of children underwent structural magnetic resonance imaging: patients who, during infancy, had one of four operations commonly performed in otherwise healthy […]
Read MoreResearchers assessed more than 35,000 patients in an effort to tease out a clearer understanding of the association between gastroesophageal reflux disease and fibromyalgia. Interviews with Don Goldenberg, MD, and Michael R. Clark, MD, MPH, MBA Fibromyalgia (FM) and gastroesophageal reflux disease (GERD) appear to arise frequently in the same patient, an interrelationship that has […]
Read MoreAuthor: Robert M. Knapp, D.O., J.D. Anesthesiology 11 2017, Vol.127, 904-905. To the Editor: The editorial by Garcia and Sleigh1 provided an outstanding discussion of ketamine’s complexities. Their conclusion, that we use a flawed concept of anesthesia depth, was insightful and provides a reason as well as an opportunity to suggest something more meaningful. Anesthetic “depth” is […]
Read MoreAuthors: Deborah J. Culley, M.D. et al Anesthesiology 11 2017, Vol.127, 765-774. Background: The American College of Surgeons and the American Geriatrics Society have suggested that preoperative cognitive screening should be performed in older surgical patients. We hypothesized that unrecognized cognitive impairment in patients without a history of dementia is a risk factor for development of postoperative […]
Read MoreA Penned Point The observations of Karen Sullivan Sibert, MD a Los Angeles anesthesiologist, writer, and mother. No, I’m not talking about putting fentanyl into my own veins — a remarkably bad idea. I’m questioning the habitual, reflex use of fentanyl, a synthetic opioid, in clinical anesthesiology practice. I’ve been teaching clinical anesthesiology, supervising residents and […]
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