Authors: Rachel Hadler, M.D.; Rebecca A. Aslakson, M.D., Ph.D. Anesthesiology September 2024, Vol. 141, 440–442. “[A]rming anesthesiologists with the tools to provide patient-centered, meaningful perioperative care has the potential to both increase goal-concordant care delivery and reduce clinician moral conflict, moral distress, and burnout.” Although preoperative “required reconsideration” for individuals with pre-existing treatment limitations (i.e., do-not-attempt-resuscitation or […]
Science, Medicine, and the Anesthesiologist
Anesthesiology September 2024, Vol. 141, A13–A15. Andexanet for factor Xa inhibitor–associated acute intracerebral hemorrhage. N Engl J Med 2024; 390:1745–55. PMID: 38749032. Patients sustaining acute intracerebral hemorrhage on anticoagulants are at increased risk for hematoma expansion. Factor Xa inhibitors are now widely used for chronic anticoagulation, and before the release of andexanet alfa, no specific reversal […]
Discover The Best Anesthesiologist Opportunity in New Mexico
We are seeking a dedicated anesthesiologist to join our all-anesthesiologist group. Our team will consist of 4 full-time providers and 1 for vacation relief, managing 3 operating rooms. Position Highlights: Zero call for 3 weeks, followed by 1 week of call without daytime work only call after 7 PM therefore you may not work the […]
Just Do It!
Author: Daniel I. Sessler, M.D. Anesthesiology September 2024, Vol. 141, 428–430. Intraoperative mortality is now so low that it is hard to quantify. In contrast, postoperative mortality remains frequent and is arguably the third leading cause of death worldwide. Bleeding-related and cardiovascular complications are the most common causes of 30-day postoperative mortality. Among cardiovascular complications, […]
Oxygen Therapy during Surgery: Decisions Need Reliable Data
Authors: Daniel R. Frei, B.Sc., M.B.Ch.B., Ph.D. et al Anesthesiology September 2024, Vol. 141, 437–439. “[T]he chosen dose (here, Fio2) of the most essential and prevalent drug we use in our practice is basically idiosyncratic.” In 2016, the World Health Organization (Geneva, Switzerland) recommended that adult patients undergoing general anesthesia with tracheal intubation for surgical procedures […]
How Weather Affects Chronic Pain
Author: Dr Nikesh Seth nikeshseth.com Have you ever noticed your pain worsening with changes in the weather? While it might seem like an old wives’ tale, both research and patient reports suggest that weather changes can indeed impact chronic pain. This blog will explore the connection between weather and chronic pain and provide tips on […]
Science, Medicine, and the Anesthesiologist
Anesthesiology September 2024, Vol. 141, A13–A15. Long-term outcomes of early exposure to repeated general anaesthesia in children with cystic fibrosis (CF-GAIN): A multicentre, open-label, randomised controlled phase 4 trial. Lancet Respir Med 2024; S2213-2600(24)00170-X Several human observational studies have found an association between exposure to anesthesia in early childhood and poorer neurobehavioral outcomes, with the association […]
Discover The Best Anesthesiologist Opportunity in New Mexico
We are seeking a dedicated anesthesiologist to join our all-anesthesiologist group. Our team will consist of 4 full-time providers and 1 for vacation relief, managing 3 operating rooms. Position Highlights: Zero call for 3 weeks, followed by 1 week of call without daytime work only call after 7 PM therefore you may not work the […]
Promise of Remimazolam in Pediatric Emergence Delirium
Authors: Pablo M. Ingelmo, M.D.; Andrew J. Davidson, M.B.B.S., M.D. Anesthesiology September 2024, Vol. 141, 434–436. “Remimazolam was effective … in lowering the occurrence of emergence delirium … [in children and] reducing the need for propofol intervention …” Remimazolam represents an emergent class of benzodiazepine-related compounds with a faster onset and offset than midazolam, integrating features of […]
Comparison of Differences in Cohort (Forward) and Case Control (Backward) Methodologic Approaches for Validation of the Hypotension Prediction Index
Authors: Simon J. Davies, F.R.C.A., M.D. et al Anesthesiology September 2024, Vol. 141, 443–452. Background The Hypotension Prediction Index (the index) software is a machine learning algorithm that detects physiologic changes that may lead to hypotension. The original validation used a case control (backward) analysis that has been suggested to be biased. This study therefore conducted […]