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, […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

Author: Patrick Guffey, MD ASA Monitor July 2024, Vol. 88, 12. An anesthesiology resident was caring for a patient scheduled for removal of a baclofen pump due to suspected infection, and during the preoperative period the neurosurgery resident assisting on the case requested the anesthesiology resident consider an appropriate dose to cover until the pump was […]

Authors: Laszlo Vutskits, M.D., Ph.D.; Andrew J. Davidson, M.B.B.S., M.D. Anesthesiology September 2024, Vol. 141, 431–433. There are many observational studies investigating the relationship between anesthesia exposure in childhood and later neurocognitive and behavioral outcomes. In this issue of Anesthesiology, Silber et al.  report another such observational study. This study, however, is different, and the data can be interpreted […]

Anesthesiology September 2024, Vol. 141, A13–A15. Effect of early vs late inguinal hernia repair on serious adverse event rates in preterm infants: A randomized clinical trial. JAMA 2024; 331:1035–44. PMID: 38530261. Inguinal hernia repair in premature neonates is associated with morbidity, but it is controversial whether repair should be done before or after intensive care unit […]