Authors: Elizabeth H. Ellinas, M.D., M.S.; Ihuoma O. Njoku, M.D.; Rekha Chandrabose, M.D. Anesthesiology August 2024. To the Editor: We read with interest “U.S. Attending Anesthesiologist Burnout in the Postpandemic Era” by Afonso et al. This work advances our understanding of anesthesiologists’ wellness, support, and retention. Its key findings indicate that compared to prepandemic data, anesthesiologists are experiencing […]
Postpandemic Burnout: Comment
Authors: Mitchell L. Phillips, M.D.; Heather A. Ballard, M.D. Anesthesiology August 2024. To the Editor: We were intrigued by the article titled “U.S. Attending Anesthesiologist Burnout in the Postpandemic Era” by Afonso et al. This piece delves into the factors contributing to the high prevalence of burnout among U.S. attending anesthesiologists, revealing a significant association between perceived support […]
Patient Safety – Easy as 1,2,3
ASA Monitor August 2024, Vol. 88, 31. The World Health Organization (WHO) defines patient safety as “the absence of preventable harm to a patient and reduction of risk of unnecessary harm associated with health care to an acceptable minimum” (asamonitor.pub/3tof93o). There are three philosophical approaches to safety engineering, referred to as Safety-I, Safety-II and Safety-III, that […]
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 […]
Effect of Remimazolam on Emergence Delirium in Children Undergoing Laparoscopic Surgery
Authors: Yu-Hang Cai, M.D. et al Anesthesiology September 2024, Vol. 141, 500–510. Background Preventing emergence delirium is a clinical goal for pediatric anesthesia, yet there is no consensus on its prevention. This study investigated the hypothesis that a continuous infusion or a single bolus of remimazolam can reduce the incidence of emergence delirium in children. Methods […]
Single-dose Intraoperative Methadone for Pain Management in Pediatric Tonsillectomy
Authors: Lisa M. Einhorn, M.D. et al Anesthesiology September 2024, Vol. 141, 463–474. Background More than 500,000 elective tonsillectomies are performed in U.S. children annually. Pain after pediatric tonsillectomy is common, often severe, and undertreated. There is no consensus on the optimal management of perioperative tonsillectomy pain. Methadone, with an elimination half-life of 1 to 2 […]
The Challenges of AI in Anesthesiology
Author: Hannah Lonsdale, MBChB ASA Monitor November 2023, Vol. 87, 22–23. Artificial intelligence (AI) is moving into every aspect of our lives: selecting the online advertisements that we see, recognizing our voices, showing us the best route home, and protecting us from credit card fraud. Machine learning (ML) refers to programs that use complex mathematical functions […]
Anesthesia provider, malpractice insurer pay $4.2M to family of patient who died at ASC
Author: Patsy Newitt Becker’s ASC Review An anesthesia provider and its malpractice insurer have paid $4.2 million in a settlement with the family of a patient who died undergoing a procedure at an ASC, Law.com reported Aug. 8. Michelle Crisafulli died Aug. 16, 2018, roughly one month after undergoing the removal of an intrauterine device under general […]
Leadership in Anesthesiology – Skills Development at the Resident Level
Authors: Mishan Rambukwella, MD, MBA; Kathy Cazares, MD, MBA ASA Monitor August 2024, Vol. 88, 34. At the most recent ASA ADVANCE business meeting, then-AMA President Jesse Ehrenfeld, MD, MPH, FASA, cited the article “Why Healthcare Workers are Quitting in Droves,” noting that the gap between the noble ideals of medicine and the reality of its business […]
Hypotension Prediction Index Is Equally Effective in Predicting Intraoperative Hypotension during Noncardiac Surgery Compared to a Mean Arterial Pressure Threshold
Authors: Marijn P. Mulder, M.Sc. et al Anesthesiology September 2024, Vol. 141, 453–462. Background The Hypotension Prediction Index is designed to predict intraoperative hypotension in a timely manner and is based on arterial waveform analysis using machine learning. It has recently been suggested that this algorithm is highly correlated with the mean arterial pressure itself. Therefore, […]