Authors: Sergio Lassola, M.D. et al Anesthesiology May 2023. To the Editor: Recently, evaluation of the diaphragm by means of ultrasound has become popular. The increase in diaphragm thickness during inspiration (thickening fraction) has been proposed as a noninvasive bedside measure of diaphragm function although previous studies have reported wide variability between thickening, inspiratory effort, and […]
Read MoreAuthors: Aiman Suleiman, M.D., M.Sc.; et al Anesthesiology May 2023. To the Editor: We read the article by Turan et al. with great interest and would like to congratulate the authors on conducting this large, important, factorial trial. The authors found that neither a “high” (8 cm H2O) positive end-expiratory pressure (PEEP), nor a low (6 ml/kg) tidal volume […]
Read MoreAuthors: Alparslan Turan, M.D. et al Anesthesiology May 2023. In Reply: Suleiman et al. assert that driving pressure and mechanical power (because of increased respiratory rate in low tidal volume groups) may be more important determinants of perioperative lung injury and postoperative pulmonary complications than tidal volume and positive end-expiratory pressure (PEEP). We used a factorial cluster […]
Read MoreAuthor: Avery Hurt Practical Pain Management April 2023 Understanding how pain changes over time could help clinicians evaluate and treat pain in the elderly. Researchers identify four potential pathways. Pain among individuals in nursing homes is common, with 85% of residents experiencing pain and nearly 60% reporting persistent pain. Consequently, there has been a great […]
Read MoreAuthors: Joseph C. Goldstein, M.D.; Heidi V. Goldstein, M.D. Anesthesiology May 2023. The interview was about to start. I found myself in a simulated meeting room environment. The selection panel introduced themselves and explained that I had been brought here because my special training made me an “extraordinarily qualified and promising candidate for this mission.” Dealing […]
Read More