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Authors: Robert E. Freundlich, M.D., M.S.; Adam J. Kingeter, M.D. Anesthesiology 11 2017, Vol.127, 901-902. doi:10.1097/ALN.0000000000001852 To the Editor: We read with great interest the manuscript in the March 2017 issue of Anesthesiology by Mathis et al.1 that provided an overview of the authors’ experiences managing patients with left ventricular assist devices (LVADs) who were undergoing noncardiac surgery. We would […]
Read MoreAuthors: Rebecca Gerlach, M.D., F.R.C.P.C.; Avery Tung, M.D., F.C.C.M. Anesthesiology 11 2017, Vol.127, 899-900. doi:10.1097/ALN.0000000000001845 To the Editor: We read with interest the recent Clinical Concepts and Commentary article on perioperative glucose control.1 However, we worry that it overstates available evidence with respect to the benefit/risk ratio of using insulin to target specific intraoperative glucose levels in patients […]
Read MoreAuthors: Charles W. Buffington, M.D.; Cynthia M. Q. Wells, M.D.; Ryan J. Soose, M.D. Anesthesiology 11 2017, Vol.127, 897. To the Editor: We compliment Sato et al.1 on their recent article concerning mask ventilation during the induction of general anesthesia. A prominent feature of this study is the occurrence of expiratory flow limitation during positive pressure ventilation in 29% of subjects. This […]
Read MoreAuthors: Lei Wang, M.D.; Lingxin Wei, M.D. Anesthesiology 11 2017, Vol.127, 896-897. To the Editor: With great interest, we read the article by Sato et al.,1 which reports the influences of obstructive sleep apnea on mask ventilation during induction of general anesthesia by comparing patients with or without sleep-disordered breathing.In addition to the limitations described in the discussion, we […]
Read MoreAuthors: Zhiqiang Zhou, M.D.; Xueren Wang, M.D., Ph.D. Anesthesiology 11 2017, Vol.127, 896. doi:10.1097/ALN.0000000000001826 To the Editor: With great interest, we read the article by Sato et al.,1 which reported the effect of sleep-disordered breathing on tidal volume with mask ventilation during anesthetic induction. Additional details might better clarify this study and affect the interpretation of the results. The […]
Read MoreAuthors: Moritz Kretzschmar, M.D., Ph.D., D.E.S.A. et al Anesthesiology 11 2017, Vol.127, 800-812. Background: Increasing numbers of patients with obstructive lung diseases need anesthesia for surgery. These conditions are associated with pulmonary ventilation/perfusion (VA/Q) mismatch affecting kinetics of volatile anesthetics. Pure shunt might delay uptake of less soluble anesthetic agents but other forms of VA/Q scatter have […]
Read MoreAuthors: Guillaume Besch, M.D. et Anesthesiology 11 2017, Vol.127, 775-787. Background: We aimed to assess the clinical effectiveness of intravenous exenatide compared to insulin in perioperative blood glucose control in coronary artery bypass grafting surgery patients. Methods: Patients more than 18 yr old admitted for elective coronary artery bypass grafting were included in a phase II/III nonblinded randomized […]
Read MoreAuthors: Matthew D. Neal, M.D. et al Anesthesiology 11 2017, Vol.127, 744-746. EMERGENCY care providers need to have therapies for the acutely bleeding patient, especially for trauma patients and those requiring emergency surgery. Trauma is a leading cause of mortality worldwide with hemorrhage as the leading cause of preventable death. As many as 30% of severely […]
Read MoreAuthor: Jonathan H. Waters, M.D. Anesthesiology 11 2017, Vol.127, 738-740. “…this report highlights the role that an anesthesiologist can play in leading patient blood management.” IN this issue of Anesthesiology is a report on the next evolution of a patient blood management program.1 This report explores what was done at the Johns Hopkins Health System to take a […]
Read MoreShould Elective Surgeries Be Permitted to Be Performed in the Evening? (PC10) In an era where quality measurements are used to grade and reimburse physicians, perioperative teams are in the spotlight if outcomes are less than optimal. One area drawing attention is elective surgeries performed late in the day, when perioperative teams could be tired […]
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