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Do individual anesthesiologists directly affect patient outcomes? For years, anesthesiologists have attempted to answer this question empirically. Now, a recent study has concluded that anesthesiologists do affect outcomes, and at a rate similar to that of surgeons. “Despite everything that’s happened with surgical improvement over the years, we still see troubling rates of complications and […]
Read MoreAuthors: Viviane S. Hambrecht-Wiedbusch, Ph.D. et al Background: Promoting arousal by manipulating certain brain regions and/or neurotransmitters has been a recent research focus, with the goal of trying to improve recovery from general anesthesia. The current study tested the hypothesis that a single subanesthetic dose of ketamine during isoflurane anesthesia would increase cholinergic tone in […]
Read MoreEdited by André Sofair, MD, MPH The number of drug overdose deaths in the U.S. has more than doubled since 1999 — from 6.1 to 16 per 100,000 population. Specifically, recent increases have been seen in deaths from heroin and synthetic opioids like fentanyl, according to new CDC data. In 2015, the most recent year […]
Read MoreAuthors: Po-Kuan Chao, Ph.D. et al Anesthesiology February 23, 2017. Background: The authors investigated the pharmacology and signaling pathways of the opioid receptors modulated by compound 1, 1-(2,4-dibromophenyl)-3,6,6-trimethyl-1,5,6,7-tetrahydro-4H-indazol-4-one. Methods: In vitro studies of compound 1 were assessed by using a radioligand-binding assay (n = 3), a cyclic adenosine monophosphate assay (n = 3), a β-arrestin […]
Read MoreBy Brian J. Thomas, JD We examine the increasing incidents of distractions in the operating room that potentially threaten patient safety and increase anesthesia providers’ exposure to litigation and other negative consequences. Specifically, distractions from the use of personal electronic devices in the operating room for purposes not related to patient care are reportedly widespread […]
Read Moreby Maria Magro, PhD, CRNA, and Matthew Weinger, MD Distractions in the perioperative work environment can be attributed to many sources. When considering distractions, one must distinguish those that are externally imposed from those that are internally motivated. Many of the externally imposed distractions may be considered interruptions from the environment, other team members, or […]
Read MoreAuthors: Stefania Crotti, M.D. et al Anesthesiology February 23, 2017. Background: We evaluate the clinical feasibility of spontaneous breathing on extracorporeal membrane oxygenation and the interactions between artificial and native lungs in patients bridged to lung transplant or with acute exacerbation of chronic obstructive pulmonary disease (COPD) or acute respiratory distress syndrome. Methods: The clinical […]
Read MoreAuthors: Erin E. Hurwitz, M.D. et al Anesthesiology February 23, 2017 Background: Despite its widespread use, the American Society of Anesthesiologists (ASA)-Physical Status Classification System has been shown to result in inconsistent assignments among anesthesiologists. The ASA-Physical Status Classification System is also used by nonanesthesia-trained clinicians and others. In 2014, the ASA developed and approved […]
Read MoreThe Anesthesia Professional’s Role in Patient Safety During TAVR (Transcatheter Aortic Valve Replacement) “By failing to prepare, you are preparing to fail.” Benjamin Franklin Transcatheter Aortic Valve Replacement (TAVR) is quickly becoming an everyday procedure seen in operating rooms and cardiac catheterization suites throughout the country. With aortic stenosis being one of the most common […]
Read MoreBy Jeffrey Huang, MD This has been a landmark year for geriatrics focused perioperative care and for research highlighting the role of cognitive health on postoperative recovery among older adults. The American Society of Anesthesiologists (ASA) Committee on Geriatric Anesthesia has expanded to have an educational track to provide content for the annual meeting and […]
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