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Anesthesiology September 2024, Vol. 141, A13–A15. Trial of early minimally invasive removal of intracerebral hemorrhage. N Engl J Med 2024; 390:1277–89. PMID: 38598795. It is widely accepted that the evacuation of acute supratentorial intracerebral hemorrhages does not improve patient outcomes. However, recent advances in minimally invasive neurosurgical techniques (such as trans-sulcal parafascicular surgery) enable effective hematoma […]
Read MoreWe 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 […]
Read MoreAuthors: Bing-Cheng Zhao, M.D. et al Anesthesiology September 2024, Vol. 141, 475–488. Background Patients undergoing noncardiac surgery have varying risk of cardiovascular complications. This study evaluated preoperative N-terminal pro–B-type natriuretic peptide (NT-proBNP) and high-sensitivity cardiac troponin T to enhance cardiovascular events prediction for major noncardiac surgery. Methods This prospective cohort study included adult patients with cardiovascular […]
Read MoreCardiac Anesthesiologist Feedspot Moderately Hypothermic Intermittent Global Myocardial Ischemia Intermittent cardiac ischemia with moderate cardiac hypothermia requires performing cardiopulmonary bypass (CPB) with a perfusate temperature between 25°C and 30°C. During this method, the surgeon operates on or in the heart for 10 to 15 minutes while the ascending aorta is clamped (stopping coronary perfusion) or individual […]
Read MoreAuthors: Adam Warrick, M.D. et al Anesthesiology August 2024. These images demonstrate sublingual hematoma progression in a patient presenting for repeat laparoscopy after cholecystectomy complicated by incomplete hemostasis (fig.1, A to C, arrows). On postoperative day one, the patient reported frenulum tenderness, purpura, and an expanding mass beneath her tongue (fig.1, A). Otolaryngology evaluation was obtained, […]
Read MoreAuthors: Douglas A. Colquhoun, M.B., Ch.B., M.Sc., M.P.H. et al Anesthesiology September 2024, Vol. 141, 602–607. To the Editor: Cisatracurium has traditionally been utilized in patients with severe renal impairment due to its clearance by Hoffman elimination. However, cisatracurium cannot be antagonized by sugammadex, which is specific to rocuronium and vecuronium. Sugammadex, compared to neostigmine, reduces […]
Read MoreAnesthesiology September 2024, Vol. 141, A13–A15. Large language model capabilities in perioperative risk prediction and prognostication. JAMA Surg 2024; e241621 Large language models (LLMs) like ChatGPT are widely used, but their use for perioperative care applications is uncertain. This retrospective prognostic study studied six different “prompting strategies” for question-and-answer tasks using GPT-4 Turbo (OpenAI) on 133,500 […]
Read MoreWe 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 […]
Read MoreAuthors: Charles B. Berde, M.D., Ph.D.; Michael J. Cunningham, M.D. Anesthesiology September 2024, Vol. 141, 425–427. Tonsillectomy is among the most common of pediatric operations. In this issue of Anesthesiology, Einhorn et al. report on a prospective controlled trial of single-dose intravenous methadone administered intraoperatively to children and adolescents ages 3 to 17 yr undergoing elective tonsillectomy with or […]
Read MoreAuthor: Richard Novak, MD The Anesthesia Consultant Miller 2 Direct Laryngoscope Video Laryngoscope When it’s time to insert an endotracheal tube, for decades anesthesiologists have utilized a direct laryngoscope. Direct laryngoscopy (DL) is a difficult skill to acquire, but all anesthesiologists become masters of it. Enter the video camera, which changed surgical practice. Open […]
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