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Authors: Kim I. Albers-Warlé, MD et al Anesthesiology May 2024. Background The number of trials investigating the effects of deep neuromuscular blockade (NMB) on surgical conditions and patient outcomes is steadily increasing. Consensus on which surgical procedures benefit from deep NMB (a post tetanic count of 1-2) and how to implement it has not been […]
Read MoreAuthors: Zain Wedemeyer, BS et al Anesthesiology May 2024. Background The accuracy and precision of currently available, widely used acceleromyograph and electromyograph neuromuscular blockade monitors have not been well studied. In addition, the normalization of the train-of-four ratio from acceleromyography (train-of-four ratio [T4/T1] divided by the baseline train-of-four ratio) has not been validated in comparison […]
Read MoreAuthors: Mark I. Zakowski, M.D. et al Anesthesiology June 2024, Vol. 140, 1236–1237. To the Editor: The American Society of Anesthesiologists (ASA; Schaumburg, Illinois) House of Delegates recently approved the “Statement on Pain during Cesarean Delivery” from the Committee on Obstetric Anesthesia advising all practitioners on the pervasive problem of failure to achieve pain-free cesarean delivery. […]
Read MoreAuthors: Bingcheng Zhao, MD et al Anesthesiology May 2024. Background Patients undergoing noncardiac surgery have varying risk of cardiovascular complications. This study evaluated preoperative N-terminal pro–B-type natriuretic peptide 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 disease or risk factors […]
Read MoreAuthors: Hong Yu, M.D. et al Anesthesiology June 2024, Vol. 140, 1201–1202. Figure 1 depicts the user interface of the National Remote Emergency System for Malignant Hyperthermia for dantrolene mobilization in China. In National Remote Emergency System for Malignant Hyperthermia, dantrolene can be mobilized in three steps: (1) calculating the minimum dantrolene vials needed; (2) identifying […]
Read MoreAuthors: Jeffrey H. Silber, MD, PhD et al Anesthesiology May 2024. Background Observational studies of anesthetic neurotoxicity may be biased because children requiring anesthesia commonly have medical conditions associated with neurobehavioral problems. This study takes advantage of a natural experiment associated with appendicitis, in order to determine if anesthesia and surgery in childhood were specifically […]
Read MoreAuthors: David J. Douin, M.D.; Ana Fernandez-Bustamante, M.D., Ph.D., FASA. Anesthesiology June 2024, Vol. 140, 1238–1239. In Reply: We are grateful to Drs. Kowalczyk and Farber for their thorough review and insightful response to our recent clinical focused review of the administration of fibrinogen to mitigate endothelial dysfunction after acute traumatic injury. We appreciate their constructive critique regarding […]
Read MoreAuthors: John J. Kowalczyk, M.D.; Michaela K. Farber, M.D., M.S. Anesthesiology June 2024, Vol. 140, 1237–1238. To the Editor: We read with great interest the review of “Early Fibrinogen Replacement to Treat the Endotheliopathy of Trauma: Novel Resuscitation Strategies in Severe Trauma” by Douin et al. This article explores endothelial dysfunction that can occur with the coagulopathy of trauma, […]
Read MoreAuthors: Manuel C. Vallejo, M.D., D.M.D. et al Anesthesiology June 2024, Vol. 140, 1235–1236. To the Editor: Both parturients and healthcare providers have fears of neurologic complications associated with neuraxial analgesia/anesthesia, even though the odds are 5- to 10-fold higher for obstetric-related injury. More than half of parturients want to be informed of anesthetic risks even […]
Read MoreAuthors: Mathias Maagaard, M.D. et al Anesthesiology June 2024, Vol. 140, 1165–1175. Background Both dexamethasone and dexmedetomidine increase the duration of analgesia of peripheral nerve blocks. The authors hypothesized that combined intravenous dexamethasone and intravenous dexmedetomidine would result in a greater duration of analgesia when compared with intravenous dexamethasone alone and placebo. Methods The authors randomly […]
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