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Authors: Zachary Deutch, MD, FASA; Andrew Zimmerman, MD ASA Monitor May 2024, Vol. 88, 24–25. Thank you for joining me for the spring edition of “Ask the Expert.” This month, we delve into the ever-pertinent topic of practice structure and management. The endless debate regarding which operational and staffing models are optimal in perioperative medicine lately […]
Read MoreAuthors: Akihiro Suzuki, M.D., Ph.D. et al Anesthesiology Newly Published on April 2024. Displacement of the epiglottis, also known as epiglottic folding, downfolding, or prolapse, is an unexpected complication associated with tracheal intubation and supraglottic airway device insertion. Recent advancements in endoscopic technology and the widespread use of video/optical devices, such as videolaryngoscopes, have brought this […]
Read MoreAuthors: Megan H. Hicks, MD et al ASA Monitor May 2024, Vol. 88, 18–19. Mortality during a surgical procedure is so rare that it is hard to quantify risk. However, death within 30 days after surgery comprises approximately 7.7% of all causes of death per year (Lancet 2019;393:401). Stated another way, postoperative mortality is about 140 times […]
Read MoreAuthors: Daniel I. Sessler, MD; Ahmad Al Jarkas, MD ASA Monitor May 2024, Vol. 88, 15–17. Intraoperative mortality has decreased by a factor of 10 in recent decades and is now so rare that it is hard to quantify (Lancet Reg Health West Pac 2023;37:100787; Eur J Anaesthesiol 1998;15:520-3). Consequently, clinicians and family often conclude that patients who arrive stable […]
Read MoreAuthor: Steven L. Shafer, MD, FASA ASA Monitor May 2024, Vol. 88, 14. “Carpe diem.” –Daniel Sessler, MD Okay, Dan Sessler isn’t the first person to say “carpe diem” (“seize the day”). Evidently that honor goes to Horatius, who said that in a poem published in 13 B.C. (asamonitor.pub/4ajj9Vf). However, Dr. Sessler has repeatedly urged our […]
Read MoreAuthor: Olga L. Quintero, M.D. Anesthesiology April 2024. It was the second week at my first job as a freshly graduated anesthesiologist. I was both nervous and anxious that morning because I had been assigned a case in the angio-suite. I had had a triumphant first week: no intraoperative complications; everyone, including my boss, seemed […]
Read MoreAuthors: Aurora N. Quaye, M.D. et al Anesthesiology Newly Published on April 2024. doi: Background Colorectal cancer is a leading cause of cancer-related death. Adenomas and serrated polyps are precursors of colorectal cancer, with serrated polyps being more difficult to detect during colonoscopy. The relationship between propofol use and polyp detection remains unclear. The authors investigated […]
Read MoreAuthors: Jakob Wittenstein, M.D. et al Anesthesiology Newly Published on April 2024. Background During one-lung ventilation (OLV), positive end-expiratory pressure (PEEP) can improve lung aeration, but might over-distend lung units and increase intrapulmonary shunt. We hypothesized that higher PEEP shifts pulmonary perfusion from the ventilated to the non-ventilated lung, resulting in a U-shaped relationship with intrapulmonary […]
Read MoreAuthors: Yujie Wu, M.M et al Anesthesiology Newly Published on April 2024. Background Stimulation of the paraventricular thalamus has been found to enhance anesthesia recovery; however, the underlying molecular mechanism by which general anesthetics modulate paraventricular thalamus is unclear. Here, we aimed to test the hypothesis that the sodium leak channel (NALCN) maintains neuronal activity in […]
Read MoreAuthor: Claire Wallace Becker’s ASC Review The anesthesia market has had a challenging last several years, as systems struggle to find qualified professionals in a competitive market. Often, small systems cannot afford to pay specialists and are left without anesthesia providers, who are critical for virtually every procedure in the ASC setting and beyond. While […]
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