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Authors: Phillip E. Vlisides, M.D. et al Anesthesiology November 2023, Vol. 139, 568–579. Background Perioperative neurocognitive disorders are a major public health issue, although there are no validated neurophysiologic biomarkers that predict cognitive function after surgery. This study tested the hypothesis that preoperative posterior electroencephalographic alpha power, alpha frontal-parietal connectivity, and cerebral oximetry would each correlate […]
Read MoreAuthors: Matthew E Prekker et al New England Journal of Medicine 2023 Aug 3;389(5):418-429. Background: Whether video laryngoscopy as compared with direct laryngoscopy increases the likelihood of successful tracheal intubation on the first attempt among critically ill adults is uncertain. Methods: In a multicenter, randomized trial conducted at 17 emergency departments and intensive care units (ICUs), we […]
Read MoreAuthors: Michael G Collins et al Lancet 2023 Jul 8;402(10396):105-117 Background: Delayed graft function (DGF) is a major adverse complication of deceased donor kidney transplantation. Intravenous fluids are routinely given to patients receiving a transplant to maintain intravascular volume and optimise graft function. Saline (0·9% sodium chloride) is widely used but might increase the risk of […]
Read MoreAuthor: Patsy Newitt Becker’s ASC Review Medicare reimbursements for anesthesia are declining, and with a rising provider shortage and increasing demand, many leaders are concerned about how these factors will affect patient care. “Anesthesia used to be a seemingly unlimited commodity,” Jeff Dottl, principal at Ventura, Calif.-based Physicians Surgery Centers, told Becker’s. “They were lucky to be […]
Read MoreAuthors: Anjali A. Dixit, M.D., M.P.H. et al Anesthesiology November 2023, Vol. 139, 580–590. Background Insured patients who receive out-of-network care may receive a “balance bill” for the difference between the practitioner’s charge and their insurer’s contracted rate. In 2017, California banned balance billing for anesthesia care. This study examined the association between California’s law and […]
Read MoreAuthors: Shan-Shan Xu, M.D. et al Anesthesiology November 2023, Vol. 139, 614–627. Background There is no widely accepted consensus on the weaning and extubating protocols for neurosurgical patients, leading to heterogeneity in clinical practices and high rates of delayed extubation and extubation failure−related health complications. Methods In this single-center prospective observational diagnostic study, mechanically ventilated neurosurgical […]
Read MoreAuthors: Lisa Q. Rong, M.D. et al Anesthesiology November 2023, Vol. 139, 602–613. Background Detailed understanding of the association between intraoperative left atrial and left ventricular diastolic function and postoperative atrial fibrillation is lacking. In this post hoc analysis of the Posterior Left Pericardiotomy for the Prevention of Atrial Fibrillation after Cardiac Surgery (PALACS) trial, we aimed to […]
Read MoreAuthors: Natalie Staplin et al Lancet 2023 Jun 17;401(10393):2041-2050. Background: Ambulatory blood pressure provides a more comprehensive assessment than clinic blood pressure, and has been reported to better predict health outcomes than clinic or home pressure. We aimed to examine associations of clinic and 24-h ambulatory blood pressure with all-cause and cardiovascular mortality in a large […]
Read MoreAuthor: Patsy Newitt Becker’s ASC Review Here are three lawsuits filed or resolved in the last month involving anesthesiologists or anesthesia groups: An anesthesiologist was accused of negligence during a 2021 spinal surgery in a lawsuit filed against Morgantown. W.Va.-based J.W. Ruby Memorial Hospital. On Oct. 8, 2021, David Gentry underwent a spinal procedure requiring anesthesia. He […]
Read MoreAuthors: Glenn Eastwood et al N Engl J Med 2023 Jul 6;389(1):45-57. Background: Guidelines recommend normocapnia for adults with coma who are resuscitated after out-of-hospital cardiac arrest. However, mild hypercapnia increases cerebral blood flow and may improve neurologic outcomes. Methods: We randomly assigned adults with coma who had been resuscitated after out-of-hospital cardiac arrest of presumed cardiac […]
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