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AUTHORS: Barajas, Matthew B. MD et al Anesthesia & Analgesia 136(5):p 941-948, May 2023. BACKGROUND: Early detection and quantification of perioperative hemorrhage remains challenging. Peripheral intravenous waveform analysis (PIVA) is a novel method that uses a standard intravenous catheter to detect interval hemorrhage. We hypothesize that subclinical blood loss of 2% of the estimated blood volume […]
Read MoreAUTHORS: Keneally, Ryan J. MD et al Anesthesia & Analgesia 136(5):p 920-926, May 2023. BACKGROUND: Warm, fresh whole blood (WB) has been used by the US military to treat casualties in Iraq and Afghanistan. Based on data in that setting, cold-stored WB has been used to treat hemorrhagic shock and severe bleeding in civilian trauma patients […]
Read MoreAUTHORS: Bandyopadhyay, Anjishnujit DM et al Anesthesia & Analgesia 136(5):p 913-919, May 2023. BACKGROUND: Critically injured patients who are agitated and delirious on arrival do not allow optimal preoxygenation in the emergency area. We investigated whether the administration of intravenous (IV) ketamine 3 minutes before administration of a muscle relaxant is associated with better oxygen saturation […]
Read MoreAUTHORS: Barclay-Steuart, Alexander MD, MBA et al Anesthesia & Analgesia 136(6):p 1164-1173, June 2023. | BACKGROUND: Transnasal flexible videoendoscopy (TVE) of the larynx is a standard of care for the detection and staging of pharyngolaryngeal lesions in otorhinolaryngology. Patients frequently present with existing TVE examinations before anesthesia. Although these patients are considered high risk, the diagnostic value […]
Read MoreAuthor: Adaora M. Chima, MBBS, MPH IARS Newsletter Issue 4 Healthcare worker shortages are a growing problem on a global scale. Anesthesia care delivery has not escaped this phenomenon, a dilemma that was the focus of a panel session, “The Anesthesia Workforce: Who’s Doing the Work?” that closed out the IARS 2023 Annual Meeting on […]
Read MoreAUTHORS: Levy, Dominique T. BS et al Anesthesia & Analgesia 136(5):p 905-912, May 2023. BACKGROUND: There is a lack of reported clinical outcomes after opioid use in acute trauma patients undergoing anesthesia. Data from the Pragmatic, Randomized, Optimal Platelet and Plasma Ratios (PROPPR) study were analyzed to examine opioid dose and mortality. We hypothesized that higher […]
Read MoreAuthor: Christian S. Guay, MD IARS Newletter Issue 4 With the growth of perioperative medicine, anesthesiologists are increasingly turning to the preoperative period to identify modifiable risk factors that can be intervened upon to prevent postoperative complications and improve long-term outcomes. In a session, cosponsored by Early-Stage Anesthesiology Scholars (eSAS), “Improving Patient Outcomes through Prehabilitation: […]
Read MoreAuthor: Richard Cahill, JD, Vice President and Associate General Counsel, The Doctors Company Consider the following scenario: A successful and highly respected pediatrician with an unblemished record over decades of practice learns of a HIPAA breach by a member of his administrative staff. The employee is terminated after an investigation reveals that the employee had […]
Read MoreAuthors: Evan D. Kharasch, M.D., Ph.D. et al Anesthesiology October 2023, Vol. 139, 405–419. Background Contemporary perioperative practice seeks to use less intraoperative opioid, diminish postoperative pain and opioid use, and enable less postdischarge opioid prescribing. For inpatient surgery, anesthesia with intraoperative methadone, compared with short-duration opioids, results in less pain, less postoperative opioid use, and […]
Read MoreAuthors: Allan F. Simpao, M.D., M.B.I. et al Anesthesiology October 2023, Vol. 139, 393–404. Background Children undergoing complex cardiac surgery are exposed to substantial cumulative doses of sedative medications and volatile anesthetics and are more frequently anesthetized with ketamine, compared with healthy children. This study hypothesized that greater exposure to sedation and anesthesia in this population […]
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