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Authors: Craig T. Yamaguchi, B.S. et al Anesthesiology July 2023. Transesophageal echocardiography images were acquired from a 30-year-old patient with group 1 pulmonary hypertension during bilateral orthotopic lung transplantation. The relative chamber sizes are shown pre (fig. 1) and post (fig. 2) transplantation. Preoperative pulmonary artery pressures were 142/54 with a systemic blood pressure of […]
Read MoreAuthors: Angela C. Lee, M.D.; Chaitanya Challa, M.D. Anesthesiology July 2023. The most common types of medication error in pediatric anesthesiology are wrong dose and syringe swap. Another source of medication error is syringe dead space, which is defined as residual volume left between the plunger and syringe tip after the total dose is given. A previous […]
Read MoreAuthors: Gaurav P. Patel, M.D., F.A.S.A. et al Anesthesiology July 2023. Nasogastric tube placement is not without risk. A patient admitted for severe hyperemesis in the setting of chronic alcoholism required nasogastric tube placement. Immediately after nasogastric tube placement, his mental status changed dramatically, and he was urgently intubated by an anesthesiologist. Computed tomography imaging […]
Read MoreAuthors: Chin-Tsang Yang, Ph.D. et al Anesthesiology July 2023. Background Spinal cord stimulation (SCS) is an important pain treatment modality. We hypothesized that a novel pulsed-ultrahigh-frequency SCS (pUHF-SCS) could safely and effectively inhibit spared nerve injury-induced neuropathic pain in rats. Methods Epidural pUHF-SCS (± 3V, 2Hz pulses comprising 500 kHz biphasic sinewaves) was implanted at […]
Read MoreAuthors: Allan F. Simpao, MD, MBI et al Anesthesiology Newly Published on July 2023. 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. We hypothesized that greater exposure to sedation and anesthesia in this population is […]
Read MoreAuthors: Ryan McGinn, M.D., M.Sc. et al Anesthesiology August 2023, Vol. 139, 143–152. Background Patients with frailty consistently experience higher rates of perioperative morbidity and mortality; however, costs attributable to frailty remain poorly defined. This study sought to identify older patients with and without frailty using a validated, multidimensional frailty index and estimated the attributable costs […]
Read MoreAuthor: Richard Novak, MD THE ANESTHESIA CONSULTANT This column will help you find the top 10 anesthesia journals. Prior to the internet, hard copies of medical journals were bound into volumes and stored at hospital or medical school libraries. To find a specific article required a dive into the archives of the library, with the […]
Read MoreAuthors: Xiang Li, M.D. et al Anesthesiology July 2023. Background Individualized positive end-expiratory pressure (PEEP) guided by dynamic compliance improves oxygenation and reduces postoperative atelectasis in nonobese patients. We hypothesized that dynamic compliance–guided PEEP could also reduce postoperative atelectasis in patients undergoing bariatric surgery. Methods Patients scheduled to undergo laparoscopic bariatric surgery were eligible. Dynamic […]
Read MoreAUTHORS: Daguio K et al Pract Pain Manage. 2023 July August 23(4). Introduction Methadone is a mu opioid agonist that binds to receptors located in the central nervous system (CNS) and cardiovascular tissue. Classified as a synthetic opioid, methadone is known to reduce symptoms of narcotic withdrawal and decrease the euphoric effects of other narcotics, […]
Read MoreAuthors: Anjali Dixit, MD/MPH et al Anesthesiology July 2023. 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. We examined the association between California’s law and subsequent payments for anesthesia care. […]
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