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#TheAnesthesiaBlog Increasing numbers of NHS consultants are voluntarily reducing their time spent delivering contracted direct clinical care. The result is concerning, with experienced clinicians working less hours and retiring early. This new guidance aims to highlight contributory issues and list clear, implementable solutions. One theme is that ‘age’ in anaesthesia should not be perceived negatively […]
Read MoreAuthors: Brian M. Ilfeld, M.D., M.S. et al Anesthesiology November 2022, Vol. 137, 529–542. Background Ultrasound-guided percutaneous cryoneurolysis is an analgesic technique in which a percutaneous probe is used to reversibly ablate a peripheral nerve(s) using exceptionally low temperature, and has yet to be evaluated with randomized, controlled trials. Pain after mastectomy can be difficult to […]
Read MoreAuthor: Richard Novak The Anesthesia Consultant Imagine this scenario: You’ve just finished anesthetizing a patient in a hospital setting, and the patient now requires transport from the operating room (OR) to the post-anesthesia care unit (PACU). During surgery your patient monitors included: a pulse oximeter, an ECG, a blood pressure cuff, a temperature monitor, and […]
Read MoreAuthors: Benjamin J. Marsh, M.D. et al Anesthesiology November 2022, Vol. 137, 543–554. Background Increasing wildfire activity worldwide has led to exposure to poor air quality and numerous detrimental health impacts. This study hypothesized an association between exposure to poor air quality from wildfire smoke and adverse respiratory events under general anesthesia in pediatric patients. Methods […]
Read MoreAuthors: Olusanya A, Goree J. Pract Pain Manag. 2022 September/October;22(5). Low Back Pain Continues to Perplex Physicians A perpetual topic of discussion in interventional pain management is the treatment of chronic low back pain. The American Society of Pain and Neuroscience (ASPN) annual meeting, held in July 2022, was no different. Low back pain is […]
Read MoreAnesthesiology October 2022. The article by Boldt et al., entitled “Preoperative plasmapheresis in patients undergoing cardiac surgery procedures” by J Boldt, B von Bormann, D Kling, M Jacobi, R Moosdorf, G Hempelmann, published in Anesthesiology 1990;72:282–8 has been retracted in its entirety by the Journal Editor-in-Chief, Evan Kharasch, M.D., Ph.D. This article is being retracted following an […]
Read MoreAuthors: Steven Roth, M.D., F.A.R.V.O. et al Anesthesiology November 2022, Vol. 137, 620–643. The authors reviewed perioperative ocular complications and implications of ocular diseases during nonocular surgeries. Exposure keratopathy, the most common perioperative eye injury, is preventable. Ischemic optic neuropathy, the leading cause of perioperative blindness, has well-defined risk factors. The incidence of ischemic optic neuropathy […]
Read MoreAuthors: Andrew Sedivy, MD et al ASA Monitor October 2022, Vol. 86, 20–21. When adverse outcomes occur postoperatively, anesthesiologists and surgeons often are at odds about the mechanism and may blame each other. If the creatinine changes after cardiac, vascular, or other surgeries, the surgeon may infer that the patient was over- or under-hydrated or there […]
Read MoreA case report of a woman with a history of drug use presenting with fatigue and hypotension whose adrenal insufficiency was likely masked by opioid use. Authors: Bush DA, OMS IV, Erika Barbero MD. Pract Pain Manag. 2022 September/October;22(5). About Opioid Induced Adrenal Insufficiency Opioid induced adrenal insufficiency (OIAI) is a complication of opioid use […]
Read MoreAuthors: Charlotte Martin, M.D. et al Anesthesiology December 2022, Vol. 137, 749–751. To the Editor: The waste produced by an operating room represents on average 20 to 30% of the waste of a health institution.1 At the Toulouse University Hospital (Toulouse, France), more than 100 tons of waste are produced per month. In 2020, only noninfectious […]
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