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Authors: Xi Cen, Ph.D. et al Anesthesiology June 2022. Background Whether a particular surgeon’s opioid prescribing behavior is associated with prolonged postoperative opioid use is unknown. This study tested the hypothesis that the patients of surgeons with a higher propensity to prescribe opioids are more likely to utilize opioids long-term postoperatively. Methods The study identified […]
Read MoreAuthors: Shwethashri Kondavagilu Ramaprasannakumar, M.D., D.M. et al Anesthesiology July 2022, Vol. 137, 79–80. Flexometallic tubes are kink-resistant and extensively used in neurosurgeries. The manufacturers of flexometallic tubes recommend single usage. In low-income countries, due to the cost restraints, flexometallic tubes are commonly reused after ethylene oxide sterilization. With this technique, flexometallic tubes are effectively […]
Read MoreAuthors: Quentin Gobert, M.D., D.E.S.A.R.; Lyndia Dernis, M.D., D.E.S.A.R. Anesthesiology July 2022, Vol. 137, 118–119. To the Editor: We read with interest the article by Mc Gain et al. presenting the comparative carbon footprint of two general and regional anesthesia techniques. As the authors point out, the results cannot be systematically extrapolated to other countries because of the […]
Read MoreAuthors: Mitchell H. Tsai, M.D., M.M.M., F.A.S.A., F.A.A.C.D. et al Anesthesiology July 2022, Vol. 137, 119–120. To the Editor: Using life cycle assessments, McGain et al. account for the carbon footprint of general, regional, and combined anesthesia techniques for total joint replacements in Australia. With the accounting of carbon emissions, we applaud the authors for demonstrating that the […]
Read MoreAuthor: Jane Carter, M.B.B.S., B.Med.Sci., D.T.M.H., F.A.N.Z.C.A.; Jess Davies, M.B.B.S. (Hons.), M.Sc., F.A.N.Z.C.A. Anesthesiology July 2022, Vol. 137, 121. To the Editor: The article “Carbon Footprint of General, Regional, and Combined Anesthesia for Total Knee Replacement” by McGain et al. provides welcome dialogue in the evidence-sparse domain of carbon equivalent comparisons between anesthetic modalities. Their paper describes prospective […]
Read MoreAuthors: Kristopher M. Schroeder, M.D., F.A.S.A. et al Anesthesiology July 2022, Vol. 137, 122. To the Editor: We read with great interest the recent article by McGain et al.1 that quantified the carbon footprint associated with the provision of spinal anesthesia and general anesthesia for total knee arthroplasty. This type of encompassing evaluation is valuable as it is […]
Read MoreAuthors: Forbes McGain, F.A.N.Z.C.A., F.C.I.C.M., Ph.D. et al Anesthesiology July 2022, Vol. 137, 123–125. In Reply: We thank all authors for the correspondence relating to our life cycle assessment of anesthesia for knee replacements. In response to Kalmar et al. : We used the Intergovernmental Panel on Climate Change preferred global warming potential of 100 yr, given that it is […]
Read MoreAuthors: Michael P. Puglia, II, M.D., Ph.D. et al Anesthesiology July 2022, Vol. 137, 28–40. Background Functional connectivity in cortical networks is thought to be important for consciousness and can be disrupted during the anesthetized state. Recent work in adults has revealed dynamic connectivity patterns during stable general anesthesia, but whether similar connectivity state transitions occur […]
Read MoreAuthors: Xinglong Xiong, M.D. et al Anesthesiology June 2022, Vol. 136, 1045–1046. To the Editor: Brown et al.1 nicely described their work comparing spinal anesthesia with targeted sedation based on Bispectral Index values compared with general anesthesia (masked Bispectral Index) and the outcome of delirium. Intraoperative hypotension has been associated with delirium.2,3 The adjusted hazard ratio associated with a […]
Read MoreAuthors: Charles H. Brown, IV, M.D., M.H.S. Charles W. Hogue, M.D. Anesthesiology June 2022, Vol. 136, 1047–1048. In Reply: We thank Drs. Xiong et al.1 and Carella and Bonhomme2 for their comments regarding the shaping anesthetic techniques to reduce post-operative delirium (SHARP) study.3 We agree that evaluating intraoperative hypotension as a potentially moderating factor in the SHARP trial would be interesting. […]
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