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Author: Richard Novak, MD The Anesthesia Consultant What is a difficult anesthetic? Most people have no real idea what anesthesiologists do. Many imagine an anesthesiologist’s job is to give a patient some “gas” which to keep the patient asleep, while the surgeon (the real doctor) heals the patient. This image is oversimplified and wrong. Anesthesiologists […]
Read MoreAuthors: Nicolas Nesseler, M.D., Ph.D. et et Anesthesiology May 2022, Vol. 136, 732–748. Background Despite expanding use, knowledge on extracorporeal membrane oxygenation support during the COVID-19 pandemic remains limited. The objective was to report characteristics, management, and outcomes of patients receiving extracorporeal membrane oxygenation with a diagnosis of COVID-19 in France and to identify pre-extracorporeal membrane […]
Read MoreAuthor: Richard Novak MD THE ANESTHESIA CONSULTANT In July 2020 the Food and Drug Administration (FDA) approved the intravenous benzodiazepine remimazolam (Byfavo, Acacia Pharma) for use in sedation for procedures of 30 minutes or less. Will anyone utilize this new drug, or is it an expensive addition to our arsenal with few significant advantages over current agents? Remimazolam […]
Read MoreAuthor: Amy Gallagher ASA Monitor April 2022, Vol. 86, 38. Steven Bott, MD is well versed in crisis management. His roles include cardiac and trauma anesthesiologist at the University of Utah, and medical director, flight physician, and mechanical circulatory support transport program director with AirMed, the university’s critical care air medical transport program that represents six […]
Read MoreAuthor: Cynthia A. Lien, MD ASA Monitor April 2022, Vol. 86, 45. As a member of the Foundation for Anesthesia Education and Research (FAER) Board of Directors, I was pleased to have the opportunity to write on incident command systems, all the more so given their heightened prevalence in the current world climate. FAER is proud […]
Read MoreAuthor: Robinder G. Khemani, M.D., M.S.C.I. Anesthesiology May 2022, Vol. 136, 672–674. “…fluid management can have potentially competing effects on the lung and the diaphragm.” While mechanical ventilation is lifesaving for children with acute respiratory distress syndrome (ARDS), it has become clear that it can lead to significant harm from ventilator-induced lung injury, patient self-inflicted lung […]
Read MoreAuthors: Cathrin Flauaus, R.Ph. et al Anesthesiology May 2022, Vol. 136, 802–822. Background Slick, a sodium-activated potassium channel, has been recently identified in somatosensory pathways, but its functional role is poorly understood. The authors of this study hypothesized that Slick is involved in processing sensations of pain and itch. Methods Immunostaining, in situ hybridization, Western blot, and real-time […]
Read MoreAuthors: Scott Segal, M.D., M.H.C.M. and Peter H. Pan, M.D., M.S.E.E. Anesthesiology May 2022, Vol. 136, 667–669. “Dural puncture epidural appears to be a clever idea in search of an indication.” Neuraxial analgesia is considered the definitive standard for labor pain relief, utilized by more than 73% of laboring women in the United States, with growing popularity […]
Read MoreAuthor: George A. Mashour, M.D., Ph.D. Anesthesiology May 2022, Vol. 136, 675–677. “… if [ketamine] works, who cares whether the analgesic and psychedelic effects are mechanistically distinct?” Ketamine is arguably the most interesting drug in our armamentarium. Depending on the dose and setting, ketamine can be used as an anesthetic, analgesic, antidepressant, psychedelic, or psychotomimetic (e.g., […]
Read MoreASA Monitor April 2022, Vol. 86, 31. Mass casualty incidents (MCIs) exert stress on health care institutions with surges in patient volumes and complexities of new and often unpredictable pathophysiologic states. The fundamental goal in managing MCIs is preservation of life. The incident command structure (ICS) is designed to reduce weaknesses in MCI management because of […]
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