Authors: Cecilia Canales, M.D., M.P.H. et al Anesthesiology December 2021. Background Frailty is increasingly being recognized as a public health issue, straining healthcare resources and increasing costs to care for these patients. Frailty is the decline in physical and cognitive reserves leading to increased vulnerability to stressors such as surgery or disease states. The goal […]
Read MoreAuthors: Pandit, Sujit K. MD; Loberg, Katherine W. BS; Pandit, Uma A. MD Anesthesia & Analgesia: November 2000 – Volume 91 – Issue 5 – p 1308 This also gives us an opportunity to clarify the prevalent ambiguity about types of “clear” liquid that are allowed 2–3 h before elective surgery. Dr. Sosis has asked a […]
Read MoreAUTHORS: Bash, Lori D. PhD, MPH et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1437-1450 BACKGROUND: Neuromuscular blockade (NMB) is a critical part of many surgical procedures. Data on practice patterns of NMB agents (NMBAs) and NMB reversal in recent years in the US ambulatory surgical care setting are […]
Read MoreAUTHORS: Elitok, Saban MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1510-1519 BACKGROUND: Acute kidney injury requiring renal replacement therapy (AKI-RRT) is strongly associated with mortality after cardiac surgery; however, options for early identification of patients at high risk for AKI-RRT are extremely limited. Early after cardiac surgery, […]
Read MoreAuthor: Tony Mira F1rstNews Summary Today’s anesthesia practices must understand the current shift in patient demographics and determine how that will impact their practice parameters and revenue. Groups must have plans in place to deal with the changing realities. Anesthesia has been undergoing a significant paradigm shift. It used to be that the primary focus […]
Read MoreAUTHORS: Duque, Melissa MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1379-1386 BACKGROUND: Total knee replacement (TKR) and total hip replacement (THR) are 2 of the most common orthopedic surgical procedures in the United States. These procedures, with fairly low mortality rates, incur significant health care costs, with […]
Read MoreAUTHORS: Reeves, J. Jeffery MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1406-1414 BACKGROUND: Understanding the impact of key metrics on operating room (OR) efficiency is important to optimize utilization and reduce costs, particularly in freestanding ambulatory surgery centers. The aim of this study was to assess the […]
Read MoreAUTHORS: Hajmohamed, Sherine MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1366-1373 BACKGROUND: Patients with body mass index (BMI) ≥50 kg/m2, defined as super morbid obesity, represent the fastest growing segment of patients with obesity in the United States. It is currently unknown if super morbid obese patients […]
Read MoreAUTHORS: Chen, Dong Xu MD et al Anesthesia & Analgesia: December 2021 BACKGROUND: Hypoxemia can occur during gastroscopy under intravenous anesthesia. The aim of this randomized controlled trial was to evaluate whether oxygenation using a nasal mask can reduce the incidence of hypoxemia during gastroscopy under intravenous anesthesia compared with a traditional nasal cannula. METHODS: A […]
Read MoreAUTHORS: Aulenkamp, Jana L. MD et al Anesthesia & Analgesia: December 2021 BACKGROUND: Chronic posttraumatic/postsurgical pain (CPSP) is common after traumatic or surgical damage. Exposure to both trauma and surgery, with the potential for repeated bone and nerve damage, may increase the risk of CPSP after fracture-related surgery. But the (long-term) incidences of CPSP and neuropathic […]
Read More