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Authors: Solomon Aronson, MD, MBA, FASA, FASE, FAHA, FCCP, FACC et al ASA Monitor October 2021, Vol. 85, 11–14. “It is not the most intellectual of the species that survives; it is not the strongest that survives; but the species that survives is the one that is able to adapt to and to adjust best to […]
Read MoreAuthors: Gordon Morewood, MD, MBA, FASE, FASA et al ASA Monitor October 2021, Vol. 85, 24–26. The finances of an anesthesia practice are dictated primarily by the payment rates and policies of both government and private payors. In recent years, both government and private insurers have focused on reducing the costs of individual episodes of […]
Read MoreASA Monitor October 2021, Vol. 85, 11. Case 2021-10: Situational Awareness A 48-year-old man is undergoing primary resection of a large meningioma involving the anterior cranial fossa and possibly middle cranial fossa. At the teamsteps briefing, the surgeon mentions that he wants a lumbar spinal drain. After an uneventful induction, the patient is placed left […]
Read MoreAuthors: Daosong Dong, M.D. et al Anesthesiology October 2021, Vol. 135, 686–698. Background Neurolytic splanchnic nerve block is used to manage pancreatic cancer pain. However, its impact on survival and quality of life remains controversial. The authors’ primary hypothesis was that pain relief would be better with a nerve block. Secondarily, they hypothesized that analgesic […]
Read MoreAuthors: Kerstin Kolodzie, M.D., Ph.D., M.A.S. et al Anesthesiology October 2021, Vol. 135, 621–632. Background Perioperative normal saline administration remains common practice during kidney transplantation. The authors hypothesized that the proportion of balanced crystalloids versus normal saline administered during the perioperative period would be associated with the likelihood of delayed graft function. Methods The authors linked outcome […]
Read MoreAuthors: Anastasia Pozdnyakova Piersa, M.D., M.B.A. et al Anesthesiology September 2021. Background Anesthesia staffing models rely on predictable surgical case volumes. Previous studies have found no relationship between month of the year and surgical volume. However, seasonal events and greater use of high-deductible health insurance plans may cause U.S. patients to schedule elective surgery later […]
Read MoreAuthors: Gavin M. Hamilton, M.D., M.Sc. et al Anesthesiology September 2021. Background There is need to identify perioperative interventions that decrease chronic opioid use. The authors hypothesized that receipt of a peripheral nerve block would be associated with a lower incidence of persistent postoperative opioid prescription fulfillment. Methods This was a retrospective population-based cohort study […]
Read MoreAuthors: Forbes McGain, F.A.N.Z.C.A, F.C.I.C.M., Ph.D. et al Anesthesiology September 2021. Background Health care itself contributes to climate change. Anesthesia is a “carbon hotspot,” yet few data exist to compare anesthetic choices. The authors examined the carbon dioxide equivalent emissions associated with general anesthesia, spinal anesthesia, and combined (general and spinal anesthesia) during a total […]
Read MoreAuthors: Richa Dhawan, M.D., M.P.H. et al Anesthesiology September 2021. Background Intrathecal morphine decreases postoperative pain in standard cardiac surgery. Its safety and effectiveness have not been adequately evaluated in minimally invasive cardiac surgery. The authors hypothesized that intrathecal morphine would decrease postoperative morphine consumption after minimally invasive cardiac surgery. Methods In this randomized, placebo-controlled, […]
Read MoreAuthors: Michael P. Puglia, II, M.D., Ph.D. et al Anesthesiology September 2021. Background Neurophysiologic complexity in the cortex has been shown to reflect changes in the level of consciousness in adults but remains incompletely understood in the developing brain. This study aimed to address changes in cortical complexity related to age and anesthetic state transitions. […]
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