Burnout in Anesthesiologists: Comment
(Source: Anesthesiology)
Source: Anesthesiology - November 10, 2021 Category: Anesthesiology Source Type: research

Extra Life: A Short History of Living Longer
By StephenJohnson. New York, Riverhead Books, 2021. Pages: 320. Price: $20.49 (Hardcover), $14.99 (Digital). (Source: Anesthesiology)
Source: Anesthesiology - November 10, 2021 Category: Anesthesiology Source Type: research

Counterintuitive Gerunds
When I think of lessons learned during decades of living, (Source: Anesthesiology)
Source: Anesthesiology - November 10, 2021 Category: Anesthesiology Source Type: research

Carbon Footprint of General, Regional, and Combined Anesthesia for Total Knee Replacements
ConclusionsAll anesthetic approaches had similar carbon footprints (desflurane and nitrous oxide were not used for general anesthesia). Rather than spinal being a default low carbon approach, several choices determine the final carbon footprint: using low-flow anesthesia/total intravenous anesthesia, reducing single-use plastics, reducing oxygen flows, and collaborating with engineers to augment energy efficiency/renewable electricity.Editor ’s PerspectiveWhat We Already Know about This TopicHealth care produces greenhouse gases both directly (electricity and gas) and indirectly from emissions associated with consumption...
Source: Anesthesiology - November 10, 2021 Category: Anesthesiology Source Type: research

Empire of Pain: The Secret History of the Sackler Dynasty
By PatrickRadden Keefe. New York, Doubleday, 2021. Pages: 560. Price: $19.50 paperback, $28.63 hardcover, $15.99 e-book. (Source: Anesthesiology)
Source: Anesthesiology - November 10, 2021 Category: Anesthesiology Source Type: research

Prediction Score for Postoperative Neurologic Complications after Brain Tumor Craniotomy: A Multicenter Observational Study: Erratum
In the article beginning on page 1111 in the December 2018 issue, readers are directed in Supplemental Digital Content 5 (http://links.lww. com/ALN/B779) to see the CranioScore formula and examples of the CranioScore value calculation for two simulated patients. However, both the formula and the examples table contained errors. (Source: Anesthesiology)
Source: Anesthesiology - November 10, 2021 Category: Anesthesiology Source Type: research

Anesthesia Reunion in Hospice
In December, all eight of us were together for the first and last time since graduating from our anesthesia residency program in Philadelphia. Before going our separate ways after graduation, we had made plans for a 10-year reunion. Years later, we never imagined our celebration would be held at hospice. (Source: Anesthesiology)
Source: Anesthesiology - November 10, 2021 Category: Anesthesiology Source Type: research

Treatments Associated with Lower Mortality among Critically Ill COVID-19 Patients: A Retrospective Cohort Study
ConclusionsConsistent with the known hypercoagulability in severe COVID-19, the use of apixaban, enoxaparin, or aspirin was independently associated with lower mortality in critically ill COVID-19 patients.Editor ’s PerspectiveWhat We Already Know about This TopicWhile the treatment of critically ill COVID-19 patients has improved, mortality rates remain highWhat This Article Tells Us That Is NewIn a retrospective cohort consisting of 2,070 critically ill COVID-19 patients treated in six hospitals, multivariable regression analysis showed lower in-hospital mortality associated with apixaban, aspirin, or enoxaparin treatm...
Source: Anesthesiology - November 10, 2021 Category: Anesthesiology Source Type: research

Evidence Supporting Anesthesiology Guidelines: Comment
(Source: Anesthesiology)
Source: Anesthesiology - November 10, 2021 Category: Anesthesiology Source Type: research

Obesity and Positive End-expiratory Pressure: Comment
(Source: Anesthesiology)
Source: Anesthesiology - November 10, 2021 Category: Anesthesiology Source Type: research

Obesity and Positive End-expiratory Pressure: Reply
(Source: Anesthesiology)
Source: Anesthesiology - November 10, 2021 Category: Anesthesiology Source Type: research

Systemic Air Embolism during Percutaneous Transthoracic Lung Biopsy
(Source: Anesthesiology)
Source: Anesthesiology - November 10, 2021 Category: Anesthesiology Source Type: research

Pressure Support versus Spontaneous Ventilation during Anesthetic Emergence —Effect on Postoperative Atelectasis: A Randomized Controlled Trial
ConclusionsThe incidence of postoperative atelectasis was lower in patients undergoing either laparoscopic colectomy or robot-assisted prostatectomy who received pressure support ventilation during emergence from general anesthesia compared to those receiving intermittent manual assistance.Editor ’s PerspectiveWhat We Already Know about This TopicPressure support ventilation modalities are now standard on newer anesthesia machines and are commonly used during emergence from anesthesiaTheir benefits in preventing postoperative atelectasis have not been well studiedWhat This Article Tells Us That Is NewA randomized trial i...
Source: Anesthesiology - November 10, 2021 Category: Anesthesiology Source Type: research

Preoperative Paravertebral Block and Chronic Pain after Breast Cancer Surgery: A Double-blind Randomized Trial
ConclusionsParavertebral block did not reduce the incidence of chronic pain after breast surgery. Paravertebral block did result in less immediate postoperative pain, but there were no other significant differences in postoperative outcomes.Editor ’s PerspectiveWhat We Already Know about This TopicChronic pain after breast surgery is common, both causing suffering and limiting function.Previous studies suggest that paravertebral blocks may prevent chronic pain after breast surgery, but the data are limited.What This Article Tells Us That Is NewMore than 350 study participants undergoing mastectomy were randomized to eith...
Source: Anesthesiology - November 10, 2021 Category: Anesthesiology Source Type: research

Availability of Inpatient Pediatric Surgery: Comment
(Source: Anesthesiology)
Source: Anesthesiology - November 10, 2021 Category: Anesthesiology Source Type: research