Perioperative Management for Complex Spine Fusion Surgery
Complex spine surgeries performed worldwide continue to increase in number, as do the age and comorbidity of patients undergoing these operations. Perioperative care protocols related to blood management, postoperative pain control, and intraoperative measures to mitigate morbidity may improve clinical workflows and patient outcomes. (Source: Anesthesiology)
Source: Anesthesiology - January 16, 2024 Category: Anesthesiology Source Type: research
Complicated Airway Management Because of Multiple Tracheal Diverticula in a Patient with Mounier –Kuhn Syndrome
A 52-yr-old man undergoing laparoscopic colectomy had a significant peritubal air leak after initiation of mechanical ventilation using a 7.5-size endotracheal tube (ETT). Peritubal air leak continued even after an 8.0-size ETT with excessive cuff inflation had been used. Multiple tracheal diverticula were detected during flexible bronchoscopy, and the tube was inserted beyond the diverticula. After excessive cuff inflation, leakage was limited to a clinically acceptable value. Preoperative computed tomography revealed Mounier –Kuhn syndrome with multiple tracheal diverticula (fig. 1,A to C,red arrows). (Source: Anesthesiology)
Source: Anesthesiology - January 16, 2024 Category: Anesthesiology Source Type: research
Consciousness and General Anesthesia: Challenges for Measuring the Depth of Anesthesia
This article discusses the concept of consciousness, how it is altered by anesthetics, the challenges for assessing consciousness, currently used technologies for assessing anesthesia levels, and future research directions. Wakefulness is marked by a subjective experience of existence (consciousness), perception of input from the body or the environment (connectedness), the ability for volitional responsiveness, and a sense of continuity in time. Anesthetic drugs may selectively impair some of these components without complete extinction of the subjective experience of existence. In agreement with Sanderset al. (2012), the...
Source: Anesthesiology - January 16, 2024 Category: Anesthesiology Source Type: research
Anesthesiology
(Source: Anesthesiology)
Source: Anesthesiology - January 16, 2024 Category: Anesthesiology Source Type: research
Incidence of Process Complications during Awake Flexible Bronchoscopic Intubation in Anticipated Difficult Airway Management
(Source: Anesthesiology)
Source: Anesthesiology - January 16, 2024 Category: Anesthesiology Source Type: research
Awake Total Neuromuscular Blockade as Experienced by Anesthesiologist Volunteers
(Source: Anesthesiology)
Source: Anesthesiology - January 16, 2024 Category: Anesthesiology Source Type: research
Instructions for Obtaining A nesthesiology Continuing Medical Education (CME) Credit
(Source: Anesthesiology)
Source: Anesthesiology - January 16, 2024 Category: Anesthesiology Source Type: research
Appropriateness of Answers to Common Preanesthesia Patient Questions Composed by the Large Language Model GPT-4 Compared to Human Authors
(Source: Anesthesiology)
Source: Anesthesiology - January 16, 2024 Category: Anesthesiology Source Type: research
Discovering the Clinical Relevance of Heart-Lung Interactions
In 1978, Dr. Pinsky ’s scientific career became firmly directed toward understanding the deeper meaning of heart-lung interactions. This would define his focus for the next 45 yr. At the time, he and colleagues studied the effects of changes in intrathoracic pressure on left ventricular performance in humans, documen ting that the primary effect of large negative swings in intrathoracic pressure was to increase left ventricular transmural ejection pressure, and thus left ventricular afterload, selectively. They concluded that large intrathoracic pressure changes directly influence cardiac performance. This funda mental o...
Source: Anesthesiology - January 16, 2024 Category: Anesthesiology Source Type: research
Anesthesiology
(Source: Anesthesiology)
Source: Anesthesiology - January 16, 2024 Category: Anesthesiology Source Type: research
Got the Blues? Mechanisms of Hypoxemia in COVID-19
Complex Information for Anesthesiologists Presented Quickly and Clearly (Source: Anesthesiology)
Source: Anesthesiology - January 16, 2024 Category: Anesthesiology Source Type: research
Jay J. Jacoby, Pied Piper of Anesthesiology
According to German folk legend, the Pied Piper played a magical melody to lure rats, then children, from the town of Hamelin (right). The gentle Jay J. “J.J.” Jacoby, M.D., Ph.D. (1917 to 2003,left), attracted so many medical students into anesthesiology that he was affectionally called the “Pied Piper” of the nascent specialty. Shortly after graduation from the University of Minnesota School of Medicine, the attack on Pearl Harbor had pressed J.J. into military service. His limited experience anesthetizing patients as an obstetrics intern identified him as an “anesthetist,” an d during World War II, J.J. hone...
Source: Anesthesiology - January 16, 2024 Category: Anesthesiology Source Type: research
Monitoring Argatroban Anticoagulation in the Critically Ill: All Tests Are Not Created Equal
“While the activated PTT and the whole blood viscoelastic ecarin clotting time showed a modest correlation with mass spectrometry results [(i.e., argatroban concentrations)], the correlation with the diluted TT was most accurate. ” (Source: Anesthesiology)
Source: Anesthesiology - January 16, 2024 Category: Anesthesiology Source Type: research
Structure –Function Relationships Determining Hypoxemia in COVID-19 Acute Respiratory Distress Syndrome
“Hypoxemia during COVID-19 ARDS could derive from a surprisingly heterogeneous combination of physiologic causes, distinct from the gas exchange impairment described for other forms of ARDS.” (Source: Anesthesiology)
Source: Anesthesiology - January 16, 2024 Category: Anesthesiology Source Type: research
Leveraging Endogenous Pain Modulation for Analgesia
This article is an important part of recent advancements in our understanding of how higher brain areas exert ‘top-down’ controls of our pain sensitivity.” (Source: Anesthesiology)
Source: Anesthesiology - January 16, 2024 Category: Anesthesiology Source Type: research
