Dabigatran in Rabbit Cardiopulmonary Bypass: Comment
(Source: Anesthesiology)
Source: Anesthesiology - November 28, 2023 Category: Anesthesiology Source Type: research

Dabigatran in Rabbit Cardiopulmonary Bypass: Reply
(Source: Anesthesiology)
Source: Anesthesiology - November 28, 2023 Category: Anesthesiology Source Type: research

Focused Cardiac Ultrasound Identification of Dynamic Left Ventricular Outflow Tract Obstruction
Focused cardiac ultrasound can narrow the differential diagnosis of shock between four categories: hypovolemic, cardiogenic, vasoplegic, and obstructive. Among subcategories of obstructive shock, dynamic left ventricular outflow tract obstruction is of special relevance to anesthesiologists because it (1) can arise in structurally normal hearts under common perioperative conditions (i.e., hypovolemia, vasoplegia, tachycardia, and/or inotropic excess)1; (2) masquerades as cardiogenic shock by causing a constellation of hypotension, low cardiac output, and high filling pressures2; (3) requires ultrasound for diagnosis1 –3;...
Source: Anesthesiology - November 28, 2023 Category: Anesthesiology Source Type: research

Practice Guidelines for Preoperative Fasting: Comment
(Source: Anesthesiology)
Source: Anesthesiology - November 28, 2023 Category: Anesthesiology Source Type: research

Practice Guidelines for Preoperative Fasting: Reply
(Source: Anesthesiology)
Source: Anesthesiology - November 28, 2023 Category: Anesthesiology Source Type: research

Feelings from a Mom and Anesthesiologist during a School Shooting in Her Community
As the mass casualty alert came across our computer workstations, the rumors filled the hallways and my phone about a school shooting. The speculations then became reality. (Source: Anesthesiology)
Source: Anesthesiology - November 28, 2023 Category: Anesthesiology Source Type: research

Acute Kidney Injury after Cardiac Surgery: Prediction, Prevention, and Management
Acute kidney injury (AKI) is a common complication in cardiac surgery patients, with a reported incidence of 20 to 30%. The development of AKI is associated with worse short- and long-term mortality, and longer hospital length of stay. The pathogenesis of cardiac surgery –associated AKI is poorly understood but likely involves an interplay between preoperative comorbidities and perioperative stressors. AKI is commonly diagnosed by using increases in serum creatinine or decreased urine output and staged using a standardized definition such as the Kidney Disease Imp roving Global Outcomes classification. Novel biomarkers u...
Source: Anesthesiology - November 28, 2023 Category: Anesthesiology Source Type: research

Evolving Perspectives on Esophagectomy Care: Clinical Update
Recent changes in perioperative care have led to new perspectives and important advances that have helped to improve outcomes among patients treated with esophagectomy for esophageal cancer. (Source: Anesthesiology)
Source: Anesthesiology - November 28, 2023 Category: Anesthesiology Source Type: research

Opioid Overdose: Limitations in Naloxone Reversal of Respiratory Depression and Prevention of Cardiac Arrest: Erratum
In the Review Article titled “Opioid Overdose: Limitations in Naloxone Reversal of Respiratory Depression and Prevention of Cardiac Arrest,” published in the September 2023 issue, figure 1 contains two mistakes: the side chains of nalorphine (panel B) and naloxone (panel D), NCH3CH=CH2 are incorrect and should be replaced by NCH2CH=CH2 as now shown in the corrected figure 1. (Source: Anesthesiology)
Source: Anesthesiology - November 28, 2023 Category: Anesthesiology Source Type: research

Healthcare Costs of New Functional Impairment in the Year after Noncardiac Surgery
(Source: Anesthesiology)
Source: Anesthesiology - November 28, 2023 Category: Anesthesiology Source Type: research

From Ginny, with Love: Virginia Apgar ’s Yearly Newsletter
Virginia Apgar, M.D. (1909 to 1974,left), visionary anesthesiologist, cultivated both mind and heart to the fullest degree. Born into a musical and inventive family that “never sat down,” Ginny, at age 16, graduated from high school with a dream to become a doctor. In college at Mount Holyoke, she dazzled everyone as an orchestra violinist, theater actress, newspaper reporter, multisport athlete, and scholar extraordinaire—all while waiting tables and catching cats for zoology lab to pay her way through school. In 1929, she matriculated at the Columbia University College of Physicians and Surgeons; she would graduate...
Source: Anesthesiology - November 28, 2023 Category: Anesthesiology Source Type: research

Instructions for Obtaining A nesthesiology Continuing Medical Education (CME) Credit
(Source: Anesthesiology)
Source: Anesthesiology - November 28, 2023 Category: Anesthesiology Source Type: research

Nuanced Interpretation of Research Results
“P values —and especially the 0.05 threshold for significance—have not served medicine well.” (Source: Anesthesiology)
Source: Anesthesiology - November 28, 2023 Category: Anesthesiology Source Type: research

Anesthesiology
(Source: Anesthesiology)
Source: Anesthesiology - November 28, 2023 Category: Anesthesiology Source Type: research

Editor ’s Note
Beginning with the January 2024 issue,Anesthesiology will transition to an all-digital format. (Source: Anesthesiology)
Source: Anesthesiology - November 28, 2023 Category: Anesthesiology Source Type: research