Growth of Nonoperating Room Anesthesia Care in the United States: A Contemporary Trends Analysis
(Abstracted from Anesth Analg, 124(4):1261–1267, 2017)
The purpose of this retrospective analysis was to assess the available data from the National Anesthesia Clinical Outcomes Registry (NACOR) to distinguish and compare non–operating room anesthesia (NORA) and traditional operating room (OR) cases as well as to examine the evolution and variations in annual frequency and characteristics of NORA and OR cases. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: General Anesthesia Source Type: research
What Can Population Data Tell Us About Anesthesia and Cognition in the (Vulnerable) Older Patient?
(Abstracted from Anesth Analg, 124(4):1036–1038, 2017)
Postoperative cognitive dysfunction has been observed in patients following anesthesia and surgery. Recent evidence of preoperative cognitive impairment has made identifying preoperative cognitive trajectory of an individual very important in understanding and interpreting postoperative change in the short and long term. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: General Anesthesia Source Type: research
Mild Cognitive Impairment and Exposure to General Anesthesia for Surgeries and Procedures: A Population-Based Case-Control Study
(Abstracted from Anesth Analg, 124(4):1277–1290, 2017)
The purpose of this article was to use a case-control design to prove or disprove the hypothesis that exposure to general anesthesia for surgery and procedures in patients 40 years or older is associated with prevalent mild cognitive impairment (MCI) and analysis to find the connection between general anesthesia in the “aged” (defined here as ≥40 years) and cognitive impairment (eg, MCI, dementia). Preclinical studies indicate that some general anesthesia drugs may cause neurohistologic changes consistent with Alzheimer dementia. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: General Anesthesia Source Type: research
Deep Neuromuscular Block to Optimize Surgical Space Conditions During Laparoscopic Surgery: A Systematic Review and Meta-analysis
(Abstracted from Br J Anaesth, 118(6):834–842, 2017)
Lowering the elevated intra-abdominal pressure during pneumoperitoneum created in laparoscopic procedures can impair the quality of the surgical field and increase the risk of intraoperative complications. Deep neuromuscular block (NMB) has been known to improve surgical conditions in laparoscopic procedures; however, the routine use of NMB is still debatable. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: General Anesthesia Source Type: research
Sugammadex Efficacy for Reversal of Rocuronium- and Vecuronium-Induced Neuromuscular Blockade: A Pooled Analysis of 26 Studies
(Abstracted from J Clin Anesth, 41:84–91, 2017)
The Food and Drug Administration–approved pharmaceutical product, sugammadex, rapidly and effectively reverses moderate and deep levels of rocuronium- or vecuronium-induced neuromuscular blockade (NMB) through a unique mechanism and is currently approved for use in more than 80 countries. This pooled analysis aimed to compare the efficacy of sugammadex with neostigmine or placebo for reversal of the effects of rocuronium- or vecuronium-induced blockade and to illustrate consistency of results with sugammadex across the various patient populations. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: General Anesthesia Source Type: research
Sensorimotor and Executive Function Slowing in Anesthesiology Residents After Overnight Shifts
(Abstracted from J Clin Anesth, 40:110–116, 2017)
Physicians and medical residents working overnight shifts suffer from sleep deprivation, cognitive dysfunction, and decreased sensorimotor performance due to disturbances in circadian rhythms. This can lead to medical errors and work-related injuries and accidents. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Educational Issues Source Type: research
Pain Measurement in Mechanically Ventilated Patients After Cardiac Surgery: Comparison of the Behavioral Pain Scale (BPS) and the Critical-Care Pain Observation Tool (CPOT)
(Abstracted from J Cardiothorac Vasc Anesth, 31:1227–1234, 2017)
Postsurgical pain is common in critically ill patients, such as cardiac surgery patients, and can have a negative effect on recovery. The experience of severe pain during intensive care unit (ICU) stays has been linked to the development of posttraumatic stress disorder–related symptoms. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Critical Care Source Type: research
Little Black Boxes: Noncardiac Implantable Electronic Medical Devices and Their Anesthetic and Surgical Implications
This report provides an overview of their perioperative functioning in electromagnetic environments, such as operating room, gastrointestinal procedure suite, and imaging suite, where electromagnetic interference with the devices can lead to adverse patient outcomes. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Coexisting Disease Source Type: research
Process Improvement Initiative for the Perioperative Management of Patients With a Cardiovascular Implantable Electronic Device
The objective of this observational study was to evaluate whether a new care model involving a wide-ranging anesthesiologist-run perioperative cardiovascular implantable electronic device (CIED) service improved operating room efficiency, reduced institutional cost, and provided adequate patient safety. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Coexisting Disease Source Type: research
Raising the Alarm on Brain Attacks in Surgical Patients: Are We Doing Enough to Prevent and Treat Postoperative Strokes?
(Abstracted from Anesthesiology, 127(1):3–5, 2017)
This editorial provides an overview of the study by Christiansen et al,1 which demonstrates that a history of acute ischemic stroke within 3 months of emergency noncardiac, nonintracranial surgery significantly increased the risk of a postoperative stroke using data from the Danish National Patient Registry. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Coexisting Disease Source Type: research
Risks of Cardiovascular Adverse Events and Death in Patients With Previous Stroke Undergoing Emergency Noncardiac, Nonintracranial Surgery: The Importance of Operative Timing
(Abstracted from Anesthesiology 127(1):9–19, 2017)
The purpose of this study was to assess the risk of adverse events after emergency noncardiac, noncranial surgery in association with time elapsed after ischemic stroke by retrospectively analyzing the data from a nationwide study population from Denmark that covered patients older than 20 years undergoing the aforementioned emergency surgeries between 2005 and 2011. The primary outcomes measured were the 30-day all-cause mortality and a combined end point of 30-day major adverse cardiovascular events (MACEs), such as nonfatal myocardial infarction and ischemic stroke, ...
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Coexisting Disease Source Type: research
Preoperative Treatment of Obstructive Sleep Apnea With Positive Airway Pressure Is Associated With Decreased Incidence of Atrial Fibrillation After Cardiac Surgery
(Abstracted from J Cardiothorac Vasc Anesth, 31:1250–1256, 2017)
Postoperative atrial fibrillation (POAF) is a common complication following cardiac surgery. Obstructive sleep apnea (OSA) has been identified as a risk factor for POAF after cardiac surgery in nonsurgical patients. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Coexisting Disease Source Type: research
Two Minutes to Improve Cardiac Surgery Outcomes
(Abstracted from Anesth Analg, 125(2):380–382, 2017)
This editorial reviews the comparative research on a standardized approach to transfer of care in the intensive care unit (ICU) following cardiac surgery presented by Hall et al1 in the current issue of Anesthesia & Analgesia. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Cardiothoracic Anesthesia Source Type: research
A Structured Transfer of Care Process Reduces Perioperative Complications in Cardiac Surgery Patients
This study aimed to assess whether the introduction of a comprehensive multidisciplinary transfer of care protocol improved patient outcomes by examining them before and after the introduction of the patient handoff protocol. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Cardiothoracic Anesthesia Source Type: research
Inhaled Pulmonary Vasodilators in Cardiac Surgery Patients: Correct Answer Is “No”
(Abstracted from Anesth Analg, 125(2):375–377, 2017)
This editorial provides an overview of the systematic review and meta-analysis by Elmi-Sarabi et al1 on the effects of aerosolized vasodilators for the treatment of pulmonary hypertension in cardiac surgery patients. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Cardiothoracic Anesthesia Source Type: research
