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Safety amid the scalpels: creating psychological safety in the operating room. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-09-05 Jonathan B Cohen,Jennifer A Feldman-Brillembourg,Jason Cheng,Govind Rangrass
PURPOSE OF REVIEW We briefly review the concept of psychological safety and discuss the actions that can create it in the anesthesiologist's work environment. RECENT FINDINGS The interest in psychological safety has grown in popularity since the publication of Amy Edmondson's book The Fearless Organization in 2018. While the concept and its benefits are described in the healthcare literature, the specific
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The electronic health record: does it enhance or distract from patient safety? Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-09-03 George Tewfik,Steven Rivoli,Emily Methangkool
PURPOSE OF REVIEW The electronic health record (EHR) is an invaluable tool that may be used to improve patient safety. With a variety of different features, such as clinical decision support and computerized physician order entry, it has enabled improvement of patient care throughout medicine. EHR allows for built-in reminders for such items as antibiotic dosing and venous thromboembolism prophylaxis
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Depth of anesthesia monitoring: an argument for its use for patient safety. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-09-03 Karolina Brook,Aalok V Agarwala,Fenghua Li,Patrick L Purdon
PURPOSE OF REVIEW There have been significant advancements in depth of anesthesia (DoA) technology. The Anesthesia Patient Safety Foundation recently published recommendations to use a DoA monitor in specific patient populations receiving general anesthesia. However, the universal use of DoA monitoring is not yet accepted. This review explores the current state of DoA monitors and their potential impact
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Educating for success: ambulatory anesthesia training. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-08-23 Nicholas R Cormier,Jaime B Hyman,Michael O'Rourke
PURPOSE OF REVIEW This article explores the unique intersection of the challenges confronting ambulatory anesthesiology education and charts a trajectory forward. The proportion of ambulatory, nonoperating room (NORA), and office-based surgical cases continues to rise; however, the requirements for trainees in these settings have remained static. The rapid evolution of the field combined with a limited
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More than pacemakers and defibrillators: perioperative management of implantable devices for patient safety. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-08-20 Monica W Harbell,Molly B Kraus,Andrea Lopez-Ruiz,Madina Gerasimov,Jillian A Maloney
PURPOSE OF REVIEW The use of implantable medical devices (IMDs) continues to increase with estimates that 10% of the American population will have an IMD in their lifetime. IMDs require special considerations for management in the perioperative period to ensure optimal patient care and patient safety. This review summarizes the current perioperative considerations for IMDs. RECENT FINDINGS This review
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Current opinion: optimize radiofrequency ablation through electrophysiological principles, modeling, and clinical recommendations. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-08-12 David A Provenzano,Jared A Heller
PURPOSE OF REVIEW This article aims to empower the interventional pain physician to utilize RFA effectively by explaining the technical and electrophysiological features of monopolar, bipolar, and internally cooled RFA. Scientific data are used to provide advice on the effective, well tolerated, and rational application of these techniques. Moreover, physicians need to know how to analyze and generalize
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Beyond adverse events in anesthesiology: 'unanticipated events' and strategies for improved reporting. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-08-12 Karolina Brook,Molly Wilde,Andrea Vannucci,Aalok V Agarwala
PURPOSE OF REVIEW Patient safety in anesthesiology has advanced significantly over the past several decades. The current process of improving care is often based on studying adverse events (AEs) and near misses. However, there is a wealth of information not captured by focusing solely on these events, potentially resulting in missed opportunities for care improvements. RECENT FINDINGS We review terms
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Mitigating and preventing perioperative opioid-related harm. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-08-12 Monica W Harbell,Jonathan Cohen,Greg Balfanz,Emily Methangkool
PURPOSE OF REVIEW Although necessary for treatment of acute pain, opioids are associated with significant harm in the perioperative period and further intervention is necessary perioperatively to mitigate opioid-related harm. RECENT FINDINGS Opioid-naive patients are often first exposed to opioids when undergoing surgery, which can result in significant harm. Despite their benefits in reducing acute
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Critical care innovations: navigating pain relief in intensive care: the role of regional anesthesia. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-08-08 Amber Campbell,Mackenzie Jacoby,Nadia Hernandez
PURPOSE OF REVIEW The purpose of this article is to provide an update of regional anesthesia and its applications in the critical care patient population. RECENT FINDINGS Regional anesthesia including blocks of the abdomen and thorax, head and neck, as well as upper and lower extremities can be used to alleviate pain and assist in managing life-threatening conditions such as cerebral vasospasm and
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Transitional pain services updates and a novel service for the obstetric population. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-08-01 Rafael Blanco,Tarek Ansari
PURPOSE OF REVIEW This paper is an update of the publications on Transitional Pain Services and explores the viability of a dedicated transitional pain service for women. RECENT FINDINGS We address common pain pathologies establishing referral criteria, pathways, and effective strategies to decrease chronification of pain during pregnancy. SUMMARY This review highlights the importance establishing
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Current concepts and targets for preventing the transition of acute to chronic postsurgical pain. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-07-31 Adeeb Oweidat,Hari Kalagara,Rakesh V Sondekoppam
PURPOSE OF REVIEW It is estimated that approximately a third of patients undergoing certain surgeries may report some degree of persistent pain postoperatively. Chronic postsurgical pain (CPSP) reduces quality of life, is challenging to treat, and has significant socio-economic impact. RECENT FINDINGS From an epidemiological perspective, factors that predispose patients to the development of CPSP may
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Postoperative pain management after thoracic transplantations. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-07-31 Clara Lobo,Boris Tufegdzic
PURPOSE OF REVIEW Heart and lung transplantation evolution marked significant milestones. Pioneering efforts of Dr Christiaan Barnard with the first successful heart transplant in 1967, followed by advancements in heart-lung and single-lung transplants by Drs Bruce Reitz, Norman Shumway, and Joel Cooper laid the groundwork for contemporary organ transplantation, offering hope for patients with end-stage
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Fascial plane blocks: from microanatomy to clinical applications. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-08-05 Carmelo Pirri,Debora Emanuela Torre,Carla Stecco
PURPOSE OF REVIEW In the last 20 years, advancements in the understanding of fasciae have significantly transformed anaesthesia and surgery. Fascial plane blocks (FPBs) have gained popularity due to their validated safety profile and relative ease. They are used in various clinical settings for surgical and nonsurgical indications. Growing evidence suggests a link between the microscopic anatomy of
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Neurologic disease in the obstetric patient. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-07-11 Konstantin Inozemtsev,Evelyn Yeh,Ned F Nasr
PURPOSE OF REVIEW Neurologic disorders and complications during pregnancy are common, but guidelines and data are sparse. This review aims to give an overview of recent developments in neuroanesthesia and management of neuropathology during pregnancy, with the hope that these may fill the gaps in current guidelines and recommendations, as well as their implications for an anesthetic approach. RECENT
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Machine learning: implications and applications for ambulatory anesthesia. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-07-09 Karisa Anand,Suk Hong,Kapil Anand,Joseph Hendrix
PURPOSE OF REVIEW This review explores the timely and relevant applications of machine learning in ambulatory anesthesia, focusing on its potential to optimize operational efficiency, personalize risk assessment, and enhance patient care. RECENT FINDINGS Machine learning models have demonstrated the ability to accurately forecast case durations, Post-Anesthesia Care Unit (PACU) lengths of stay, and
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Neuromodulation treatments for migraine: a contemporary update. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-07-08 Jeffery Kramer,Salim Hayek,Robert Levy
PURPOSE OF REVIEW Neuromodulation approaches have been a part of a revolution in migraine therapies with multiple devices approved or in development. These devices vary in the nerve(s) being targeted, implantable versus noninvasive form factors as well as their effectiveness for acute pain reduction or migraine prevention. This review will summarize these recent advancements and approaches that are
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An update on the perioperative management of postcraniotomy pain. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-07-08 Cassandra Dean,Ian McCullough,Alex Papangelou
PURPOSE OF REVIEW Pain after craniotomy is often severe and undertreated. Providing adequate analgesia while avoiding medication adverse effects and physiological complications of pain remains a perioperative challenge. RECENT FINDINGS Multimodal pain management includes regional anesthesia and analgesic adjuncts. Strategies aim to reduce or eliminate opioids and the associated side effects. Many individual
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Kratom: a primer for pain physicians. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-07-08 Trent Emerick,Shravani Durbhakula,Maria R Eibel,Lynn Kohan
PURPOSE OF REVIEW Kratom is used commonly in the United States, usually to mitigate pain, opioid withdrawal, or fatigue. A comprehensive discussion on kratom, tailored to pain management physicians, is needed, given its associated risks and potential interactions. RECENT FINDINGS Kratom and its main metabolites, mitragynine and 7-OH-mitragynine, bind to a variety of receptors including mu opioid receptors
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Update on the anesthesia management in adult patients with moyamoya disease. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-06-28 Kevin J Yang,Porus Mistry,Eugenia Ayrian
PURPOSE OF REVIEW The anesthetic management of patients with Moyamoya disease (MMD) is challenging and continues to evolve. The goal of this review is to provide updated recommendations on the anesthetic management of adult MMD patients based on the relevant existing literature. RECENT FINDINGS Key findings include the importance of aggressive hydration preoperatively to sustain cerebral perfusion
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Anaesthetic gas capturing technology: more questions than answers. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-06-30 Jasper M Kampman,Nicolaas H Sperna Weiland
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Comment on 'Anaesthesia and environment: impact of a green anaesthesia on economics'. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-06-30 William A Anderson
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Paradigm shifts in clinical pharmacology: things are not always as they seem. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-06-30 Ken B Johnson,Talmage D Egan
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Anaesthesia outside the operating room: a permanent challenge. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-06-30 Emmanuel Pardo,Francis Bonnet
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Harnessing artificial intelligence for predicting and managing postoperative pain: a narrative literature review. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-06-25 Ruba Sajdeya,Samer Narouze
PURPOSE OF REVIEW This review examines recent research on artificial intelligence focusing on machine learning (ML) models for predicting postoperative pain outcomes. We also identify technical, ethical, and practical hurdles that demand continued investigation and research. RECENT FINDINGS Current ML models leverage diverse datasets, algorithmic techniques, and validation methods to identify predictive
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Optimizing peripheral regional anaesthesia: strategies for single shot and continuous blocks. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-06-24 David Johnstone,Alasdair Taylor,Jenny Ferry
PURPOSE OF REVIEW Regional anaesthesia is increasingly prominent within anaesthesia, offering alternative analgesic options amidst concerns over opioid-based analgesia. Since Halsted's initial description, the field has burgeoned, with ultrasound visualization revolutionizing local anaesthetic spread assessment, leading to the development of numerous novel techniques. The benefits of regional anaesthesia
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Keeping patients in the dark: perioperative anesthetic considerations for patients receiving 5-aminolevulinic acid for glioma resection. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-06-12 Benish Fatima,Lauren K Licatino,Arnoley S Abcejo
PURPOSE OF REVIEW 5-Aminolevulinic acid hydrochloride (5-ALA), available under the trade name Gleolan, is an orally administered fluorophore drug used to enhance visual differentiation of cancerous tissue from healthy tissue, primarily during surgical resection of high-grade gliomas. Although given preoperatively, 5-ALA has important implications for anesthetic care throughout the perioperative period
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Lumbar transforaminal epidural steroid injections with particulate vs. nonparticulate steroid: an evidence-informed review on shifting gear to a personalized medicine paradigm. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-06-11 Steven P Cohen,Jason D Ross
PURPOSE OF REVIEW To provide an evidence-informed review weighing the pros and cons of particulate vs. nonparticulate steroids for lumbar transforaminal epidural steroid injections (TFESI). RECENT FINDINGS The relative use of nonparticulate vs. particulate steroids for lumbar TFESI has risen recently in light of catastrophic consequences reported for the latter during cervical TFESI. Among various
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Perioperative care of patients with recent stroke undergoing nonemergent, nonneurological, noncardiac, nonvascular surgery: a systematic review and meta-analysis. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-06-10 Abhijit V Lele,Elizabeth Olive Moreton,Jayashree Sundararajan,Samuel Neal Blacker
PURPOSE OF REVIEW To systematically review and perform a meta-analysis of published literature regarding postoperative stroke and mortality in patients with a history of stroke and to provide a framework for preoperative, intraoperative, and postoperative care in an elective setting. RECENT FINDINGS Patients with nonneurological, noncardiac, and nonvascular surgery within three months after stroke
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Remifentanil-induced hyperalgesia: the current state of affairs. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-06-03 Alexander A Vitin,Talmage D Egan
Remifentanil-induced hyperalgesia (RIH) is a part of a general opioid-induced hyperalgesia (OIH) syndrome, seemingly resulting from abrupt cessation of continuous remifentanil infusion at rates equal or exceeding 0.3 mcg/kg/min. The intricate mechanisms of its development are still not completely understood. However, hyperactivation of the N -methyl d -aspartate receptor system, descending spinal facilitation
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The way towards ethical anesthesia care: no aim - no game - no fame or blame? Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-06-03 Basak Ceyda Meco,Cigdem Yildirim Guclu,Joana Berger-Estilita,Finn M Radtke
PURPOSE OF REVIEW This review explores the intricacies of ethical anesthesia, exploring the necessity for precision anesthesia and its impact on patient-reported outcomes. The primary objective is to advocate for a defined aim, promoting the implementation of rules and feedback systems. The ultimate goal is to enhance precision anesthesia care, ensuring patient safety through the implementation of
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Chronic consequences of accidental dural puncture and postdural puncture headache in obstetric anaesthesia - sieving through the evidence. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-05-31 Sarah Armstrong,Roshan Fernando
PURPOSE OF REVIEW Accidental dural puncture (ADP) and postdural puncture headache (PDPH) are relatively common complications of neuraxial anaesthesia and analgesia in obstetrics. Both may result in acute and chronic morbidity. This review intends to discuss the chronic implications of ADP and PDPH and raise awareness of severe and potentially life-threatening conditions associated with them. RECENT
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The drug titration paradox: a control engineering perspective. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-05-29 Elie Sarraf
PURPOSE OF REVIEW The drug titration paradox describes that, from a population standpoint, drug doses appear to have a negative correlation with its clinical effect. This paradox is a relatively modern discovery in anesthetic pharmacology derived from large clinical data sets. This review will interpret the paradox using a control engineering perspective. RECENT FINDINGS Drug titration is a challenging
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Progress in the validation of nociception monitoring in guiding intraoperative analgesic therapy. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-05-29 Hendrik Van Santvliet,Hugo E M Vereecke
PURPOSE OF REVIEW This article summarizes the current level of validation for several nociception monitors using a categorized validation process to facilitate the comparison of performance. RECENT FINDINGS Nociception monitors improve the detection of a shift in the nociception and antinociception balance during anesthesia, guiding perioperative analgesic therapy. A clear overview and comparison of
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Postoperative pain management after abdominal transplantations. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-05-21 Boris Tufegdzic,Clara Lobo,Arun Kumar
PURPOSE OF REVIEW The aim of this review article is to present current recommendations as well as knowledge gaps and controversies pertaining to commonly utilized postoperative pain management after solid organ transplantation in the abdominal cavity. RECENT FINDINGS Postsurgical pain has been identified as one of the major challenges in recovery and treatment after solid organ transplants. Many perioperative
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Artificial intelligence and nonoperating room anesthesia. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-05-16 Emmanuel Pardo,Elena Le Cam,Franck Verdonk
PURPOSE OF REVIEW The integration of artificial intelligence (AI) in nonoperating room anesthesia (NORA) represents a timely and significant advancement. As the demand for NORA services expands, the application of AI is poised to improve patient selection, perioperative care, and anesthesia delivery. This review examines AI's growing impact on NORA and how it can optimize our clinical practice in the
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Long-term intravenous devices: a narrative review of their placement. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-05-13 Sabine Roche
PURPOSE OF REVIEW This review summarizes the latest findings and recommendations about the characteristics, indications and use of peripheral and central long-term venous access devices.The various complications inherent in these devices are becoming better known, and their contributing factors determined, which could make it possible to reduce their incidence. RECENT FINDINGS Some measures are integrated
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Opioid-free general anesthesia: considerations, techniques, and limitations. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-05-09 Harsha Shanthanna,Girish P Joshi
PURPOSE OF REVIEW To discuss the role of opioids during general anesthesia and examine their advantages and risks in the context of clinical practice. We define opioid-free anesthesia (OFA) as the absolute avoidance of intraoperative opioids. RECENT FINDINGS In most minimally invasive and short-duration procedures, nonopioid analgesics, analgesic adjuvants, and local/regional analgesia can significantly
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Remimazolam: its clinical pharmacology and evolving role in anesthesia and sedation practice. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-05-07 Kenichi Masui
PURPOSE OF REVIEW Remimazolam is a novel benzodiazepine anesthetic/sedative, designed as a rapidly metabolized carboxylic acid. Since its recent launch, the role of remimazolam in modern anesthesia and sedation practice is still evolving. This review aims to outline the clinical pharmacology and clinical utility of remimazolam to elucidate its potential advantages and limitations. RECENT FINDINGS Remimazolam
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Why sedative hypnotics often fail in development. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-05-03 J Robert Sneyd
PURPOSE OF REVIEW Drug development to support anaesthesia and sedation has been slow with few candidates emerging from preclinical discovery and limited innovation beyond attempted reformulation of existing compounds. RECENT FINDINGS The market is well supported by low-cost generic products and development compounds have not been shown to improve patient outcomes or possess other distinctive characteristics
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Patient selection for nonoperating room anesthesia. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-05-03 Paige L Georgiadis,Mitchell H Tsai,Justin S Routman
PURPOSE OF REVIEW Given the rapid growth of nonoperating room anesthesia (NORA) in recent years, it is essential to review its unique challenges as well as strategies for patient selection and care optimization. RECENT FINDINGS Recent investigations have uncovered an increasing prevalence of older and higher ASA physical status patients in NORA settings. Although closed claim data regarding patient
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Anesthesia unveiled: navigating challenges posed by medical diseases. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-05-02 Omonele Nwokolo
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Strategies to increase patient safety in obstetric anesthesia. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-05-02 Vanessa Neef
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Place of high-flow nasal oxygen in nonoperating room anesthesia. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-04-30 Mai-Anh Nay,Adrien Auvet
PURPOSE OF REVIEW This article aims to assess the utility of high-flow nasal oxygen (HFNO) therapy in nonoperating room anesthesia (NORA) settings. RECENT FINDINGS The number of procedural interventions under deep sedation in NORA is still increasing. Administration of oxygen is recommended to prevent hypoxemia and is usually delivered with standard oxygen through nasal cannula or a face mask. HFNO
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Simulation in pediatric anesthesiology: current state and visions for the future. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-04-01 Rodrigo J Daly Guris,Preeta George,Harshad G Gurnaney
PURPOSE OF REVIEW Simulation is a well established practice in medicine. This review reflects upon the role of simulation in pediatric anesthesiology in three parts: training anesthesiologists to care for pediatric patients safely and effectively; evaluating and improving systems of care for children; and visions for the future. RECENT FINDINGS Simulation continues to prove a useful modality to educate
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Current concepts in postpartum anemia management. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-03-22 Vanessa Neef,Suma Choorapoikayil,Lotta Hof,Patrick Meybohm,Kai Zacharowski
PURPOSE OF REVIEW Postpartum anemia (PPA) is common in women after childbirth and affects about 50-80% of all women worldwide. Iron deficiency (ID) is the main cause for anemia and constitutes a potentially preventable condition with great impact on the mother's physical and mental condition after delivery. In most cases, PPA is associated with antenatal ID and peripartum blood losses. Numerous published
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Point-of-care ultrasound in pediatric anesthesiology: considerations for training and credentialing. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-03-13 Thomas J Lockhart,Elaina E Lin,Adam C Adler
PURPOSE OF REVIEW To discuss considerations surrounding the use of point-of-care ultrasound (POCUS) in pediatric anesthesiology. RECENT FINDINGS POCUS is an indispensable tool in various medical specialties, including pediatric anesthesiology. Credentialing for POCUS should be considered to ensure that practitioners are able to acquire images, interpret them correctly, and use ultrasound to guide procedures
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Perioperative pain optimization in the age of the opioid epidemic. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-03-12 Janki Patel,Kyle Snyder,Amber K Brooks
PURPOSE OF REVIEW The opioid epidemic remains a constant and increasing threat to our society with overdoses and overdose deaths rising significantly during the COVID-19 pandemic. Growing evidence suggests a link between perioperative opioid use, postoperative opioid prescribing, and the development of opioid use disorder (OUD). As a result, strategies to better optimize pain management during the
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Current concepts in the use of cell salvage in obstetrics. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-03-12 Vanessa Neef,Patrick Meybohm,Kai Zacharowski,Peter Kranke
PURPOSE OF REVIEW The worldwide leading cause of maternal death is severe maternal hemorrhage. Maternal hemorrhage can be profound leading to an entire loss of blood volume. In the past two decades, Patient Blood Management has evolved to improve patient's care and safety. In surgeries with increased blood loss exceeding 500 ml, the use of cell salvage is strongly recommended in order to preserve the
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Lingering effects of COVID-19 in the care of perioperative patients. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-03-08 Linjia Jia,Sagar Navare,Marguerite Hoyler
PURPOSE OF REVIEW Coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), can lead to organ dysfunction and clinical symptoms beyond the acute infection phase. These effects may have significant implications for the management of perioperative patients. The purpose of this article is to provide a systems-based approach to the subacute and chronic
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Chronic pain in pediatric patients: epidemiology, pathophysiology, and mitigation strategies. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-03-08 Andrea Rodriguez-Restrepo,Jacob D AuBuchon
PURPOSE OF REVIEW To provide an updated summary on the epidemiology, pathophysiology, and treatment strategies of chronic pain in pediatric patients and its differences with chronic pain in adults. RECENT FINDINGS Chronic pain in children is common, can be debilitating and can progress into adulthood, thus it requires an interdisciplinary evaluation and management. Targeting interdisciplinary care
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Editorial: Meet expectations of an evolving healthcare scenery. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-03-03 Edoardo De Robertis
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Advances in pediatric perioperative care using artificial intelligence. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-02-26 Dominique Dundaru-Bandi,Ryan Antel,Pablo Ingelmo
PURPOSE OF THIS REVIEW This article explores how artificial intelligence (AI) can be used to evaluate risks in pediatric perioperative care. It will also describe potential future applications of AI, such as models for airway device selection, controlling anesthetic depth and nociception during surgery, and contributing to the training of pediatric anesthesia providers. RECENT FINDINGS The use of AI
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The intersection of pediatric anesthesiology and social determinants of health. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-02-26 Sarah R Martin,Zeev N Kain
PURPOSE OF REVIEW There is increasing evidence of racial and ethnic disparities in pediatric perioperative care, which indicates a need to identify factors driving disparities. Social determinants of health (SDOH) play a fundamental role in pediatric health and are recognized as key underlying mechanisms of healthcare inequities. This article summarizes recent research exploring the influence of SDOH
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Anesthetic recommendations for maternal and fetal safety in nonobstetric surgery: a balancing act. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-02-23 Leziga T Obiyo,Daniel Tobes,Naida M Cole
PURPOSE OF REVIEW Nonobstetric surgery during pregnancy is associated with maternal and fetal risks. Several physiologic changes create unique challenges for anesthesiologists. This review highlights physiologic changes of pregnancy and presents clinical recommendations based on recent literature to guide anesthetic management for the pregnant patient undergoing nonobstetric surgery. RECENT FINDINGS
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Anesthesia for gender-affirming surgery: a practical review. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-02-21 Kyle Sanchez,Luis Tollinche,Travis Reece-Nguyen
PURPOSE OF REVIEW Gender-affirming surgery (GAS) is an effective, well studied, and often necessary component of gender-affirming care and mitigation of gender dysphoria for transgender and gender-diverse (TGD) individuals. GAS is categorized as chest surgeries, genitourinary surgeries, facial feminization/masculinization, and vocal phonosurgery. Despite increased incidence of GAS during recent years
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Efficacy of therapies for post dural puncture headache. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-02-19 Jan N Thon,Markus A Weigand,Peter Kranke,Benedikt H Siegler
PURPOSE OF REVIEW Clinical management of postdural puncture headache (PDPH) remains an interdisciplinary challenge with significant impact on both morbidity and quality of life. This review aims to give an overview of the most recent literature on prophylactic and therapeutic measures and to discuss novel findings with regard to currently published consensus practice guideline recommendations. RECENT
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Failed spinal anesthesia for cesarean delivery: prevention, identification and management. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-02-15 Thierry Girard,Georges L Savoldelli
PURPOSE OF REVIEW There is an increasing awareness of the significance of intraoperative pain during cesarean delivery. Failure of spinal anesthesia for cesarean delivery can occur preoperatively or intraoperatively. Testing of the neuraxial block can identify preoperative failure. Recognition of the risk of high neuraxial block in repeat spinal in case of preoperative failure is important. RECENT
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Broadening the scope and rising to the occasion, an opportunity for anaesthesiologists to take the lead in healthcare quality & patient safety (again). Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-02-07 Wolfgang Buhre,Linde Maas
PURPOSE OF REVIEW The landscape of healthcare is characterized by high demands and scarce human and financial resources. This calls for action in improving healthcare quality. This review shows how anaesthesiologists are the designated medical specialist to share their affinity and knowledge in quality and safety, throughout the hospital and across the care continuum. RECENT FINDINGS Recent studies
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How much does it cost to be fit for operation? The economics of prehabilitation. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-02-07 Iulia Crişan,Ksenija Slankamenac,Federico Bilotta
PURPOSE OF REVIEW Prehabilitation before elective surgery can include physical, nutritional, and psychological interventions or a combination of these to allow patients to return postoperatively to baseline status as soon as possible. The purpose of this review is to analyse the current date related to the cost-effectiveness of such programs. RECENT FINDINGS The current literature regarding the economics
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Prehospital transfusion of allogeneic blood products. Curr. Opin. Anesthesiol. (IF 2.3) Pub Date : 2024-02-02 Cristina Alomar-Dominguez,Johannes Bösch,Dietmar Fries
PURPOSE OF REVIEW The purpose of this article is to provide a structural and practical analysis of the currently available data concerning prehospital transfusion of allogeneic blood products in cases of trauma and severe bleeding. RECENT FINDINGS Prehospital transfusion of allogeneic blood products is a very early intervention, which may offer the potential to improve outcome, but that also comes