Anesthesia & Analgesia's supplement for education and dialog

A&A Case Reports: MEDLINE indexing

A&A Case Reports: MEDLINE indexing

We have great news: LWW has just contacted AA2day to say they have received a letter confirming that A&A Case Reports has been accepted for MEDLINE® indexing. What does this mean? All articles will be indexed retroactively to the start of publication. A&A Case Reports will receive an Impact Factor. We expect that indexing will increase […]

December 2014: Anesthesia & Analgesia

December 2014: Anesthesia & Analgesia

The December issue of Anesthesia & Analgesia has just posted. Dr. Steven Shafer, editor-in-chief, Anesthesia & Analgesia: Larach and colleagues (Malignant Hyperthermia Deaths Related to Inadequate Temperature Monitoring, 2007–2012: A Report from The North American Malignant Hyperthermia Registry of the Malignant Hyperthermia Association of the United States) demonstrate that continuous core temperature monitoring is the most critical […]

Central venous catheter insertion issues

Central venous catheter insertion issues

Many have written about complications related to central line or Swan-Ganz catheter placement. This month’s issue of A&A Case Reports has three reports describing issues related to the catheters: two discussing placement and one examining removal. In the first case, Dr. Dirk J. Varelmann and Dr. Jan N. Hilberath, Department of Anesthesiology, Perioperative and Pain […]

Are Target-Controlled Infusions Accurate in Children?

Are Target-Controlled Infusions Accurate in Children?

In order to detect spinal cord ischemia during scoliosis surgery, many surgeons request monitoring of intraoperative sensory and motor evoked potentials. Inhaled anesthetics suppress these potentials. For that reason total intravenous anesthesia using propofol is preferred. Outside of the United States, target-controlled infusion (TCI) pumps can be used to titrate propofol infusions to achieve a […]

Moderate vs. deep paralysis for laparoscopic cholecystectomy

Moderate vs. deep paralysis for laparoscopic cholecystectomy

Do patients undergoing cholecystectomy need to be paralyzed? Okay, perhaps the answer is “yes” for an open cholecystectomy, but is paralysis also needed for the procedure when it is performed laparoscopically? If the answer is “yes”, is deep paralysis required? Dr. Anne K. Staehr-Rye, Department of Anesthesiology, University of Copenhagen, Herlev Hospital, Herlev, Denmark, and […]

Atrioventricular disruption: an uncommon, often fatal complication of mitral valve replacement

Atrioventricular disruption: an uncommon, often fatal complication of mitral valve replacement

Having worked on both sides of the cardiac surgery “Ether Screen” (AKA “the blood-brain barrier”) I can attest that atrioventricular (AV) disruption is a catastrophic and more often than not lethal complication of mitral valve replacement (MVR) surgery. Fortunately, it is fairly rare, occurring in fewer than 1 in 1,000 minimally invasive MVR operations in […]