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Can the anesthesiologist affect outcome after CABG surgery? A study from New York (reader note: this article has been retracted)

March 12, 2015 By J. Lance Lichtor in Cardiovascular Anesthesiology

Anesthesia care has changed significantly since that time. However, the question remains whether a subset of anesthesiologists is particularly skilled relative to a different subset. That’s the “glass half full” question. You can invert that if you prefer the “glass half empty” question. Dr. Laurent G. Glance, Department of Anesthesiology, University of Rochester School of […]

Headache isn’t the only complication of dural puncture

March 11, 2015 By J. Lance Lichtor in Obstetric Anesthesiology

Headache is what we commonly think of as a sequela of dural puncture. Other adverse consequences of dural puncture include ocular and auditory disturbance. Ocular abnormalities are due to cranial nerve palsy, typically involving the sixth nerve cranial (abducens nerve), and uncommonly involving the third and fourth cranial nerves. Dr. Jennifer E. Hofer, Department of […]

Runners-up for the most important publications judged to be significant “game changers” for the field of anesthesiology

March 10, 2015 By J. Lance Lichtor in General Articles

All lists have runner-ups. And for the article, Game Changers: The 20 Most Important Anesthesia Articles Ever Published, published in this month’s issue of Anesthesia & Analgesia, Dr. Paul Barash, Department of Anesthesiology, Yale University, New Haven, Connecticut, and coauthors note that there were other articles in contention for top position. In the discussion, most articles list […]

Peripartum cardiomyopathy: a review

March 4, 2015 By J. Lance Lichtor in Obstetric Anesthesiology

A recent aa2day summary described a case of a pregnant patient who suffered a cardiac arrest. The authors noted that the patient had a hyperdynamic left ventricle with concentric remodeling, signs of heart failure. It’s important that anesthesiologists caring for parturients understand the physiology and clinical presentation of heart disease, as well as the management […]

Perioperative management of aspirin therapy

March 3, 2015 By J. Lance Lichtor in Cardiovascular Anesthesiology

Aspirin constitutes important lifelong therapy for many patients with cardiovascular (CV) disease or significant CV risk factors. However, perioperative aspirin management (continuation versus temporary cessation) in patients undergoing noncardiac surgery is a common clinical conundrum that balances aspirin’s potential for decreasing thrombotic risk against possible increased perioperative blood loss. Dr. Neal Stuart Gerstein, Department of […]

The 20 most important publications that are significant “game changers” for anesthesiology

February 27, 2015 By J. Lance Lichtor in General Articles

Many might think that history is boring. Specifically with regard to anesthesia, who cares what happened 50 years ago? For anesthesiologists, the history of anesthesia is important in part because it allows us to better understand from where we have come so that we have a better understanding of why it is that we […]