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Hydroxyethyl starch: Is it safe?

February 26, 2015 By J. Lance Lichtor in Critical Care, Trauma, and Resuscitation

Two papers published in this month’s issue of Anesthesia & Analgesia, “The Effect of 6% Hydroxyethyl Starch 130/0.4 on Renal Function, Arterial Blood Pressure, and Vasoactive Hormones During Radical Prostatectomy: A Randomized Controlled Trial” and “Hydroxyethyl Starch and Acute Kidney Injury in Orthotopic Liver Transplantation: A Single-Center Retrospective Review” represent two different perspectives on the […]

The Transfer of Care: capturing the psychosocial aspects of pediatric anesthesiology

February 25, 2015 By Sam Rodriguez in The Open Mind

Dr. Sam Rodriguez is currently a pediatric anesthesiologist at Lucille Packard Hospital for Children at Stanford. Images of his oil painting are published in the article “The Transfer of Care,” which appears in this month’s issue of Anesthesia & Analgesia. The project is a 24″x30″ oil painting titled “The Transfer of Care,” which I completed […]

March 2015: Anesthesia & Analgesia

February 24, 2015 By Steven Shafer in This issue

Dr. Steven Shafer, editor-in-chief, Anesthesia & Analgesia: Glance and colleagues (The Impact of Anesthesiologists on Coronary Artery Bypass Graft Surgery Outcomes) demonstrate that patients managed by the highest (best) quartile of anesthesiologists have half the risk of serious complications following cardiac surgery as patients managed by the lowest (worst) quartile of anesthesiologists. Five accompanying editorials […]

Cardiac arrest at 35 weeks gestation with thyromegaly: successful resuscitation of mother and child

February 20, 2015 By J. Lance Lichtor in A & A Case Reports

Maternal cardiopulmonary arrest around the time of delivery happens infrequently. Dr. Judith Aronsohn, Department of Anesthesiology, North Shore/LIJ Health System, New Hyde Park, New York, and colleagues describe a 38-year-old, 131 kg, patient with longstanding chronic hypertension and nontoxic goiter with a presumptive diagnosis of preeclampsia without proteinuria who became agitated and hypoxic while being […]

Lung injury occurs in normal patients during general anesthesia

February 19, 2015 By J. Lance Lichtor in Critical Care, Trauma, and Resuscitation

Lung diffusion for carbon monoxide (DLCO) is commonly used to examine the diffusing capacity of the lung for carbon monoxide, a common assessment of pulmonary gas exchange. Similarly, pulmonary surfactant protein type B (SPB) can serve as a marker of damage to the alveolar-capillary membrane. Impaired oxygenation during anesthesia, even for patients with normal preoperative […]

Deliberate practice, a technique to become a star anesthesiologist throughout years of practice

February 18, 2015 By Randolph Hastings in Economics, Education, and Policy

Deliberate practice involves rehearsing specific tasks that challenge the trainee

In this month’s issue of Anesthesia & Analgesia, coauthors Dr. Randolph H. Hastings, Anesthesiology Service, VA San Diego Healthcare System, San Diego, California, and Dr. Timothy C. Rickard, Department of Psychology, UC San Diego, La Jolla, California, explore how training in anesthesiology cultivates and maintains expertise in their article titled “Deliberate Practice for Achieving and […]