Comment on “Effects of remimazolam versus dexmedetomidine on recovery after transcatheter aortic valve replacement under monitored anesthesia care: a propensity score-matched, non... by Raghuraman M Sethuraman, Pranjali Kurhekar

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Dexmedetomidine as Part of a Multimodal Analgesic Treatment Regimen for Opioid Induced Hyperalgesia in a Patient with Significant Opioid Tolerance by Richard K. Patch III, Jason S. Eldrige, Susan M. Moeschler, Matthew J. Pingree

“…Acute postoperative pain in patients with opioid tolerance creates a significant management challenge for anesthesiologists and pain medicine physicians. A multimodal approach is key; however other factors can complicate management such as opioid induced hyperalgesia. …”
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Comment on “Effects of remimazolam versus dexmedetomidine on recovery after transcatheter aortic valve replacement under monitored anesthesia care: a propensity score-matched, non-... by Jo-Hsin Wu, Hui-Zen Hee, Cheng-Wei Lu

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Analysis of modified sitting positions for subarachnoid block: A prospective observational study by Nousheen Chowdhary, Ajaiz Rasool, Raja Suhail Shounthoo, Majid Jehangir, Rohey Jan, Showkat Ahmad Gurcoo

“…Spinal anesthesia was given in three different sitting positions, and the parameters were recorded with respect to time taken for intrathecal placement of the needle, number of punctures, ease of palpation of space, patient comfort, and anesthesiologists’ satisfaction. Results: Confirmation of subarachnoid placement of needle required the least time in RSP group (P=0.003), majority of patients in RSP required a single skin puncture (P=0.0237), clarity of the bony landmarks was similar in all the three positions (P=0.108), patients’ satisfaction score was highest in CSP group (P=0.012); however, anesthesiologists’ reported higher satisfaction levels in RSP group, although results were statistically non-significant (P=0.739). …”
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Anesthesia in Parathyroidectomy for Secondary Hyperparathyroidism of Chronic Kidney Disease by ZHANG Yangyang, ZHU Bo

“…The perioperative management of such operations requires comprehensive consideration of the influence of primary disease, secondary pathophysiological changes and surgical factors, which poses a challenge to anesthesiologists. This article summarizes the pathophysiological characteristics, treatment status and anesthesia points of SHPT, with the aim of providing reference for the implementation of safer and better anesthesia management for SHPT patients.…”
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A comprehensive review of remimazolam for sedation by Nazir Noor, Rhorer Legendre, Alexandra Cloutet, Ahish Chitneni, Giustino Varrassi, Alan D. Kaye

“…It has the potential to equip anesthesiologists and other medical practitioners with a more predictable medication that has a good safety profile. …”
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The Modified Frailty 5-Factor Index Predicts Adverse Outcomes After Ventral Hernia Repair in a National Database by Allison L. Diaz, BS, Wen-Yu Lee, MS, Cheongeun Oh, PhD, Laura L. Kimberly, PhD, MSW, MBE

“…Smoking status and American Society of Anesthesiologists class of 4 were associated with all outcomes. …”
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Cuff Failure of Spiral-Filled Polyvinyl Chloride Endotracheal Tube Immediately after Tracheal Intubation Using a Channeled Videolaryngoscope (Pentax Airway Scope) by Koichi Nishikawa, Yoshihisa Fujita

“…However, the cuff could not be filled with air immediately after the intubation. Anesthesiologists should be aware that, during tracheal intubation using an airway scope, friction between the endotracheal tube and inner surface of the introducer might result in sudden rupture of the cuff.…”
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The Efficacy of Implementing Labor Analgesia Education via the WeChat Public Platform—A Randomized Controlled Study by Lijun Ma, Yan Cheng, Hailian Liu, Wenjing Yang, Chen Yang

“…It also benefits anesthesiologists by improving work efficiency. It has significant clinical value and promising prospects for promotion. …”
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Hartmann’s Procedure Versus Intersphincteric Abdominoperineal Excision in Patients with Rectal Cancer: Report from the Swedish Colorectal Cancer Registry (SCRCR) by Viktor Åkerlund, MD, Maziar Nikberg, MD, PhD, Philippe Wagner, PhD, Abbas Chabok, MD, PhD

“…Patients in the HP group were older and had higher American Society of Anesthesiologists scores. The mean operating time was less for HP (290 vs 377 min). …”
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Opioid Dependent and Pregnant: What Are the Best Options for Mothers and Neonates? by Annemarie Unger, Verena Metz, Gabriele Fischer

“…Ideally, early and closely monitored treatment in an interdisciplinary team approach including social workers, nurses, psychologists, psychiatrists, gynecologists, anesthesiologists, and pediatricians should be provided. …”
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Multicenter audit of operating room staff compliance with the surgical safety checklist: a cross-sectional study from a low- and middle-income country by Sana J. Yaseen, Sari Taha, Abdulsalam Alkaiyat, Sa’ed H. Zyoud

“…The data were collected between September and November 2021 from two major governmental and nongovernmental hospitals. Surgeons, anesthesiologists, and surgical nurses were invited to complete a self-administered questionnaire that measured attitudes across five domains via a 5-point Likert scale. …”
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Malignant Hyperthermia and Idiopathic HyperCKemia by Pashtoon Murtaza Kasi

“…The clinical implications would be to underscore the importance of this as a susceptibility to developing MH and highlight the importance of genetic susceptibility testing in such cases. Anesthesiologists and critical care intensivists as well as primary care physicians should keep this in mind when seeing patients with asymptomatic hyperCKemia and potentially inform them about the possibility of developing MH if exposed to triggering agents. …”
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A discussion of anesthesiologically relevant aspects of Klinefelter syndrome -a case report- by Christine Gaik, Katharina Politt

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Clinical Implications of the Transversus Abdominis Plane Block in Adults by Mark J. Young, Andrew W. Gorlin, Vicki E. Modest, Sadeq A. Quraishi

“…In part, this may be related to the limited sources for anesthesiologists to develop an appreciation for its sound anatomical basis and the versatility of its clinical application. …”
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A Multidisciplinary Approach to Anesthetic Management of a Parturient with Severe Aortic Stenosis by Kalpana Tyagaraj, David A. Gutman, Lynn Belliveau, Adnan Sadiq, Alok Bhutada, Dennis E. Feierman

“…A multidisciplinary discussion involving cardiologists, cardiac surgeons, obstetric surgeons, neonatal intensivists, perfusion staff, anesthesiologists, and nursing staff was held to formulate a plan for the perioperative management of this parturient. …”
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Anesthetic management of peadiatric severe pulmonary stenosis for balloon valvotomy in non-operating room anesthesia: A case of 4 year old male child with severe pulmonary stenosis... by Arumugam Chandrasekar Malarvizhi, Appukutta Vinothkumar, Sowmiya D., Raghav J., Karthikeyan K.

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Management of the ventilation in intraoperative tracheobronchial injury with manual occlusion of the rent—An unusual case report by Sofia Jaswal, Harsimran S. Walia, Lalita G. Mitra, Sahil Mittal

“…Its management is really challenging both for the surgeons as well as for the anesthesiologists. We present a rare case of intraoperative tracheobronchial injury during esophagectomy and the management of the ventilation by intermittent manual occlusion of the rent as a rescue method. …”
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Transoesophageal Echocardiography for Monitoring Liver Surgery: Data from a Pilot Study by Filipe Pissarra, Antonio Oliveira, Paulo Marcelino

“…In this pilot study TEE successfully answered the questions raised by the anesthesiologists. Larger cohort studies are needed to address this issue.…”
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Acute pancreatitis after double cardiac valve replacement: a case report by Wafae El Amraoui, Ayoub Ettaje, Oumaima Belcadi, Salim Chajai, Yassine Elmourabit, Lalla Hasnaa Leghlimi, Lahcen Marmad, Mohamed Tribak, Fadoua Lachhab, Adil Bensouda, Said Moughil

“…Considering the risk factors, the patient was diagnosed early and managed conservatively, leading to a positive outcome. Conclusions Anesthesiologists must not disregard abdominal pain after cardiac surgery in the context of risk factors, as it may indicate gastrointestinal complications, including pancreatitis, which can be among the most dangerous complications if not treated promptly.…”
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