Anesthesiology Journal's podcast: Recent Episodes

Anesthesiology, the journal of the American Society of Anesthesiologists

Audio interviews and overviews of articles covered in the journal.

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Moderator: James P. Rathmell, M.D. Participants: Albert Garcia-Casanovas, M.H.A. and Douglas Colquhoun, M.B., M.Sc., M.P.H. Articles Discussed: Association Between Adherence to Patient Blood Management Recommendations and Postoperative Complications in Hip and Knee Arthroplasty Patient Blood Management: Moving Beyond Guidelines to Action

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Moderator: BobbieJean Sweitzer, M.D. Participants: Jessica R Ansari, M.D., M.S. and Craig M. Palmer, M.D. Articles Discussed: Uterine Tone Numeric Rating Score as an Early Indicator of Major Postpartum Hemorrhage During Cesarean Delivery: A Prospective Observational Study Predicting the Unpredictable: A New Approach to Predict Postpartum Hemorrhage from Uterine Atony Transcript

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Creator: James P. Rathmell, M.D.

July 2025, Volume 143, Issue 1

Overview of July issue original studies.

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Moderator: James P. Rathmell, M.D. Participants: Carmen Bozic, M.D. Articles Discussed: Suzetrigine, a Nonopioid NaV1.8 Inhibitor for Treatment of Moderate-to-severe Acute Pain: Two Phase 3 Randomized Clinical Trials Suzetrigine: First in a New Class of Nonopioid Analgesics for Acute Pain

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Moderator: James P. Rathmell, M.D. Participants: Rebecca L. Wu, M.D. and Max B. Kelz, M.D., Ph.D. Articles Discussed: TAK-925 (danavorexton), an Orexin Receptor 2 Agonist, Reduces Opioid-Induced Respiratory Depression and Sedation Without Affecting Analgesia in Healthy Adult Males Alluring Potential to Accelerate Emergence and Ameliorate Opioid-induced Respiratory Depression without Antagonizing Analgesia: Danavorexton Enters the Anesthetic Landscape Transcript

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Moderator: BobbieJean, M.D. Participants: Douglas Colquhoun, M.B., M.Sc., M.P.H. and Stephan R. Thilen Articles Discussed: Neuromuscular Blockade and Antagonism in Patients with Renal Impairment: A Multicenter Retrospective Cross Sectional Study On and Off Label Use of Sugammadex in Patients with Renal Impairment in the 6 ½ Years Following FDA Approval Transcript

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Creator: James P. Rathmell, M.D., M.B.A.

June 2025, Volume 142, Issue 6

Overview of June issue original studies.

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Moderator: BobbieJean Sweitzer, M.D. Participants: Daqing Ma, Ph.D. and Kate Leslie, M.B.B.S., M.D. Articles Discussed: Pyridoxine Prevents Postoperative Nausea and Vomiting in Gynecologic Laparoscopic Surgery: A Double-blind Randomized Controlled Trial B6 or Be Sick? Pyridoxine to Prevent Postoperative Nausea and Vomiting Transcript

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Moderator: BobbieJean Sweitzer, M.D. Participants: Alessandro Belletti, M.D., and Samuel N. Heyman, M.D. Articles Discussed: Amino Acid Infusion for Kidney Protection in Cardiac Surgery Patients with Chronic Kidney Disease: A Secondary Analysis of the PROTECTION Trial Amino Acid Infusion for the Prevention of Acute Kidney Injury: Yet a Debatable Issue

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Moderator: James P. Rathmell, M.D. Participants: Christopher Connor, M.D., Ph.D. and Peter John Schuller, M.B.B.S., B.Sc. Articles Discussed: Developing an EEG-based model to predict awakening after cardiac arrest using partial processing with the BIS Engine Unlocking Prognostic Potential in the Postarrest Electroencephalogram

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Creator: James P. Rathmell, M.D., M.B.A.

May 2025, Volume 142, Issue 5

Overview of May issue original studies.

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Creator: James P. Rathmell, M.D., M.B.A.

April 2025, Volume 142, Issue 4

Overview of April issue original studies.

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Moderator: James P. Rathmell, M.D. Participants: Yuming Peng, M.D., Ph.D. and Philip Devereaux, M.D., Ph.D. Articles Discussed: Covert Perioperative Strokes in Older Patients Having Noncardiac Surgery (PRECISION): A Prospective Cohort Analysis Perioperative Covert Stroke: Acutely Asymptomatic but Not Benign Transcript

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Creator: James P. Rathmell, M.D., M.B.A.

March 2025, Volume 142, Issue 3

Overview of March issue original studies.

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Moderator: BobbieJean Sweitzer, M.D. Participants: Jai Darvall, Ph.D. and Tong J. Gan, M.D., M.B.A., M.H.S. Articles Discussed: Chewing Gum to Treat Postoperative Nausea and Vomiting in Female Patients: A Multicenter Randomized Trial Chewing Gum: A Viable Option as a Rescue Therapy for Postoperative Nausea and Vomiting? Transcript

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Moderator: James P. Rathmell, M.D. Participants: James Hitt, M.D., Ph.D. and Mark C Bicket, M.D., Ph.D. Articles Discussed: Continuation versus Interruption of Buprenorphine/Naloxone in Adult Veterans Undergoing Surgery: Examination of Postoperative Pain and Opioid Utilization in a National Retrospective Cohort Study Building a Better Base for Keeping Buprenorphine on Board for Surgery Transcript

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Moderator: BobbieJean Sweitzer, M.D. Participants: Annie Xin, Ph.D., M.D. and Randall Flick, M.D., M.P.H. Articles Discussed: Neurodevelopmental Outcomes After Multiple General Anaesthetic Exposure Before Five Years Of Age – A Cohort Study Secondary Analyses: The Perils of Making Do Transcript

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Creator: James P. Rathmell, M.D., M.B.A.

February 2025, Volume 142, Issue 2

Overview of February issue original studies.

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Creator: James P. Rathmell, M.D., M.B.A.

January 2025, Volume 142, Issue 1

Overview of January issue original studies.

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Moderator: BobbieJean Sweitzer, M.D. Participants: Guido Mazzinari, M.D., Ph.D., M.Sc. and Snehalata Huzurbazar, Ph.D. Articles Discussed: High Positive End-expiratory Pressure (PEEP) with Recruitment Maneuvers versus Low PEEP during General Anesthesia for Surgery: A Bayesian Individual Patient Data Meta-analysis of Three Randomized Clinical Trials Bayesian Analyses Are Appearing and Are Welcome Transcript

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Moderator: James P. Rathmell, M.D. Participants: Nicholas Joseph Douville, M.D., Ph.D. and Vesela P. Kovacheva, M.D., Ph.D. Articles Discussed: Polygenic Score for the Prediction of Postoperative Nausea and Vomiting: A Retrospective Derivation and Validation Cohort Study Polygenic Risk Scores: Coming to Your Operating Room? Transcript

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Creator: James P. Rathmell, M.D., M.B.A.

December 2024, Volume 141, Issue 6

Overview of December issue original studies.

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Moderator: BobbieJean Sweitzer, M.D. Participants: Anil Panigrahi, M.D., Ph.D. Articles Discussed: Factor Eight Inhibitor Bypass Activity Use in Cardiac Surgery: A Propensity Matched Analysis of Safety Outcomes Transcript

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Moderator: James P. Rathmell, M.D. Participants: Rodney Gabriel, M.D. Articles Discussed: Paravertebral versus Pectoralis-II (Interpectoral and Pectoserratus) Nerve Blocks for Postoperative Analgesia after Non-Mastectomy Breast Surgery: A Randomized, Controlled, Observer-Masked Noninferiority Trial

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Moderator: James P. Rathmell, M.D. Participants: Paul S. Myles, M.B., B.S., M.P.H., M.D., D.Sc. and Daniel I. McIsaac, M.D., M.P.H. Articles Discussed: Dexamethasone for Cardiac Surgery: A Practice Preference-Randomized Consent Comparative Effectiveness Trial Routine Innovation in Perioperative Clinical Trials: The Best Chance to Answer Our Most Important Questions? Transcript

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Creator: James P. Rathmell, M.D., M.B.A.

November 2024, Volume 141, Issue 5

Overview of November issue original studies.

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Moderator: BobbieJean Sweitzer, M.D. Participants: Karim Brohi, M.D. and Richard P. Dutton, M.D., M.B.A. Articles Discussed: Correction of Trauma-induced Coagulopathy by Goal-directed Therapy: A Secondary Analysis of the ITACTIC Trial Tactics versus Strategy in Trauma Resuscitation Transcript

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Moderator: James P. Rathmell, M.D. Participants: Daniele De Luca M.D., Ph.D. and David Tingay, M.B.B.S., Ph.D. Articles Discussed: Global and Regional Heterogeneity of Lung Aeration in Neonates with Different Respiratory Disorders: A Physiological, Observational Study Lung Ultrasound and Regional Heterogeneity: A Bedside Solution to an Under-Recognized Problem?

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Creator: James P. Rathmell, M.D., M.B.A.

October 2024, Volume 141, Issue 4

Overview of October issue original studies.

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Moderator: BobbieJean Sweitzer, M.D. Participants: Sebastian J. Corlette, M.B.B.S. and Isabelle Constant, Ph.D., M.D. Articles Discussed: Changes in the Term Neonatal Electroencephalogram with General Anesthesia – A Systematic Review with Narrative Synthesis Challenge of Neonatal Anesthesia: Which Optimal EEG Target? Transcript

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Moderator: BobbieJean Sweitzer, M.D. Participants: Lisa M. Einhorn, M.D. and Charles B. Berde, M.D., Ph.D. Articles Discussed: Single-Dose Intraoperative Methadone for Pain Management in Pediatric Tonsillectomy: A Randomized Double Blind Clinical Trial Improving Pain Management After Tonsillectomy Transcript

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Creator: James P. Rathmell, M.D., M.B.A.

September 2024, Volume 141, Issue 3

Overview of September issue original studies.

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Moderator: James P. Rathmell, M.D. Participants: Steven L. Shafer, M.D. and David Clark, M.D., Ph.D. Articles Discussed: Safety and Efficacy of Vocacapsaicin for Management of Postsurgical Pain: A Randomized Clinical Trial Sweeping Away Dyspnea A Spicy New Treatment for Postoperative Pain Transcript

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Moderator: BobbieJean Sweitzer, M.D. Participants: Andrew Bowdle, M.D., Ph.D. and Sorin J. Brull, M.D. Articles Discussed: Accuracy and Precision of Three Acceleromyographs, Three Electromyographs and a Mechanomyograph Measuring the Train-of-Four Ratio in the Absence of Neuromuscular Blocking Drugs Vital Sign Data Quality: Not Just a Retrospective Research Problem Accuracy and Precision of Acceleromyography, Electromyography and Mechanomyography: Time to Re-think What We Know Transcript

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Creator: James P. Rathmell, M.D., M.B.A.

August 2024, Volume 141, Issue 2

Overview of August issue original studies.

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Moderator: BobbieJean Sweitzer, M.D. Participants: Mathias Maleczek, M.D., and Patrick J. McCormick, M.D., M.Eng. Articles Discussed: A Comparison of Five Algorithmic Methods and Machine Learning Pattern Recognition for Artifact Detection in Electronic Records of Five Different Vital Signs: A Retrospective Analysis Vital Sign Data Quality: Not Just a Retrospective Research Problem Transcript

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Creator: James P. Rathmell, M.D., M.B.A.

July 2024, Volume 141, Issue 1

Overview of July issue original studies.

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Moderator: James P. Rathmell, M.D. Participants: Côme Bureau, M.D., Ph.D. and Nikolaos J. Skubas, M.D. Articles Discussed: Increasing Sweep Gas Flow Reduces Respiratory Drive and Dyspnea in Nonintubated Venoarterial Extracorporeal Membrane Oxygenation Patients: A Pilot Study Sweeping Away Dyspnea

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Moderator: BobbieJean Sweitzer, M.D. Participants: Aurora N. Quaye, M.D. and Douglas A. Colquhoun, M.B.Ch.B., M.Sc., M.P.H. Articles Discussed: Association between Colonoscopy Sedation Type and Polyp Detection: A Registry-based Cohort Study Does Propofol Improve Polyp Detection during Colonoscopy? The Promise and Peril of Clinical Registry Data

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Moderator: James P. Rathmell, M.D. Participants: Albert Dahan, M.D., Ph.D., and Thomas K. Henthorn, M.D. Articles Discussed: Reversal of Propofol-induced Depression of the Hypoxic Ventilatory Response by BK-channel Blocker ENA-001: A Randomized Controlled Trial Reversal for Respiratory Depression: Let’s Take a Breath! Transcript

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Creator: James P. Rathmell, M.D., M.B.A.

June 2024, Volume 140, Issue 6

Overview of June issue original studies.

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Moderator: BobbieJean Sweitzer, M.D. Participants: Jessica C. Martin, Ph.D., B.Sc. and Jerry Chao, M.D., M.Sc. Articles Discussed: The Topographical Features of Pediatric Electroencephalography during High Initial Concentration Sevoflurane for Inhalational Induction of Anesthesia A Window into the Developing Brain: Toward a Deeper Understanding of Pediatric Anesthesia Transcript

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Creator: James P. Rathmell, M.D., M.B.A.

May 2024, Volume 140, Issue 5

Overview of May issue original studies.

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Moderator: James P. Rathmell, M.D. Participants: Faraj Abdallah, M.D. and Michael R. Fettiplace, M.D., Ph.D. and Ashraf S. Habib, M.D., M.B.B.Ch., M.Sc., M.H.Sc. and Jonathan Slonin, M.D., M.B.A. Articles Discussed: Analgesic Effectiveness of Liposomal Bupivacaine versus Plain Local Anesthetics for Abdominal Fascial Plane Blocks: A Systematic Review and Meta-analysis of Randomized Trials Meta-analyses of Randomized Clinical Trials in Postsurgical Pain: Verify before Trusting Liposomal Bupivacaine for Abdominal Fascial Plane Blocks: No Evidence or Lack of Relevant Evidence? Liposomal Bupivacaine, Scientific Evidence, and the Clinician’s Conundrum Liposomal Bupivacaine’s Plausibility Fails to Translate

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Creator: James P. Rathmell, M.D., M.B.A.

April 2024, Volume 140, Issue 4

Overview of April issue original studies.

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Moderator: BobbieJean Sweitzer, M.D. Participants: Maximilian Sebastian Schaefer, M.D. and Amy Gaskell, M.B.Ch.B., Ph.D. Articles Discussed: Intraoperative Use of Phenylephrine versus Ephedrine and Postoperative Delirium: A Multicenter Retrospective Cohort Study Caveat Emptor: Vasopressor Choice and Postoperative Delirium—A Complex Relationship Explored Transcript

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Moderator: James P. Rathmell, M.D. Participants: Anahi Perlas, M.D. and Mark Warner, M.D. Articles Discussed: Baseline Gastric Volume in Fasting Diabetic Patients Is Not Higher than That in Nondiabetic Patients: A Cross-sectional Noninferiority Study Diabetic Patients, Assessment of Preoperative Gastric Contents, and Potential Reduction of Risk of Pulmonary Aspiration Transcript

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Moderator: BobbieJean Sweitzer, M.D. Participants: Pavel S. Roshanov, M.D., M.Sc. Articles Discussed: One-Year Outcomes After Discharge from Noncardiac Surgery and Association Between Pre-Discharge Complications and Death After Discharge: Analysis of the VISION Prospective Cohort Study Transcript

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Moderator: BobbieJean Sweitzer, M.D. Participants: Scott Segal, M.D., M.H.C.M. and Jeffrey B. Cooper, Ph.D. Articles Discussed: A Quality Improvement Initiative to Reduce Adverse Effects of Transitions of Anesthesia Care on Postoperative Outcomes: A Retrospective Cohort Study Anesthesia Needs to Lead the Way in Safety—Again—through the Universal Adoption of Structured Handoffs Transcript

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Moderator: James P. Rathmell, M.D. Participants: Mark D. Neuman, M.D., M.Sc. and Elizabeth L. Whitlock, M.D., M.Sc. Articles Discussed: Long-term Outcomes with Spinal versus General Anesthesia for Hip Fracture Surgery: A Randomized Trial REGAINing the Freedom to Choose Insensibility for Hip Fracture Surgery Transcript

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Creator: James P. Rathmell, M.D., M.B.A.

March 2024, Volume 140, Issue 3

Overview of March issue original studies.

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Creator: James P. Rathmell, M.D., M.B.A.

February 2024, Volume 140, Issue 2

Overview of February issue original studies.

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Moderator: James P. Rathmell, M.D. Participants: Mattia Busana, M.D. and Marcos F. Vidal Melo, M.D., Ph.D. Articles Discussed: The Causes of Hypoxemia of COVID-19 ARDS: A Combined MIGET and Dual-Energy CT Study Structure–Function Relationships Determining Hypoxemia in COVID-19 Acute Respiratory Distress Syndrome

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Moderator: BobbieJean Sweitzer, M.D. Participants: Michael F. Aziz, M.D. and Paul S. Myles, M.B., B.S., M.P.H., M.D., D.Sc. Articles Discussed: Perioperative Mortality of the COVID-19 Recovered Patient Compared to a Matched Control: A Multicenter Retrospective Cohort Study COVID-19 and Surgery: Getting Back to Business Transcript

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Moderator: James P. Rathmell, M.D. Participants: Thomas Langer, M.D. and David A. Story, M.B.B.S., B.Med.Sci., M.D. Articles Discussed: Combining the Physical-Chemical Approach with Standard Base Excess to Understand the Compensation of Respiratory Acid-Base Derangements: An Individual Participant Meta-Analysis Approach to Data from Multiple Canine and Human Experiments Respiratory Changes and Acid–Base Compensation: Watch the Salt Transcript

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Creator: James P. Rathmell, M.D.

January 2024, Volume 140, Issue 1

Overview of January issue original studies.

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Moderator: BobbieJean Sweitzer, M.D. Participants: Jean Guglielminotti, M.D., Ph.D. Articles Discussed: Association of Labor Neuraxial Analgesia with Maternal Blood Transfusion Transcript

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Creator: James P. Rathmell, M.D., M.B.A.

December 2023, Volume 139, Issue 6

Overview of December issue original studies.

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Moderator: James P. Rathmell, M.D. Participants: Stephan Frangakis, M.D., Ph.D. and Carolina B. Meloto, D.D.S., Ph.D. Articles Discussed: Association of Genetic Variants with Postsurgical Pain: A Systematic Review and Meta-analyses Genetics of Postsurgical Pain: Where Do We Go from Here? Transcript

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Moderator: James P. Rathmell, M.D. Participants: Phillip Vlisides, M.D. and Patrick L. Purdon, Ph.D. Articles Discussed: Electroencephalographic Biomarkers, Cerebral Oximetry, and Postoperative Cognitive Function in Adult Non-Cardiac Surgical Patients: a Prospective Cohort Study Charting a Cognitive Course: Can Electroencephalographic or Oximetry Biomarkers Predict Postoperative Cognitive Function? Transcript

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Moderator: BobbieJean Sweitzer, M.D. Participants: Anjali A. Dixit, M.D., M.P.H. and Avery Tung, M.D. Articles Discussed: Association Between “Balance Billing” Legislation and Anesthesia Payments in California: A Retrospective Analysis Balanced Billing Legislation and the Invisible Hand of Adam Smith Transcript

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Creator: James P. Rathmell, M.D., M.B.A.

November 2023, Volume 139, Issue 5

Overview of November issue original studies.

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Moderator: BobbieJean Sweitzer, M.D. Participants: Evan D. Kharasch, M.D., Ph.D., and Paul S. Myles, M.B., B.S., M.P.H., M.D., D.Sc., F.C.A.I., F.A.N.Z.C.A., F.A.H.M.S. Articles Discussed: Intraoperative Methadone in Next-day Discharge Outpatient Surgery: A Randomized, Double-blinded, Dose-finding Pilot Study Consideration of Methadone as an Analgesic Option for Short-stay Surgery Transcript

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Moderator: James P. Rathmell, M.D.
Participants: Allan F. Simpao, M.D., M.B.I., and Caleb Ing, M.D., M.S.

Articles Discussed:
Anesthesia and Sedation Exposure and Neurodevelopmental Outcomes in Infants Undergoing Congenital Cardiac Surgery: A Retrospective Cohort Study

Developmental Anesthesia Neurotoxicity: Lessons from the Heart

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Creator: James P. Rathmell, M.D., M.B.A.

October 2023, Volume 139, Issue 4

Overview of October issue original studies.

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Moderator: James Rathmell, M.D.
Participants: Joerg Krebs, M.D. and Hermann Wrigge, M.D., Ph.D.

Articles Discussed:
Individualized Positive End-Expiratory Pressure Titration Strategies in Superobese Patients Undergoing Laparoscopic Surgery: Prospective and Non-Randomized Crossover Study

Pressure for High PEEP in Obese Surgical Patients is Growing

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Alexandre Mansour, M.D., Ph.D.

Articles Discussed:
Combined Platelet and Red Blood Cell Recovery During On-Pump Cardiac Surgery Using Same™ By I-SEP Autotransfusion Device: A First-In-Human Non-Comparative Study (I-TRANSEP Study)

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Creator: James P. Rathmell, M.D.

September 2023, Volume 139, Issue 3

Overview of September issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Daniel I. McIsaac, M.D., M.P.H.

Articles Discussed:
Attributable Perioperative Cost of Frailty After Major, Elective Non-cardiac Surgery: A Population-based Cohort Study

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Moderator: James Rathmell, M.D.
Participants: Karsten Bartels, M.D., Ph.D., M.B.A. and Chad Michael Brummett, M.D.

Articles Discussed:
Best Practice Alerts Informed by Inpatient Opioid Intake to Reduce Opioid Prescribing after Surgery (PRIOR): A Cluster Randomized Multiple Crossover Trial

Best Practice Alerts: A Poke in the Eye or an Efficient Method for Safer Prescribing?

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Creator: James P. Rathmell, M.D.

August 2023, Volume 139, Issue 2

Overview of August issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Robert S. White, M.D., M.S. and Warren S. Sandberg, M.D., Ph.D.

Articles Discussed:
Antiemetic Administration and its Association with Race: A Retrospective Cohort Study Association Multicenter Study

“People, We Have a Problem”

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Moderator: BobbieJean Sweitzer, M.D. Participants: Konrad Meissner, M.D. Articles Discussed: Morphine and Hydromorphone Effects, Side Effects and Variability – a Crossover Study in Human Volunteers Transcript

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Moderator: James Rathmell, M.D. Participants: Andrew Bowdle, M.D., Ph.D. and Michael M. Todd, M.D. Articles Discussed: A Dose-Finding Study of Sugammadex for Reversal of Rocuronium in Cardiac Surgery Patients and Postoperative Monitoring for Recurrent Paralysis Sugammadex is Not a Silver Bullet: Caveats Regarding Unmonitored Reversal Transcript

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Creator: James P. Rathmell, M.D.

July 2023, Volume 139, Issue 1

Overview of July issue original studies.

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Moderator: James Rathmell, M.D. Participants: Kai Kuck, Ph.D. and Karim Shiraz Ladha, M.D. Articles Discussed: Prolonged Opioid Use and Pain Outcome and Associated Factors after Surgery Under General Anesthesia: A Prospective Cohort Association Multicenter Study Uncoupling Pain and Opioid Use after Surgery Transcript

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Moderator: James Rathmell, M.D. Participants: Mathias Maagaard, M.D. Articles Discussed: Perineural and Systemic Dexamethasone And Ulnar Nerve Block Duration A Randomized, Blinded, Placebo-controlled Trial in Healthy Volunteers Transcript

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Creator: James P. Rathmell, M.D.

June 2023, Volume 138, Issue 6

Overview of June issue original studies.

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Moderator: BobbieJean Sweitzer, M.D. Participants: Emmanuelle Duceppe, M.D. Ph.D. Articles Discussed: Association of Preoperative Growth Differentiation Factor-15 Concentrations and Postoperative Cardiovascular Events after Major Noncardiac Surgery Transcript

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Creator: James P. Rathmell, M.D.

May 2023, Volume 138, Issue 5

Overview of May issue original studies.

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Moderator: James Rathmell, M.D. Participants: Philip J. Peyton, M.D., Ph.D., M.B.B.S. and Marcelo Gama de Abreu, M.D., M.Sc., Ph.D. Articles Discussed: Postoperative Pulmonary Complications in the ENIGMA II Trial: A Post Hoc Analysis Nitrous Oxide and Postoperative Pulmonary Complications: Conflicting Evidence Transcript

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Moderator: BobbieJean Sweitzer, M.D. Participants: Aman Mahajan, M.D., Ph.D. and Karsten Bartels, M.D., Ph.D., M.B.A. Articles Discussed: GABAergic Signaling During Spinal Cord Stimulation Reduces Cardiac Arrhythmias in a Porcine Model Modulating the Cardiac Autonomic Nervous System: Stay Close to My Heart or Keep Your Distance? Transcript

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Creator: Evan D. Kharasch, M.D., Ph.D.

April 2023, Volume 138, Issue 4

Overview of April issue original studies.

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Moderator: James Rathmell, M.D. Participants: Leo M. A. Heunks, M.D., Ph.D. and Ewan Christopher Goligher, M.D., Ph.D. Articles Discussed: Performance of Noninvasive Airway Occlusion Maneuvers to Assess Lung Stress and Diaphragm Effort in Mechanically Ventilated Critically Ill Patients Monitoring Respiratory Effort and Lung-Distending Pressure Non-Invasively During Mechanical Ventilation: Ready for Prime Time Transcript

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Moderator: BobbieJean Sweitzer, M.D. Participants: Simone Gattarello, M.D., Ph.D. and Daniel R. Calabrese, M.D. Articles Discussed: Mechanical Power Ratio and Respiratory Treatment Escalation in COVID-19 Pneumonia: A Secondary Analysis of a Prospectively Enrolled Cohort The Paradox of Power: Dynamic Tools to Predict Respiratory Failure in Spontaneously Breathing Patients Transcript

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Creator: Evan D. Kharasch, M.D., Ph.D.

March 2023, Volume 138, Issue 3

Overview of March issue original studies.

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Moderator: BobbieJean Sweitzer, M.D. Participants: Jamie Privratsky, M.D., Ph.D. Articles Discussed: Postoperative Acute Kidney Injury by Age and Sex: A Retrospective Cohort Association Study Transcript

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Moderator: James Rathmell, M.D. Participants: Naheed Kabirudeen Jivraj, M.B.B.S., M.Sc. Articles Discussed: Nonopioid Analgesic Prescriptions Filled after Surgery among Older Adults in Ontario, Canada: A Population-based Cohort Study Transcript

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Creator: Evan D. Kharasch, M.D., Ph.D.

February 2023, Volume 138, Issue 2

Overview of February issue original studies.

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Moderator: BobbieJean Sweitzer, M.D. Participants: Daniel Sessler, M.D. and Ana Fernandez-Bustamante, M.D., Ph.D. Articles Discussed: Perioperative Supplemental Oxygen and Postoperative Nausea and Vomiting: Subanalysis of a Trial, Systematic Review, and Meta-analysis Adjust Intraoperative Oxygen Therapy for Oxygenation Reasons Only! Transcript

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Moderator: James Rathmell, M.D. Participants: Daniel Rubin, M.D.,M.S. and Jessica Spence, M.D., Ph.D. Articles Discussed: Preoperative b-Blocker Therapy and Stroke or Major Adverse Cardiac Events in Major Abdominal Surgery: A Retrospective Cohort Study Beta Blockade before Noncardiac Surgery: The Devil is in the Details Transcript

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Creator: Evan D. Kharasch, M.D., Ph.D.

January 2023, Volume 138, Issue 1

Overview of January issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Min-Hsin Huang, M.D., M.S. and James Blum, M.D.

Articles Discussed:
Validation of a Deep Learning-Based Automatic Detection Algorithm for Measurement of Endotracheal Tube to Carina Distance on Chest Radiographs

Collaborative Artificial Intelligence in Practice: The Next Steps

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Moderator: James Rathmell, M.D.
Participants: Daniel Sessler, M.D.

Articles Discussed:
Risk Stratification Index 3.0, a Broad Set of Models for Predicting Adverse Events During and After Hospital Admission

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Creator: Evan D. Kharasch, M.D., Ph.D.

December 2022, Volume 137, Issue 6

Overview of December issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Marla Ferschl, M.D. and Britta Sylvia von Ungern-Sternberg, M.D., Ph.D.

Articles Discussed:
Wildfire Smoke Exposure is Associated with Adverse Respiratory Events Under General Anesthesia in At-Risk Pediatric Patients

If We Destroy Nature – We Destroy Ourselves

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Moderator: James Rathmell, M.D.
Participants: John Finneran IV, M.D. and Kristin Schreiber, M.D., Ph.D.

Articles Discussed:
Preoperative Ultrasound-Guided Percutaneous Cryoneurolysis for the Treatment of Pain following Mastectomy: A Randomized, Participant- and Observer-Masked, Sham-Controlled Study

Cryoneurolysis: Interest and Caution

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Creator: Evan D. Kharasch, M.D., Ph.D.

November 2022, Volume 137, Issue 5

Overview of November issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.
Participants: John Fiadjoe, M.D. and Allan Simpao, M.D., M.B.I.

Articles Discussed:
Sedation versus General Anesthesia for Tracheal Intubation in Children with Difficult Airways: A Cohort Study from the Pediatric Difficult Intubation Registry

Walk a Tightrope or Burn a Bridge?: Sedation versus General Anesthesia for Intubation of a Pediatric Difficult Airway

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Moderator: James Rathmell, M.D.
Participants: Alparslan Turan, M.D. and Marcos Vidal Melo, M.D., Ph.D.

Articles Discussed:
Tidal Volume and Positive End-Expiratory Pressure and Postoperative Hypoxemia during General Anesthesia: A Single Center Multiple Cross-over Factorial Cluster Trial

A Lung-Unanswered Question

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Creator: Evan D. Kharasch, M.D., Ph.D.

October 2022, Volume 137, Issue 4

Overview of October issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Mats Enlund, M.D., Ph.D.

Articles Discussed:
Volatile versus Propofol General Anesthesia and Long-term Survival after Breast Cancer Surgery: A National Registry Retrospective Cohort Study

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Moderator: James Rathmell, M.D.
Participants: Charles H. Brown IV, M.D.

Articles Discussed:
Perioperative Neurofilament Light Plasma Concentrations and Cognition before and after Cardiac Surgery: A Prospective Nested Cohort Study

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Creator: Evan D. Kharasch, M.D., Ph.D.

September 2022, Volume 137, Issue 3

Overview of December issue original studies.

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Moderator: James Rathmell, M.D.
Participants: Eric Sun, M.D., Ph.D. and Daniel McIsaac, M.D., M.P.H.

Articles Discussed:
Surgeon Variation in Perioperative Opioid Prescribing and Medium or Long Term Opioid Utilization After Total Knee Arthroplasty: A Cross-Sectional Analysis

Postoperative Opioid Prescribing: Finding the Balance

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Creator: Evan D. Kharasch, M.D., Ph.D.

August 2022, Volume 137, Issue 2

Overview of August issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Ian Yuan, M.D.

Articles Discussed:
Isoelectric Electroencephalography in Infants and Toddlers During Anesthesia for Surgery: An International Observational Study

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Moderator: James Rathmell, M.D.
Participants: Maximilian Sebastian Schaefer, M.D. and Marcelo Gama de Abreu, M.D., MS.c., Ph.D.

Articles Discussed:
Mechanical Power during General Anesthesia and Postoperative Respiratory Failure: A Multicenter Retrospective Cohort Study

Mechanical Power: Correlate or Cause of Ventilator-induced Lung Injury?

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Moderator: James Rathmell, M.D.
Participants: Shiroh Isono, M.D. and David R. Hillman, M.D.

Articles Discussed:
Combination Therapy of High-flow Nasal Cannula and Upper-body Elevation for Postoperative Sleep-disordered Breathing: Randomized Crossover Trial

Is Continuous Positive Airway Pressure All There Is? Alternative Perioperative Treatments for Obstructive Sleep Apnea

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Creator: Evan D. Kharasch, M.D., Ph.D.

July 2022, Volume 137, Issue 1

Overview of July issue original studies.

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Creator: Evan D. Kharasch, M.D., Ph.D.

June 2022, Volume 136, Issue 6

Overview of June issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Balachundhar Subramaniam, M.D., M.P.H.

Articles Discussed:
Intraoperative Hypotension and Acute Kidney Injury, Stroke, and Mortality during and outside Cardiopulmonary Bypass: A Retrospective Observational Cohort Study

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Moderator: James Rathmell, M.D.
Participants: Wade A. Weigel, M.D. and Meghan B. Lane-Fall, M.D., M.S.H.P.

Articles Discussed
Quantitative Neuromuscular Monitoring in Clinical Practice: A Professional Practice Change Initiative

What Anesthesiology Has to Learn from Implementation Science and Quality Improvement

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Moderator: James Rathmell, M.D.
Participants: Ashraf S. Habib, M.B.B.Ch., M.Sc., M.H.Sc. and Scott Segal, M.D., M.H.C.M.

Articles Discussed:
Quality of Labor Analgesia with Dural Puncture Epidural versus Standard Epidural Technique in Obese Parturients: A Double-blind Randomized-controlled Study

Dural Puncture Epidural for Labor Analgesia: is it Really an Improvement Over Conventional Labor Epidural Analgesia?

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Garrett W. Burnett, M.D. and Kevin K. Tremper, Ph.D., M.D.

Articles Discussed:
Self-reported Race/Ethnicity and Intraoperative Occult Hypoxemia: A Retrospective Cohort Study

The Pulse Oximeter Is Amazing, but Not Perfect

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Moderator: James Rathmell, M.D.
Participants: Christian Sylvest Meyhoff, M.D., Ph.D. and Peter Nagele, M.D., M.Sc.

Articles Discussed:
Hyperoxia and Antioxidants for Myocardial Injury in Noncardiac Surgery: A 2x2 Factorial Blinded Randomized Clinical Trial

The Importance of Definitive Trials: the VIXIE Trial

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Moderator: James Rathmell, M.D.
Participants: Hélène Beloeil, M.D., Ph.D.

Articles Discussed:
General Anesthesia versus Sedation, Both with Hemodynamic Control, during Intraarterial Treatment for Stroke: The GASS Randomized Trial

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Creator: Evan D. Kharasch, M.D., Ph.D.

May 2022, Volume 136, Issue 5

Overview of May issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Aaron A. Berg, D.O.

Articles Discussed:
Evaluation of Diaphragmatic Function after Interscalene Block with Liposomal Bupivacaine: A Randomized Controlled Trial

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Moderator: BobbieJean Sweitzer, M.D.
Participants: David H. Kim, M.D.

Articles Discussed:
Interscalene Brachial Plexus Block with Liposomal Bupivacaine versus Standard Bupivacaine with Perineural Dexamethasone: A Noninferiority Trial

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Creator: Evan D. Kharasch, M.D., Ph.D.

April 2022, Volume 136, Issue 4

Overview of April issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Cecilia Canales, M.D., M.P.H., Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C.

Articles Discussed:
Preoperative Point-of-Care Ultrasound to Identify Frailty and Predict Postoperative Outcomes: A Diagnostic Accuracy Study

Preoperative Frailty Assessment: An Opportunity to Add Value to Perioperative Care

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Creator: Evan D. Kharasch, M.D., Ph.D.

March 2022, Volume 136, Issue 3

Overview of March issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Sabine Nabecker, M.D. and Allan Simpao, M.D., M.B.I.

Articles Discussed:
Carbon Dioxide Changes during High-flow Nasal Oxygenation in Apneic Patients: A Single-center Randomized Controlled Noninferiority Trial

Can We Finally Take the “VE” Out of THRIVE?

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Moderator: James Rathmell, M.D.
Participants: Ross Davenport, Ph.D. and Robert Medcalf, B.Sc.(Hons), Ph.D.

Articles Discussed:
Temporal Transitions in Fibrinolysis after Trauma: Adverse Outcome Is Principally Related to Late Hypofibrinolysis

Fibrinolysis and Trauma Outcomes

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Creator: Evan D. Kharasch, M.D., Ph.D.

Feburary 2022, Volume 136, Issue 2

Overview of February issue original studies.

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Creator: Evan D. Kharasch, M.D., Ph.D.

January 2022, Volume 136, Issue 1

Overview of January issue original studies.

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Moderator: James Rathmell, M.D.
Participants: Forbes McGain, F.A.N.Z.C.A, F.C.I.C.M., Ph.D. and Michel M. R. F. Struys, M.D., Ph.D., F.R.C.A.

Articles Discussed:
Carbon Footprint of General, Regional, and Combined Anesthesia for Total Knee Replacements

Environmental Footprint of Anesthesia: More than Inhaled Anesthetics!

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Creator: Evan D. Kharasch, M.D., Ph.D.

December 2021, Volume 135, Issue 6

Overview of December issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Charles H. Brown, IV, M.D., M.H.S. and Pratik P. Pandharipande, M.D., M.Sc.

Articles Discussed:
Spinal Anesthesia with Targeted Sedation Based on Bispectral Index Values Compared with General Anesthesia with Masked Bispectral Index Values to Reduce Delirium: The SHARP Randomized Controlled Trial

Baseline Vulnerabilities May Play a Larger Role than Depth of Anesthesia or Sedation in Postoperative Delirium

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Charles H. Brown, IV, M.D., M.H.S. and Pratik P. Pandharipande, M.D., M.Sc.

Articles Discussed:
Spinal Anesthesia with Targeted Sedation Based on Bispectral Index Values Compared with General Anesthesia with Masked Bispectral Index Values to Reduce Delirium: The SHARP Randomized Controlled Trial

Baseline Vulnerabilities May Play a Larger Role than Depth of Anesthesia or Sedation in Postoperative Delirium

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Gavin Hamilton, M.D., M.Sc.

Articles Discussed:
Persistent Postoperative Opioid Prescription Fulfillment and Peripheral Nerve Blocks for Ambulatory Shoulder Surgery: A Retrospective Cohort Study

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Creator: Evan D. Kharasch, M.D., Ph.D.

November 2021, Volume 135, Issue 5

Overview of November issue original studies.

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Moderator: James Rathmell, M.D.
Participants: Avery Tung, M.D. and editorialist Warren S. Sandberg, M.D., Ph.D.

Articles Discussed:
December Is Coming: A Time Trend Analysis of Monthly Variation in Adult Elective Anesthesia Caseload across Florida and Texas Locations of a Large Multistate Practice

December Is for Congregation, Celebration, Operation, Recuperation

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Creator: Evan D. Kharasch, M.D., Ph.D.

October 2021, Volume 135, Issue 4

Overview of October issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Jin-Tae Kim, M.D., Ph.D. and editorialist Jorge A. Gálvez, M.D., M.B.I.

Articles Discussed:
Smart Glasses for Radial Arterial Catheterization in Pediatric Patients: A Randomized Clinical Trial

Augmenting the Anesthesiologist's Cockpit with Head-mounted Displays for Image-guided Procedures: Are We There Yet?

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Moderator: James Rathmell, M.D.
Participants: Kerstin Kolodzie, M.D., Ph.D., M.A.S. and editorialist Duminda Wijeysundera, M.D., Ph.D., F.R.C.P.C.

Articles Discussed:
Perioperative Normal Saline Administration and Delayed Graft Function in Patients Undergoing Kidney Transplantation: A Retrospective Cohort Study

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Creator: Evan D. Kharasch, M.D., Ph.D.

September 2021, Volume 135, Issue 2

Overview of September issue original studies.

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Moderator:James Rathmell, M.D.
Participants: Natalie A. Silverton, M.D., F.R.C.P.C., F.A.S.E. and editorialist Mark Stafford-Smith, M.D., C.M., F.R.C.P.C., M.B.A.

Articles Discussed:
Noninvasive Urine Oxygen Monitoring and the Risk of Acute Kidney Injury in Cardiac Surgery

Could Trended Oxygen Partial Pressure in the Urine Be the “ST Segment” Kidney Monitor We’ve Been Looking For?

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Creator: Evan D. Kharasch, M.D., Ph.D.

August 2021, Volume 135, Issue 2

Overview of August issue original studies.

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Moderator: James Rathmell, M.D.
Participants: Alexandre Joosten, M.D., Ph.D. and editorialist David A. Story, M.D., F.A.N.Z.C.A.

Articles Discussed:
Computer-assisted Individualized Hemodynamic Management Reduces Intraoperative Hypotension in Intermediate- and High-risk Surgery: A Randomized Controlled Trial

Computer-assisted Anesthesia Care: Avoiding the Highway to HAL

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Mark A. Warner, M.D. and editorialist Anahi Perlas, M.D., F.R.C.P.C

Articles Discussed:
Pulmonary Aspiration of Gastric Contents: A Closed Claims Analysis

Pulmonary Aspiration of Gastric Contents: Can We Improve Patient Outcomes?

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Jerrold Levy, M.D., and Jean M. Connors, M.D. 

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Moderator:James Rathmell, M.D.
Participants: Andres Laserna, M.D., Laurent G. Glance, M.D. and Mark D. Neuman, M.D., M.Sc.

Articles Discussed:
Levels of Evidence Supporting the North American and European Perioperative Care Guidelines for Anesthesiologists between 2010 and 2020: A Systematic Review

Clinical Practice Guidelines in Anesthesiology: Adjusting Our Expectations

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Creator: Evan D. Kharasch, M.D., Ph.D.

July 2021, Volume 135, Issue 1

Overview of July issue original studies.

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Moderator:BobbieJean Sweitzer, M.D.

Participants: Jashvant Poeran, M.D., Ph.D., Calin S. Moucha, M.D and editorialist Sachin Kheterpal, M.D., M.B.A.

Article Discussed:

  • Safety of Tranexamic Acid in Hip and Knee Arthroplasty in High-risk Patients
  • Tranexamic Acid in High-risk Arthroplasty Patients: How Will We Adapt to Evolving Evidence?

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Creator: Evan D. Kharasch, M.D., Ph.D.

June 2021, Volume 134, Issue 6

Overview of June issue original studies.

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Moderator:James Rathmell, M.D.

Participants: Lena S. Sun, M.D.; Nicholas A. Davis, M.D., and editorialist Laszlo Vutskits, M.D., Ph.D.

Articles Discussed:

  • Ultrasound Evaluation of Gastric Emptying Time in Healthy Term Neonates after Formula Feeding
  • Neonatal Preoperative Fasting: Time for a Change?

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Michael McManus, M.D., M.P.H. and Alan Jay Schwartz, M.D., M.S.Ed.

Articles Discussed:
Availability of Inpatient Pediatric Surgery in the United States

Availability of Inpatient Pediatric Surgery: Implications for Planning Pediatric Anesthesiology Education

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Creator: Evan D. Kharasch, M.D., Ph.D.

May 2021, Volume 134, Issue 5

**Overview of May issue original studies.

Transcript**

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Glenn S. Murphy, M.D., and J. David Clark, M.D., Ph.D.

Articles Discussed:
Perioperative Methadone and Ketamine for Postoperative Pain Control in Spinal Surgical Patients: A Randomized, Double-blind, Placebo-controlled Trial

Methadone and Ketamine: Boosting Benefits and Still More to Learn

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Moderator:James Rathmell, M.D.
Participants: Amy E. Vinson, M.D., and Steve Alan Hyman, M.D., M.M.

Articles Discussed:
Burnout Rate and Risk Factors among Anesthesiologists in the United States

Burnout: The “Other” Pandemic

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Moderator: James Rathmell, M.D.
Participants: Helene Beloeil, M.D., M.P.H., and Evan Kharasch, M.D., Ph.D.

Articles Discussed:
Balanced Opioid-free Anesthesia with Dexmedetomidine versus Balanced Anesthesia with Remifentanil for Major or Intermediate Noncardiac Surgery: The Postoperative and Opioid-free Anesthesia (POFA) Randomized Clinical Trial

Opioid-free Anesthesia: Time to Regain Our Balance

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Creator: Evan D. Kharasch, M.D., Ph.D.

April 2021, Volume 134, Issue 4

Overview of April issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Daniel McIsaac, M.D., M.P.H.

Articles Discussed:
Complications as a Mediator of the Perioperative Frailty–Mortality Association: Mediation Analysis of a Retrospective Cohort

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Christoph Heinz, M.D. and Klaus Görlinger, M.D.

Articles Discussed:
Greater Fibrinolysis Resistance but No Greater Platelet Aggregation in Critically Ill COVID-19 Patients

COVID-19–associated Coagulopathy: Less Fibrinolysis Can Be More Harmful!

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Moderator: James Rathmell, M.D.
Participants: Patrick J. Tighe, M.D., M.S., Terrie Vasilopoulos, Ph.D, and Kristin L. Schreiber, M.D., Ph.D.

Articles Discussed:
Patient and Procedural Determinants of Postoperative Pain Trajectories

Personalization over Protocolization: Embracing Diversity of Pain Trajectories after Surgery

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Creator: Evan D. Kharasch, M.D., Ph.D.

March 2021, Volume 134, Issue 3

Overview of March issue original studies. Transcript

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Shahzad Shaefi, M.D.

Article Discussed:
Intraoperative Oxygen Concentration and Neurocognition after Cardiac Surgery: A Randomized Clinical Trial

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Moderator:James Rathmell, M.D.
Participants: Faraj W. Abdallah, M.D., M.Sc. and Mary Ellen McCann, M.D.

Article Discussed:
Perineural Liposomal Bupivacaine Is Not Superior to Nonliposomal Bupivacaine for Peripheral Nerve Block Analgesia: A Systematic Review and Meta-analysis 

Liposomal Bupivacaine: Effective, Cost-effective, or (Just) Costly? 

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Creator: Evan D. Kharasch, M.D., Ph.D.
February 021, Volume 134, Issue 2

Overview of February issue original studies.
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Moderator: BobbieJean Sweitzer, M.D.
Participants: Stephen J. Gleich, M.D., and Andrew Davidson, M.B.B.S., M.D., F.A.N.Z.C.A., F.A.H.M.S.

Article Discussed:
Major Short-term Complications of Arterial Cannulation for Monitoring in Children

Complication Rates in Anesthesia: Why Retrospective Studies May Be Extraordinary

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Moderator:James Rathmell, M.D.
Participants: Faraj W. Abdallah, M.D., M.Sc.

Article Discussed:
Postoperative Analgesic Effectiveness of Quadratus Lumborum Block for Cesarean Delivery under Spinal Anesthesia: A Systematic Review and Meta-analysis

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Creator: Evan D. Kharasch, M.D., Ph.D.

January 2021, Volume 134, Issue 1

Overview of January issue original studies.

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Moderator: James Rathmell, M.D. 


Participants: Geir Strandenes, M.D. and Beth H. Shaz, M.D.

Articles Discussed:


A Pilot Trial of Platelets Stored Cold versus at Room Temperature for Complex Cardiothoracic Surgery

Warming Up to Cold-stored Platelets

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Moderator: BobbieJean Sweitzer, M.D. 


Participants: Kamal Maheshwari, M.D., M.P.H. and Charles W. Hogue, M.D.

Articles Discussed:


Hypotension Prediction Index for Prevention of Hypotension during Moderate- to High-risk Noncardiac Surgery: A Pilot Randomized Trial

Preventing Intraoperative Hypotension: Artificial Intelligence versus Augmented Intelligence?

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Creator: Evan D. Kharasch, M.D., Ph.D.

December 2020, Volume 133, Issue 6

Overview of December issue original studies.

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Moderator: James Rathmell, M.D. 


Participants: Josef Briegel, M.D and Bernd Saugel, M.D.

Articles Discussed:

Clinical Evaluation of a High-fidelity Upper Arm Cuff to Measure Arterial Blood Pressure during Noncardiac Surgery

Hydraulic Coupling: A New Method for Noninvasive Intermittent Blood Pressure Monitoring

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Moderator: BobbieJean Sweitzer, M.D. 


Participants: Graham J. Walkden, M.B.Ch.B., Hannah Gill, F.R.C.A., Ph.D. and Andrew J. Davidson, M.B.B.S., M.D., F.A.N.Z.C.A., F.A.H.M.S
.

Articles Discussed:


Early Childhood General Anesthesia and Neurodevelopmental Outcomes in the Avon Longitudinal Study of Parents and Children Birth Cohort

Anesthesia in Childhood and Neurodevelopmental Outcome: The Ongoing Hunt for a Phenome

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Creator: Evan D. Kharasch, M.D., Ph.D.

November 2020, Volume 133, Issue 5

Overview of November issue original studies.

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Creator: Evan D. Kharasch, M.D., Ph.D..

October 2020, Volume 133, Issue 4

Overview of October issue original studies.

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Moderator: James Rathmell, M.D.

Participants:  S. Patrick Bender, M.D., M.S.H.S., and  Marcos F. Vidal Melo, M.D., Ph.D
.

Articles Discussed:


Body Habitus and Dynamic Surgical Conditions Independently Impair Pulmonary Mechanics during Robotic-assisted Laparoscopic Surgery: A Cross-Sectional Study

Lung Mechanics of the Obese Undergoing Robotic Surgery and the Pursuit of Protective Ventilation

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Moderator: James Rathmell, M.D.
Participants: Felix van Lier, M.D., Ph.D.

Article Discussed:
Postoperative Hypotension after Noncardiac Surgery and the Association with Myocardial Injury

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Creator: Evan D. Kharasch, M.D., Ph.D..

Anesthesiology September 2020, Volume 133, Issue 3

Overview of September issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.

Participants: Allan F. Simpao, M.D., M.B.I. and Laszlo Vutskits, M.D., Ph.D.

Articles Discussed:

  • Preoperative Fluid Fasting Times and Postinduction Low Blood Pressure in Children: A Retrospective Analysis
  • Fluid Fasting in Children: Solid Science?

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Creator: Evan D. Kharasch, M.D., Ph.D.

Anesthesiology August 2020, Volume 133, Issue 2

Overview of August issue original studies.

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Moderator:James Rathmell, M.D.

Participants: Alexis F. Turgeon, M.D., M.Sc. and Evan D. Kharasch, M.D., Ph.D.

Articles Discussed:

  • Perioperative Use of Gabapentinoids for the Management of Postoperative Acute Pain: A Systematic Review and Meta-analysis
  • Perioperative Gabapentinoids: Deflating the Bubble

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Moderator: BobbieJean Sweitzer, M.D.

Participants: Oluwaseun Akeju, M.D., M.M.S.C.I. and Jamie W. Sleigh, M.D.

Articles Discussed:

  • Electroencephalogram Burst-suppression during Cardiopulmonary Bypass in Elderly Patients Mediates Postoperative Delirium
  • Postoperative Delirium: A Minefield of Markers and Mediators

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Creator: Evan D. Kharasch, M.D., Ph.D..

Anesthesiology July 2020, Volume 133, Issue 1

Overview of July issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.

Participants: Marc-Olivier Fischer, M.D., Ph.D. and Kamal Maheshwari, M.D., M.P.H.

Articles Discussed:

  • Individualized Fluid Management Using the Pleth Variability Index: A Randomized Clinical Trial
  • Goal-directed Therapy: Why Benefit Remains Uncertain

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Moderator: James Rathmell, M.D.

Participants: Gisèle Pickering, M.D., Ph.D., D.Pharm and J. David Clark, M.D., Ph.D.

Articles Discussed:

  • Ketamine and Magnesium for Refractory Neuropathic Pain: A Randomized, Double-blind, Crossover Trial
  • Ketamine for Chronic Pain: Old Drug New Trick?

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Creator: Evan D. Kharasch, M.D., Ph.D..

Anesthesiology June 2020, Volume 132, Issue 6

Overview of June issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Mark A. Shulman, M.B., B.S., M.P.H., F.A.N.Z.C.A. and Cor J. Kalkman, M.D., Ph.D.

Articles Discussed:
Defining the Minimal Clinically Important Difference and Patient-acceptable Symptom State Score for Disability Assessment in Surgical Patients

Minimal Clinically Important Difference, Maximum Impact

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Moderator: BobbieJean Sweitzer, M.D.
Participants: Martin Dres, M.D., Ph.D.

Article Discussed:
Usefulness of Parasternal Intercostal Muscle Ultrasound during Weaning from Mechanical Ventilation 

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Creator: Evan D. Kharasch, M.D., Ph.D..

Anesthesiology May 2020, Volume 132, Issue 5

Overview of May issue original studies.

Transcript 

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Moderator:James Rathmell, M.D.
Participants: Yuguang Huang, M.D., Ph.D., and Yandong Jiang, M.D., Ph.D.

Articles Discussed:
Perioperative Management of Patients Infected with the Novel Coronavirus: Recommendation from the Joint Task Force of the Chinese Society of Anesthesiology and Chinese Association of Anesthesiologists 

Novel Coronavirus 2019 and Anesthesiology

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This podcast relates additionally to a special article series on the Coronavirus (COVID-19) pandemic. See the full collection.

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Moderator: James P. Rathmell, M.D.


Participants: Martine J. M. Breteler, M.Sc. and Bernd Saugel, M.D

Articles Discussed:


Vital Signs Monitoring with Wearable Sensors in High-risk Surgical Patients: A Clinical Validation Study 

Automated Continuous Noninvasive Ward Monitoring: Validation of Measurement Systems Is the Real Challenge 

Transcript 

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Moderator: James P. Rathmell, M.D.

Participants: John R. Greenland, M.D., Ph.D

Articles Discussed:

  • COVID-19 Infection: Implications for Perioperative and Critical Care Physicians

Transcript

This podcast relates additionally to a special article series on the Coronavirus (COVID-19) pandemic. See the full collection. 

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Moderator: BobbieJean Sweitzer, M.D.
Participant: Karim S. Ladha, M.D., M.Sc.

Article Discussed:
Cannabis Use Disorder and Perioperative Outcomes in Major Elective Surgeries: A Retrospective Cohort Analysis

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Creator: Evan D. Kharasch, M.D., Ph.D..

Anesthesiology April 2020, Volume 132, Issue 4

Overview of April issue original studies.

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Moderator: James Rathmell, M.D.
Participants: Kamal Maheshwari, M.D., M.P.H., and editorialist David A. Story, M.D., F.A.N.Z.C.A. 

Articles Discussed:
Saline versus Lactated Ringer’s Solution: The Saline or Lactated Ringer’s (SOLAR) Trial 

Intravenous Fluids: Which Recipe? 

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Moderator: James Rathmell, M.D.
Participants: David B. Waisel, M.D.

Article Discussed:
Compassionate and Clinical Behavior of Residents in a Simulated Informed Consent Encounter 

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Moderator: BobbieJean Sweitzer, M.D.

Participants: Michael R. Mathis, M.D. and Louise Y. Sun, M.D., S.M., F.R.C.P.C., F.A.H.A.

Articles Discussed:

  • Preoperative Risk and the Association between Hypotension and Postoperative Acute Kidney Injury
  • Preoperative Risk, Blood Pressure, and Acute Kidney Injury

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Moderator: James Rathmell, M.D.

Participants: Alexandre Joosten, M.D., Ph.D. and Thomas M. Hemmerling, M.D., D.E.A.A.

Articles Discussed:

  • Anesthetic Management Using Multiple Closed-loop Systems and Delayed Neurocognitive Recovery: A Randomized Controlled Trial
  • Robots Will Perform Anesthesia in the Near Future

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Creator: Evan D. Kharasch, M.D., Ph.D..

Anesthesiology March 2020, Volume 132, Issue 3

Overview of March issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.

Participants: Dan Longrois, M.D., Ph.D.

Article Discussed:

  • Timing of β-Blocker Reintroduction and the Occurrence of Postoperative Atrial Fibrillation after Cardiac Surgery: A Prospective Cohort Study

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Creator: Evan D. Kharasch, M.D., Ph.D..

Anesthesiology January 2020, Volume 132, Issue 2

Overview of February issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.

Participants: Daniel I. McIsaac, M.D., M.P.H. and Eric C. Sun, M.D., Ph.D

Articles Discussed:

  • Peripheral Nerve Blocks for Ambulatory Shoulder Surgery: A Population-based Cohort Study of Outcomes and Resource Utilization
  • Regional Anesthesia: A Silver Bullet, Red Herring, or Neither?

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Moderator: James P. Rathmell, M.D.

Participants: Michel M. R. F. Struys, M.D., Ph.D. and Jamie W. Sleigh, M.D.

Articles Discussed:

  • Population Pharmacodynamics of Propofol and Sevoflurane in Healthy Volunteers Using a Clinical Score and the Patient State Index: A Crossover Study
  • The Art of General Anesthesia: Juggling in a Multidimensional Space

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Creator: Evan D. Kharasch, M.D., Ph.D..

Anesthesiology January 2020, Volume 132, Issue 1

Overview of January issue original studies.

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Moderator: James P. Rathmell, M.D.

Participants: Åse Lodenius, M.D., Ph.D., D.E.S.A. and Denham S. Ward, M.D., Ph.D.;

Articles Discussed:

  • Upper Airway Collapsibility during Dexmedetomidine and Propofol Sedation in Healthy Volunteers: A Nonblinded Randomized Crossover Study
  • Dexmedetomidine and the Upper Airway: Not as Simple as We Hoped

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Moderator: BobbieJean Sweitzer, M.D.

Participants: Abraham Sonny, M.D. and Evan D. Kharasch, M.D., Ph.D.;

Articles Discussed:

  • Deficit Accumulation and Phenotype Assessments of Frailty Both Poorly Predict Duration of Hospitalization and Serious Complications after Noncardiac Surgery
  • Innovation in Clinical Research Regulation

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Creator: Evan D. Kharasch, M.D., Ph.D..

Anesthesiology December 2019, Volume 131, Issue 6

Overview of December issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.

Participants: Maud A. S. Weerink, M.D.

Articles Discussed:

  • Pharmacodynamic Interaction of Remifentanil and Dexmedetomidine on Depth of Sedation and Tolerance of Laryngoscopy

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Creator: Evan D. Kharasch, M.D., Ph.D..

Anesthesiology November 2019, Volume 131, Issue 5

Overview of November issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.

Participants: Erland Östberg, M.D., and Karen B. Domino, M.D., M.P.H.

Articles Discussed:

  • Positive End-expiratory Pressure and Postoperative Atelectasis: A Randomized Controlled Triale
  • Pre-emergence Oxygenation and Postoperative Atelectasis

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Creator: Evan D. Kharasch, M.D., Ph.D..

Anesthesiology October 2019, Volume 131, Issue 4

Overview of October issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.

Participants: Lori A. Daiello, Pharm.D., Sc.M., and Jeffrey N. Browndyke, Ph.D.

Articles Discussed:

  • Postoperative Delirium and Postoperative Cognitive Dysfunction: Overlap and Divergence
  • The Devil Is in the Details: Comparison of Postoperative Delirium and Neurocognitive Dysfunction

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Moderator: James P. Rathmell, M.D.

Participants: Brandon M. Togioka, M.D.

Article Discussed:

  • Education Program Regarding Labor Epidurals Increases Utilization by Hispanic Medicaid Beneficiaries: A Randomized Controlled Trial

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Moderator: James P. Rathmell, M.D.

Participants: Albert Dahan, M.D., Ph.D. and Jaideep J. Pandit, M.A., B.M.B.Ch, D.Phil, F.R.C.A., D.M.

Articles Discussed:

  • Reversal of a Partial Neuromuscular Block and the Ventilatory Response to Hypoxia: A Randomized Controlled Trial in Healthy Volunteers
  • Reversing Neuromuscular Blockade: Not Just the Diaphragm, but Carotid Body Function Too

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Moderator: James P. Rathmell, M.D.

Participants: Laurent G. Glance, M.D. and Jill M. Mhyre, M.D.

Articles Discussed:

  • Measuring Childbirth Outcomes Using Administrative and Birth Certificate Data
  • Measuring What Matters to Moms Most

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Creator: Evan D. Kharasch, M.D., Ph.D..

Anesthesiology September 2019, Volume 131, Issue 3

Overview of September issue original studies.

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Moderator: BobbieJean Sweitzer, M.D.

Participants: Leonard U. Edokpolo, M.D.

Article Discussed:

  • Discharge Readiness after Propofol with or without Dexmedetomidine for Colonoscopy: A Randomized Controlled Trial

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Creator: Evan D. Kharasch, M.D., Ph.D..

Anesthesiology August 2019, Volume 131, Issue 2

Overview of August issue original studies.

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Moderator: James P. Rathmell, M.D.

Participants: Adrian W. Gelb, M.B.Ch.B. and Phillip E. Vlisides, M.D.

Articles Discussed:

  • Midazolam Sedation Induces Upper Limb Coordination Deficits That Are Reversed by Flumazenil in Patients with Eloquent Area Gliomas
  • Pharmacologic Unmasking of Neurologic Deficits: A Stress Test for the Brain

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Moderator: James P. Rathmell, M.D.

Participants: Phillip E. Vlisides, M.D. and Jamie W. Sleigh, M.D.

Articles Discussed:

  • Dynamic Cortical Connectivity during General Anesthesia in Healthy Volunteers
  • Syncopated Tempi of the Anesthetized Brain

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Moderator: BobbieJean Sweitzer, M.D.

Participants: Domenico Luca Grieco, M.D.

Articles Discussed:

  • Airway Closure during Surgical Pneumoperitoneum in Obese Patients

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Creator: Evan D. Kharasch, M.D., Ph.D.

Anesthesiology July 2019, Volume 131, Issue 1

Overview of July issue original studies.

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