Pub Date : 2023-10-03DOI: 10.1007/s40140-023-00583-z
Srdjan Jelacic, Andrew Bowdle, Stephan R. Thilen
{"title":"Monitoring Depth of Neuromuscular Blockade","authors":"Srdjan Jelacic, Andrew Bowdle, Stephan R. Thilen","doi":"10.1007/s40140-023-00583-z","DOIUrl":"https://doi.org/10.1007/s40140-023-00583-z","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135647828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-28DOI: 10.1007/s40140-023-00580-2
Larry Lindenbaum, Bradley J. Hindman, Michael M. Todd
{"title":"Monitoring the Depth of Neuromuscular Blockade","authors":"Larry Lindenbaum, Bradley J. Hindman, Michael M. Todd","doi":"10.1007/s40140-023-00580-2","DOIUrl":"https://doi.org/10.1007/s40140-023-00580-2","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135387012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-26DOI: 10.1007/s40140-023-00578-w
McKenzee Murdock, Jared R. E. Hylton
{"title":"Perioperative Pain Management After Posterior Spinal Fusion for Idiopathic Scoliosis","authors":"McKenzee Murdock, Jared R. E. Hylton","doi":"10.1007/s40140-023-00578-w","DOIUrl":"https://doi.org/10.1007/s40140-023-00578-w","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134960271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-13DOI: 10.1007/s40140-023-00576-y
Nishank P. Nooli, Jordan E. Goldhammer, Regina E. Linganna, Melody Herman, Hari Kalagara
Abstract Purpose of Review This article aims to review the anatomy and ultrasound techniques of common interfascial plane blocks used for cardiac surgeries along with the current available evidence for regional analgesia. Recent Findings Thoracic erector spinae plane block (ESPB) has a beneficial role in studies when compared with intravenous pain medications or control groups without blocks for cardiac surgeries. Some retrospective studies showed variable analgesic benefits with ESPB, and a recent meta-analysis did not show promising benefits over thoracic epidural analgesia. Serratus anterior plane block (SAPB) is beneficial with minithoractomy incisions for minimally invasive cardiac surgeries, while para sternal blocks (PSB) or parasternal intercostal plane (PIP) blocks are useful for sternotomy incisions. Pectolaris nerve blocks (PECS) have also been used for various cardiac surgeries with a promising role in cardiac pacemaker and ICD surgeries. Summary There is an increasing trend in the usage of fascial plane blocks for cardiac surgeries. Most can be used as components of multimodal analgesia and play a key role in enhanced recovery after cardiac surgery (ERACS) programs. The choice of these fascial plane blocks as opioid-sparing regional analgesia techniques depends on the incision and type of cardiac surgery. A combination of various fascial plane blocks can be used to increase the efficacy of these blocks, but caution should be exercised in limiting the total quantity of the local anesthetic administered.
{"title":"Fascial Plane Blocks as Regional Analgesia Techniques for Cardiac Surgeries: a Technical Description and Evidence Update","authors":"Nishank P. Nooli, Jordan E. Goldhammer, Regina E. Linganna, Melody Herman, Hari Kalagara","doi":"10.1007/s40140-023-00576-y","DOIUrl":"https://doi.org/10.1007/s40140-023-00576-y","url":null,"abstract":"Abstract Purpose of Review This article aims to review the anatomy and ultrasound techniques of common interfascial plane blocks used for cardiac surgeries along with the current available evidence for regional analgesia. Recent Findings Thoracic erector spinae plane block (ESPB) has a beneficial role in studies when compared with intravenous pain medications or control groups without blocks for cardiac surgeries. Some retrospective studies showed variable analgesic benefits with ESPB, and a recent meta-analysis did not show promising benefits over thoracic epidural analgesia. Serratus anterior plane block (SAPB) is beneficial with minithoractomy incisions for minimally invasive cardiac surgeries, while para sternal blocks (PSB) or parasternal intercostal plane (PIP) blocks are useful for sternotomy incisions. Pectolaris nerve blocks (PECS) have also been used for various cardiac surgeries with a promising role in cardiac pacemaker and ICD surgeries. Summary There is an increasing trend in the usage of fascial plane blocks for cardiac surgeries. Most can be used as components of multimodal analgesia and play a key role in enhanced recovery after cardiac surgery (ERACS) programs. The choice of these fascial plane blocks as opioid-sparing regional analgesia techniques depends on the incision and type of cardiac surgery. A combination of various fascial plane blocks can be used to increase the efficacy of these blocks, but caution should be exercised in limiting the total quantity of the local anesthetic administered.","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135689863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-09DOI: 10.1007/s40140-023-00575-z
Alice C. Quayle, Tim M. Cook
{"title":"Anaphylactic Responses to Neuromuscular Blockade Drugs and Reversal Drugs","authors":"Alice C. Quayle, Tim M. Cook","doi":"10.1007/s40140-023-00575-z","DOIUrl":"https://doi.org/10.1007/s40140-023-00575-z","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136193061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1007/s40140-023-00577-x
Harold E. Chaves-Cardona, J. Renew
{"title":"Neuromuscular Blocking Agents in the Intensive Care Unit","authors":"Harold E. Chaves-Cardona, J. Renew","doi":"10.1007/s40140-023-00577-x","DOIUrl":"https://doi.org/10.1007/s40140-023-00577-x","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44988578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01Epub Date: 2023-06-14DOI: 10.1007/s40140-023-00564-2
Benjamin Kim, Gurleen Sangha, Amrik Singh, Christian Bohringer
Purpose of review: This review summarizes the most recent literature on the association between intraoperative hypotension (IOH) and the occurrence of postoperative acute kidney injury (AKI). It provides recommendations for the management of intraoperative blood pressure to reduce the incidence of postoperative AKI. Fluid management strategies, administration of vasopressor medications, and other methods for reducing the incidence of AKI are also briefly discussed.
Recent findings: Recent retrospective studies have demonstrated a solid association of IOH with postoperative AKI. IOH is associated not only with AKI but also with myocardial infarction, stroke, and death. Strict BP management to avoid a mean blood pressure less than 65mmHg is now recommended to reduce the incidence of postoperative AKI and other adverse outcomes.
Summary: IOH is robustly associated with AKI, and intraoperative mean BP should be maintained above 65 mmHg at all times. The etiology of postoperative AKI is however multifactorial, and factors other than BP therefore also need to be considered to prevent it.
{"title":"The Effect of Intraoperative Hypotension on Postoperative Renal Function.","authors":"Benjamin Kim, Gurleen Sangha, Amrik Singh, Christian Bohringer","doi":"10.1007/s40140-023-00564-2","DOIUrl":"10.1007/s40140-023-00564-2","url":null,"abstract":"<p><strong>Purpose of review: </strong>This review summarizes the most recent literature on the association between intraoperative hypotension (IOH) and the occurrence of postoperative acute kidney injury (AKI). It provides recommendations for the management of intraoperative blood pressure to reduce the incidence of postoperative AKI. Fluid management strategies, administration of vasopressor medications, and other methods for reducing the incidence of AKI are also briefly discussed.</p><p><strong>Recent findings: </strong>Recent retrospective studies have demonstrated a solid association of IOH with postoperative AKI. IOH is associated not only with AKI but also with myocardial infarction, stroke, and death. Strict BP management to avoid a mean blood pressure less than 65mmHg is now recommended to reduce the incidence of postoperative AKI and other adverse outcomes.</p><p><strong>Summary: </strong>IOH is robustly associated with AKI, and intraoperative mean BP should be maintained above 65 mmHg at all times. The etiology of postoperative AKI is however multifactorial, and factors other than BP therefore also need to be considered to prevent it.</p>","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"13 1","pages":"181-186"},"PeriodicalIF":1.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11721893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45567146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-23DOI: 10.1007/s40140-023-00572-2
Hailey Ivanson, Brannon Altenhofen, M. Cannesson, Cecilia Canales
{"title":"The Ethics of Big Data and Artificial Intelligence in Perioperative Medicine: Is Unregulated AI Already at the Bedside?","authors":"Hailey Ivanson, Brannon Altenhofen, M. Cannesson, Cecilia Canales","doi":"10.1007/s40140-023-00572-2","DOIUrl":"https://doi.org/10.1007/s40140-023-00572-2","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"13 1","pages":"196 - 201"},"PeriodicalIF":1.3,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45936378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-05DOI: 10.1007/s40140-023-00571-3
Joseph Walpole, W. Gao
{"title":"The Relationship Between Intraoperative Tissue Oxygenation Monitoring and Postoperative Renal Function After Cardiac Surgery","authors":"Joseph Walpole, W. Gao","doi":"10.1007/s40140-023-00571-3","DOIUrl":"https://doi.org/10.1007/s40140-023-00571-3","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"1 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42304845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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