Pub Date : 2023-01-05DOI: 10.1007/s40140-022-00544-y
A. Bakhsh, Sabbur K. Anwar, S. Manivannan, Conor Gillepsie, Mark Wilson, Mansoor Khan
{"title":"Haemoglobin Threshold for Red Blood Cell Transfusion in Traumatic Brain Injury: a Systematic Review and Meta-Analysis","authors":"A. Bakhsh, Sabbur K. Anwar, S. Manivannan, Conor Gillepsie, Mark Wilson, Mansoor Khan","doi":"10.1007/s40140-022-00544-y","DOIUrl":"https://doi.org/10.1007/s40140-022-00544-y","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43328525","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 : 2023-01-01DOI: 10.1007/s40140-023-00560-6
Brittany L Willer, Christian Mpody, Olubukola O Nafiu
Purpose of review: Minority health disparities have received renewed attention in the USA following several highly publicized racial injustices in 2020. Though the focus has been largely on adults, children are not immune to these inequities. By reviewing racial disparities in pediatric perioperative care, we aim to engage the anesthesia community in the fight against systemic racism.
Recent findings: Minority children have higher rates of anesthetic and surgical morbidity compared to White children, including respiratory events, length of stay, hospital costs, and even death. These inequities occur across surgical specialties and environments.
Summary: Racial disparities in the perioperative health and management of children are ubiquitous. Herein, we will summarize recent pediatric health disparity literature, discuss some important contributors to persistent inequities, and propose avenues for anesthesiologists to impact the pursuit of equitable healthcare outcomes.
{"title":"Racial Inequity in Pediatric Anesthesia.","authors":"Brittany L Willer, Christian Mpody, Olubukola O Nafiu","doi":"10.1007/s40140-023-00560-6","DOIUrl":"https://doi.org/10.1007/s40140-023-00560-6","url":null,"abstract":"<p><strong>Purpose of review: </strong>Minority health disparities have received renewed attention in the USA following several highly publicized racial injustices in 2020. Though the focus has been largely on adults, children are not immune to these inequities. By reviewing racial disparities in pediatric perioperative care, we aim to engage the anesthesia community in the fight against systemic racism.</p><p><strong>Recent findings: </strong>Minority children have higher rates of anesthetic and surgical morbidity compared to White children, including respiratory events, length of stay, hospital costs, and even death. These inequities occur across surgical specialties and environments.</p><p><strong>Summary: </strong>Racial disparities in the perioperative health and management of children are ubiquitous. Herein, we will summarize recent pediatric health disparity literature, discuss some important contributors to persistent inequities, and propose avenues for anesthesiologists to impact the pursuit of equitable healthcare outcomes.</p>","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10150147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10662691","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 : 2023-01-01DOI: 10.1007/s40140-023-00557-1
Emilia Guasch, Nicolas Brogly, Fernando Gilsanz
Purpose of review: Our goal in this review is to describe the current context and peculiarities of obstetric anaesthesia in low- and middle-income countries (LMIC) and the ongoing actions and perspectives in terms of teaching and learning, focusing on improving maternal outcomes.
Recent findings: Correct identification of barriers and lack of infrastructures and anaesthesia providers are still major problems despite efforts of different stakeholders. International consensus and commitment for 2030 goals are trying to be achieved.
Summary: Structured training courses look a good option as short- and long-term evaluations show a positive impact. Future efforts will have to be also focused on indicators that may help to decrease the high mortality and morbidity ratios in LMIC.
{"title":"Teaching and Learning Obstetric Anaesthesia in Low- and Middle-Income Countries: Current Situation and Perspectives.","authors":"Emilia Guasch, Nicolas Brogly, Fernando Gilsanz","doi":"10.1007/s40140-023-00557-1","DOIUrl":"https://doi.org/10.1007/s40140-023-00557-1","url":null,"abstract":"<p><strong>Purpose of review: </strong>Our goal in this review is to describe the current context and peculiarities of obstetric anaesthesia in low- and middle-income countries (LMIC) and the ongoing actions and perspectives in terms of teaching and learning, focusing on improving maternal outcomes.</p><p><strong>Recent findings: </strong>Correct identification of barriers and lack of infrastructures and anaesthesia providers are still major problems despite efforts of different stakeholders. International consensus and commitment for 2030 goals are trying to be achieved.</p><p><strong>Summary: </strong>Structured training courses look a good option as short- and long-term evaluations show a positive impact. Future efforts will have to be also focused on indicators that may help to decrease the high mortality and morbidity ratios in LMIC.</p>","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10113969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10662685","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 : 2023-01-01DOI: 10.1007/s40140-023-00552-6
Reema I Sanghvi, Tosha Songolo
Purpose of review: There is a great deal of interest in global health at all levels of educational attainment. Many residency programs wish to offer a global health opportunity (GHO) but lack the resources to create one de novo. This review will look at the prevalence of global health education in residency and consider the fellowships available. It will summarize the existing recommendations about a curriculum in global health and how best to prepare trainees for a GHO.
Recent findings: While approximately 45% of residency programs make GHOs available to their residents, there is a lack of standardization of curriculum. Logistical and ethical challenges, funding, and the lack of international partners are all barriers to offering a GHO. Residents and fellows can benefit from a GHO as it helps achieve their ACGME core competencies, among other benefits.
Summary: We make the recommendation for more robust training and education with the investment of fewer resources by aligning with existing global health participation opportunities. We also recommend the use of the Consortium of Universities for Global Health (CUGH) which provided curriculum for creating a context in global health for trainees regardless of discipline.
{"title":"What Is the Current Status of Global Health Training for US Postgraduate Trainees in Anesthesiology? What Are Possible Visions for the Future?","authors":"Reema I Sanghvi, Tosha Songolo","doi":"10.1007/s40140-023-00552-6","DOIUrl":"https://doi.org/10.1007/s40140-023-00552-6","url":null,"abstract":"<p><strong>Purpose of review: </strong>There is a great deal of interest in global health at all levels of educational attainment. Many residency programs wish to offer a global health opportunity (GHO) but lack the resources to create one de novo. This review will look at the prevalence of global health education in residency and consider the fellowships available. It will summarize the existing recommendations about a curriculum in global health and how best to prepare trainees for a GHO.</p><p><strong>Recent findings: </strong>While approximately 45% of residency programs make GHOs available to their residents, there is a lack of standardization of curriculum. Logistical and ethical challenges, funding, and the lack of international partners are all barriers to offering a GHO. Residents and fellows can benefit from a GHO as it helps achieve their ACGME core competencies, among other benefits.</p><p><strong>Summary: </strong>We make the recommendation for more robust training and education with the investment of fewer resources by aligning with existing global health participation opportunities. We also recommend the use of the Consortium of Universities for Global Health (CUGH) which provided curriculum for creating a context in global health for trainees regardless of discipline.</p>","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10036958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10349816","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 : 2022-12-01DOI: 10.1007/s40140-022-00547-9
R. Ortega, Ananya Vasudevan, Allan G. Sosa-Ebert, Luis F. Rendon, Joseph A. Cannella
{"title":"Understanding Racism in Anesthesia Care","authors":"R. Ortega, Ananya Vasudevan, Allan G. Sosa-Ebert, Luis F. Rendon, Joseph A. Cannella","doi":"10.1007/s40140-022-00547-9","DOIUrl":"https://doi.org/10.1007/s40140-022-00547-9","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42794617","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 : 2022-11-10DOI: 10.1007/s40140-022-00546-w
A. Mitrophanov, K. Vandyck, Kenichi A. Tanaka
{"title":"Correction to: Thrombin Generation in Trauma Patients: How Do We Navigate Through Scylla and Charybdis?","authors":"A. Mitrophanov, K. Vandyck, Kenichi A. Tanaka","doi":"10.1007/s40140-022-00546-w","DOIUrl":"https://doi.org/10.1007/s40140-022-00546-w","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46320021","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 : 2022-10-15DOI: 10.1007/s40140-022-00542-0
B. Gruenbaum, Alejandro J. Hallo Carrasco, S. Gruenbaum
{"title":"Intraoperative Monitoring During Neurosurgical Procedures and Patient Outcomes","authors":"B. Gruenbaum, Alejandro J. Hallo Carrasco, S. Gruenbaum","doi":"10.1007/s40140-022-00542-0","DOIUrl":"https://doi.org/10.1007/s40140-022-00542-0","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47758587","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 : 2022-10-13DOI: 10.1007/s40140-022-00541-1
Christine Moshe, Christopher R. Roscher, S. Porter
{"title":"Hold the Phone! Perioperative Personal Electronic Devices","authors":"Christine Moshe, Christopher R. Roscher, S. Porter","doi":"10.1007/s40140-022-00541-1","DOIUrl":"https://doi.org/10.1007/s40140-022-00541-1","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44792031","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 : 2022-10-13DOI: 10.1007/s40140-022-00538-w
E. Strauss, Monica Taneja, R. Booth, Susan Sankova, Megan G Anders
{"title":"Antifibrinolytics in Cardiac Surgery: What Is the Best Practice in 2022?","authors":"E. Strauss, Monica Taneja, R. Booth, Susan Sankova, Megan G Anders","doi":"10.1007/s40140-022-00538-w","DOIUrl":"https://doi.org/10.1007/s40140-022-00538-w","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43453023","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 : 2022-10-06DOI: 10.1007/s40140-022-00540-2
Dorottya Szántó, J. Gál, B. Tankó, P. Síró, Z. Jakab, Péter Luterán, B. Fülesdi, C. Molnár
{"title":"Pediatric Neuroanesthesia — a Review of the Recent Literature","authors":"Dorottya Szántó, J. Gál, B. Tankó, P. Síró, Z. Jakab, Péter Luterán, B. Fülesdi, C. Molnár","doi":"10.1007/s40140-022-00540-2","DOIUrl":"https://doi.org/10.1007/s40140-022-00540-2","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42097277","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}