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Anesthesiology March 2012 highlights: Editor-in-Chief

02/22/2012
Author: James Eisenach
James Eisenach

The March 2012 issue of Anesthesiology has posted. As Editor-in-Chief for the Journal, I am pleased to discuss some of the issue’s highlights for Page2Anesthesiology:

Association between Anesthesiologist Age and Litigation and the editorial, More than Just Taking the Keys Away…

Practice Advisory for Preanesthesia Evaluation: An Updated Report by the American Society of Anesthesiologists Task Force on Preanesthesia Evaluation

Practice Guidelines for Central Venous Access: A Report by the American Society of Anesthesiologists Task Force on Central Venous Access

Case Scenario: Postoperative Liver Failure after Liver Resection in a Cirrhotic Patient

Influence of Supervision Ratios by Anesthesiologists on First-case Starts and Critical Portions of Anesthetics

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Cardiac toxicity, bupivacaine and fat emulsions: Is extraction better after long-chain (Intralipid®) or mixed medium- and long-chain (Lipofundin®) triglycerides?

02/21/2012
Author: J. Lance Lichtor
J. Lance Lichtor

In an in vitro model, Lipofundin extracts local anesthetics better than Intralipid. (Image source: Thinkstock)

A little more than 15 years ago, a report in this journal showed that in rats, Intralipid® increased the dose required to produce asystole. Eight years later, this journal published one of two examples of successful resuscitation utilizing Intralipid® in patients. Is extraction better using long-chain (Intralipid®) or mixed medium- and long-chain (Lipofundin®) triglyceride emulsion? In the article entitled “A Mixed (Long- and Medium-chain) Triglyceride Lipid Emulsion Extracts Local Anesthetic from Human Serum In Vitro More Effectively than a Long-chain Emulsion” published in the February issue of Anesthesiology, Dr. Deborah French, Assistant Professor, Department of Laboratory Medicine, University of California-San Francisco, and coauthors attempted to answer that very question. Read more…

In search of anesthesia’s treasures: pampering breakables

02/20/2012
Author: George S Bause
George S Bause

In 25 years of curating for the Wood Library-Museum of Anesthesiology, I have traveled through six continents in search of anesthesia’s treasures. Many of my blog posts will focus on the “back stories” behind my “Anesthesiology Reflections,” which pop up four times a month in Anesthesiology.

For February of 2012, one “Anesthesiology Reflection” features “Analgine by H. K. Mulford of Philadelphia.” Such a delicate glass cylinder (for housing tablets) poses a challenge for any courier seeking to protect and hand-carry it through airport security and across borders. My favorite strategy to accomplish this is one that I stumbled onto over 20 years ago as a last-minute courier for chloroform drop bottles. Read more…

Springtime in Versailles: Versailles International Neurocritical Care Meeting

02/17/2012
Author: J. Lance Lichtor
J. Lance Lichtor

The second Versailles International Neurointensive Care Symposium is on June 21 and 22, 2012.

The second Versailles International Neurointensive Care Symposium will take place on June 21 and 22, 2012, in Versailles, France, and will bring together world-renowned experts in basic and translational neuroscience to discuss research related to the theme of “Brain Injury, Brain Repair.” The main objective is to highlight important scientific developments on biological mechanisms, diagnostic approaches, and therapeutic or rehabilitation trials in acute brain injury. This conference is jointly organized by the Société Française d’Anesthésie-Réanimation (SFAR) and the Société de Réanimation de Langue Française (SRLF) with the support of the Université de Versailles Saint-Quentin-en-Yvelines (UVSQ) and the Johns Hopkins University (Baltimore, USA), as well as several other prestigious institutions and societies. All relevant information regarding the conference is available at http://www.vincs.fr.

Page2Anesthesiology will be there.  We hope to see you there as well!

Length of surgeon experience and postoperative complications after thyroid surgery

02/16/2012
Author: J. Lance Lichtor
J. Lance Lichtor

The incidence of permanent complications after thyroid surgery was not simply positively related to surgeons’ length of practice. (Image source: Thinkstock)

Operating room anesthesiologists observe the quality of a surgeon’s performance. Which factors determine what we consider quality? Certainly the more times a surgeon has performed an operation, the more the surgeon’s expertise should theoretically improve. Few studies have examined how a surgeon’s performance is related to objective outcome measures, however. In the article “Influence of experience on performance of individual surgeons in thyroid surgery: prospective cross sectional multicentre study,” which was published online in January 2012 and appeared in the February 2012 print issue of BMJ, Dr. Antoine Duclos (Assistant Professor of Public Health, Hospices Civils de Lyon, Pôle Information Médicale Evaluation Recherche, Lyon, Université de Lyon, Equipe d’Accueil Mixte and Center for Surgery and Public Health, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA) and coauthors determined the relationship between surgeon experience and performance as measured by postoperative complications. Read more…