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Journal Curr Opin Anaesthesiol

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How new biomarkers aid the anesthetist to detect and prevent perioperative acute kidney injury.

Khaschayar Saadat-Gilani, Alexander Zarbock,

<h4>Purpose of review</h4>Acute kidney injury (AKI) is underestimated but common in the perioperative setting. Although the association of this syndrome with an increased morbidity and mortality has been well established, little progress has been made in the diagnosis or prevention of AKI in recent years. This is partly due to ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):364-372]

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Anesthetic technique and cancer surgery outcomes.

Julia Dubowitz, Jonathan Hiller, Bernhard Riedel,

<h4>Purpose of review</h4>Surgery remains integral to treating solid cancers. However, the surgical stress response, characterized by physiologic perturbation of the adrenergic, inflammatory, and immune systems, may promote procancerous pathways. Anesthetic technique per se may attenuate/enhance these pathways and thereby could be implicated in long-term cancer outcomes.<h4>Recent findings</h4>To date, clinical studies ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):317-325]

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Virtual reality for pediatric periprocedural care.

Ellen Wang, James J Thomas, Samuel T Rodriguez, Kristin M Kennedy, Thomas J Caruso,

<h4>Purpose of review</h4>Commercial availability of virtual reality headsets and software has exponentially grown over the last decade as it has become more sophisticated, less expensive, and portable. Although primarily used by the general public for entertainment, virtual reality has been adopted by periprocedural clinicians to improve patient experiences and treatments. ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):284-291]

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Anesthetic management for robotic hysterectomy in obese women.

Mary Yurashevich, Ashraf S Habib,

<h4>Purpose of review</h4>Obesity is a major health epidemic, with the prevalence reaching ∼40% in the United States in recent years. It is associated with increased risk of hypertension, diabetes, heart disease, stroke, obstructive sleep apnea (OSA), and gynecologic conditions requiring surgery. Those comorbidities, in addition to the physiologic changes associated ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):238-245]

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The disruptive physician and impact on the culture of safety.

Crystal Wright,

<h4>Purpose of review</h4>The disruptive physician is a growing problem in medicine. All too often, physician behavior negatively impacts the delivery of quality patient care. The hostile environment that certain behaviors create makes it difficult for team members advocate for their patients. It is imperative that physician practices develop and an ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):387-391]

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Patients with psychiatric disease: implications for anesthesiologists.

David B Guthrie, Deborah C Richman,

<h4>Purpose of review</h4>Psychiatric illness is common in patients presenting for surgery. Overall health and surgical outcomes are adversely affected by the presence of psychiatric comorbidities.<h4>Recent findings</h4>As new treatment modalities become available, their perioperative implications need to be evaluated. These implications include drug-drug interactions, hemodynamic effects, bleeding risk, and factors affecting ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):345-351]

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Editorial: Perioperative medicine: a bridge (not) too far!

Adriana D Oprea,

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):306-308]

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Advances in anesthetic and obstetric management of patients with placenta accreta spectrum.

Jessica Merrill, Pervez Sultan, Nadir Sharawi,

<h4>Purpose of review</h4>The incidence of placenta accreta spectrum is increasing and it is a leading cause of peripartum hysterectomy and massive postpartum hemorrhage. The purpose of the present article is to provide a contemporary overview of placenta accreta spectrum pertinent to the obstetric anesthesiologist.<h4>Recent findings</h4>Recent changes in the terminology used ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):260-268]

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Peripartum considerations for women with cardiac disease.

Hanna Hussey, Patrick Hussey, Marie-Louise Meng,

<h4>Purpose of review</h4>The aim of this review of cardiac disease in pregnancy is to delineate current best practices and highlight emerging themes in the literature.<h4>Recent findings</h4>Cardiovascular disease is the leading cause of death among pregnant women in the United States. Many clinicians and institutions have developed care pathways to approach ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):218-225]

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Maternal sepsis update.

Gillian Abir, Melissa E Bauer,

<h4>Purpose of review</h4>Maternal sepsis is the second leading cause of maternal death in the United States. A significant number of these deaths are preventable and the purpose of this review is to highlight causes such as delays in recognition and early treatment.<h4>Recent findings</h4>Maternal sepsis can be difficult to diagnose due ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):254-259]

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Management of maternal COVID-19: considerations for anesthesiologists.

Kyra Bernstein, Ruth Landau,

<h4>Purpose of review</h4>To describe updates to pragmatic recommendations that were published during the first coronavirus disease 2019 (COVID-19) surge, including the current thinking about whether pregnancy worsens the severity of COVID-19.<h4>Recent findings</h4>Although a majority of pregnant women infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) remain asymptomatic or paucisymptomatic, ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):246-253]

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Perioperative frailty: lessons learned and future directions.

Ibukunoluwa Adeleke, Jeanna Blitz,

<h4>Purpose of review</h4>As the surgical population ages, preoperative diagnosis and optimization of frailty becomes increasingly important. Various concepts are used to define frailty, and several tools have been validated for use in the perioperative period. This article reviews current conceptual frameworks of frailty, references current literature and provides a practical ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):373-380]

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Myocardial injury after noncardiac surgery - an update.

Wojciech Szczeklik, Jakub Fronczek,

<h4>Purpose of review</h4>After successfully reducing mortality in the operating room, the time has come for anesthesiologists to conquer postoperative complications. This review aims to raise awareness about myocardial injury after noncardiac surgery (MINS), its definition, diagnosis, clinical importance, and treatment.<h4>Recent findings</h4>MINS, defined as an elevated postoperative troponin judged to be ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):381-386]

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Perioperative thrombocytopenia.

Frederick W Lombard, Wanda M Popescu, Adriana D Oprea, Miklos D Kertai,

<h4>Purpose of review</h4>In this review, we discuss recent developments and trends in the perioperative management of thrombocytopenia.<h4>Recent findings</h4>Large contemporary data base studies show that preoperative thrombocytopenia is present in about 8% of asymptomatic patients, and is associated with increased risks for bleeding and 30-day mortality. Traditionally specific threshold platelet counts ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):335-344]

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Pediatric obesity and perioperative medicine.

Christian Mpody, Kwaku Owusu-Bediako, Vidya T Raman, Olubukola O Nafiu,

<h4>Purpose of review</h4>Childhood obesity is a public health emergency that has reached a pandemic level and imposed a massive economic burden on healthcare systems. Our objective was to provide an update on (1) challenges of obesity definition and classification in the perioperative setting, (2) challenges of perioperative patient positioning and ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):299-305]

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Editorial: Assembling pediatric anesthesiology experts during a pandemic - a story of gratitude, resilience and cooperation.

Jorge A Gálvez,

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):269-270]

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Peripartum optimization and coordination of collaborative care practice: a critical role for the obstetric anesthesiologist in combating maternal morbidity and mortality.

Anna Gitterman, Joseph Klaus, Kayode Williams, Jamie Murphy,

<h4>Purpose of review</h4>Antenatal anesthesia clinics remain uncommon despite the rising incidence of maternal morbidity and mortality in the United States. The purpose of the present review is to outline the major considerations and challenges surrounding antenatal anesthetic evaluation.<h4>Recent findings</h4>Data from the general surgical population would suggest a mortality benefit associated ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):205-211]

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Immunomodulators in anesthesia.

Fernanda F Cruz, Patricia R M Rocco, Paolo Pelosi,

<h4>Purpose of review</h4>Anesthetics are known to have immunomodulatory effects. These can be detrimental, inducing immunosuppression and facilitating the development of opportunistic infections, especially when used at high doses, for prolonged periods, or in patients with preexisting immune deficiency; or beneficial, modulating the inflammatory response, particularly in critical illness and systemic ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):357-363]

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Endocrine emergencies in anesthesia.

Claudia Fernandez-Robles, Zyad J Carr, Adriana D Oprea,

<h4>Purpose of review</h4>An increasing number of patients with endocrine disorders will present to the operating rooms. In this review, we outline the common endocrine disorders that the anesthesiologist may face in the perioperative time span, review the controversies in optimal management, as well as summarize the recent literature for the ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):326-334]

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Pediatric airway management.

Grace Hsu, Britta S von Ungern-Sternberg, Thomas Engelhardt,

<h4>Purpose of review</h4>Children are at risk of severe hypoxemia in the perioperative period owing to their unique anatomy and physiology. Safe and effective airway management strategies are therefore key to the practice of pediatric anesthesia. The goal of this review is to highlight recent publications (2019-2021) aimed to advance pediatric ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):276-283]

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Perinatal depression.

Grace Lim,

<h4>Purpose of review</h4>Perinatal depression is a common and debilitating complication of pregnancy and childbirth. Recent studies have elucidated relationships between acute birth events on depression risk, and novel treatments for postpartum depression have been discovered and approved. This article reviews current understandings about birth events on depression, new screening standards, ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):233-237]

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Editorial introductions.

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):vii-viii]

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Current concepts in the evaluation and management of preoperative anemia.

Vanessa Neef, Suma Choorapoikayil, Florian Piekarski, Tobias Schlesinger, Patrick Meybohm, Kai Zacharowski,

<h4>Purpose of review</h4>In the past years, patient blood management (PBM) has evolved to improve patient's care and safety. Anemia is one of the most common medical diseases in the world and is an independent risk factor for morbidity and mortality. Iron deficiency is the main cause for anemia and constitutes ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):352-356]

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Perioperative risk assessment - focus on functional capacity.

Ciara Hanley, Duminda N Wijeysundera,

<h4>Purpose of review</h4>This review examines how functional capacity informs preoperative risk stratification, as well as strengths and limitations of options for estimating functional capacity.<h4>Recent findings</h4>Functional capacity (or cardiopulmonary fitness) overlaps with other important characteristics, including muscular strength, balance, and frailty. Poor functional capacity is associated with postoperative morbidity, especially noncardiovascular ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):309-316]

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A decade later, there are still major issues to be addressed in paediatric anaesthesia.

Walid Habre, Nicola Disma,

<h4>Purpose of review</h4>Despite real advances in paediatric anaesthesia management, such as a growing awareness of the relevance of anaesthesia conduct as well as of the lack of evidence for neurotoxicity of anaesthetic agents, it must be said that there are still important questions in our specialty that remain unanswered. Standardization ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):271-275]

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