Article
Anesthesiology
Lynne Ferrari, Izabela Leahy, Steven J. Staffa, Jay G. Berry
Summary: The pediatric-adapted ASA-PS classification showed moderate interrater reliability among pediatric anesthesiologists. However, lower reliability in scoring for ASA-PS II and III cases suggests the need for further refinement in defining ASA-PS for pediatric populations.
ANESTHESIA AND ANALGESIA
(2021)
Review
Anesthesiology
Balazs Horvath, Benjamin Kloesel, Michael M. Todd, Daniel J. Cole, Richard C. Prielipp
Summary: The ASA Physical Status classification system, celebrating its 80th anniversary in 2021, is a simple yet powerful tool widely used for risk prediction and various other purposes, despite controversies surrounding its reliability and limitations as a risk predictor.
Article
Multidisciplinary Sciences
Charlene Xian Wen Kwa, Jiaqian Cui, Daniel Yan Zheng Lim, Yilin Eileen Sim, Yuhe Ke, Hairil Rizal Abdullah
Summary: This study assessed the concordance of ASA classification between surgeons and anesthesiologists, and investigated the factors and impact of discordant classification on patient outcomes. The study found moderate concordance between the two groups and significant associations between discordant classification and patient comorbidities, age, and race. Patients with discordant classification had higher risks of mortality and Intensive Care Unit admission.
SCIENTIFIC REPORTS
(2022)
Article
Anesthesiology
Debnath Chatterjee, Katherine W. Arendt, Julie S. Moldenhauer, Olutoyin A. Olutoye, Jagroop Mavi Parikh, Kha M. Tran, Michael Zaretsky, Jie Zhou, Mark D. Rollins
Summary: Maternal-fetal surgery is a rapidly evolving specialty, with various interventions being performed worldwide. The American Society of Anesthesiologists has recognized the important role of anesthesiologists in these interventions and formed a collaborative workgroup. The consensus statement provides comprehensive guidelines for preoperative evaluation, intraoperative management, and postoperative care for different types of maternal-fetal interventions.
ANESTHESIA AND ANALGESIA
(2021)
Article
Anesthesiology
Stephan R. Thilen, Wade A. Weigel, Michael M. Todd, Richard P. Dutton, Cynthia A. Lien, Stuart A. Grant, Joseph W. Szokol, Lars I. Eriksson, Myron Yaster, Mark D. Grant, Madhulika Agarkar, Anne M. Marbella, Jaime F. Blanck, Karen B. Domino
Summary: These practice guidelines provide evidence-based recommendations on managing neuromuscular monitoring and antagonizing neuromuscular blocking agents during and after general anesthesia. The focus is on monitoring type and site, as well as the process of antagonizing neuromuscular blockade to minimize residual neuromuscular blockade.
Article
Pharmacology & Pharmacy
Xuyang Nie, Xiaonan Gao, Jinglin Gao, Tianfang Heng, Yuqi Zhang, Yaqi Sun, Zhangying Feng, Li Jia, Mingxia Wang
Summary: The aim of this study was to establish a population pharmacokinetics (PopPK) model of nalbuphine and evaluate the suitability of bodyweight or fixed dosage regimen. The pharmacokinetics of nalbuphine was adequately described by a two-compartment model, with the hourly net fluid volume infused (HNF) identified as a significant covariate. However, the effect of HNF on dosage adjustment was limited. The fixed dosage regimen showed lower PK variability compared to the body weight dosage regimen.
FRONTIERS IN PHARMACOLOGY
(2023)
Article
Medicine, General & Internal
Michael W. Lew, Alex Pozhitkov, Lorenzo Rossi, John Raytis, Trilokesh Kidambi
Summary: This study aimed to develop an automated system for reproducible scoring of anesthetic patients. A machine learning model was trained and compared with manual scoring by anesthesiologists. The results showed a certain level of consistency between the machine learning model's scoring and the anesthesiologists' scoring.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2023)
Article
Health Care Sciences & Services
Oluwaseun John Adeyemi, Ariana Meltzer-Bruhn, Garrett Esper, Charles DiMaggio, Corita Grudzen, Joshua Chodosh, Sanjit Konda
Summary: The ASA-PS grade, which is only reported for patients scheduled for surgery, provides a better risk assessment for geriatric trauma patients. However, the CCI is available for all patients. This study establishes a correlation between the CCI and ASA-PS to predict the ASA-PS grade for geriatric trauma patients, providing a more predictive trauma model.
Article
Surgery
Philippe Tresson, Samuel Quiquandon, Emeraude Rivoire, Andre Boibieux, Philippe Vanhems, Marine Bordet, Anne Long
Summary: The study aimed to assess whether high-risk ASA-Physical Status was an independent risk factor for surgical site infection after infra-inguinal lower extremity bypass. The results showed that ASA-Physical Status ≥3, emergency surgery, general anesthesia, and procedure performed by a junior surgeon were independently associated with surgical site infection. Surgical site infection was significantly associated with major limb events, length of hospital stay, and all-cause mortality.
Article
Anesthesiology
Tarig Osman, Eileen Lew, Ban L. Sng, Rajive Dabas, Konstadina Griva, Josip Car
Summary: This study aimed to establish consensus for ASA classification in a women's hospital and develop a rule-based algorithm for automated ASA classification. Participants rated their agreement on ASA scores using the Delphi technique. The results showed that consensus was reached for 37 items, facilitating their incorporation into a rule-based clinical support system for automated prediction of ASA classification.
KOREAN JOURNAL OF ANESTHESIOLOGY
(2022)
Article
Anesthesiology
Jeffrey L. Apfelbaum, Carin A. Hagberg, Richard T. Connis, Basem B. Abdelmalak, Madhulika Agarkar, Richard P. Dutton, John E. Fiadjoe, Robert Greif, P. Allan Klock, David Mercier, Sheila N. Myatra, Ellen P. O'Sullivan, William H. Rosenblatt, Massimiliano Sorbello, Avery Tung
Summary: This article presents an updated report of the Practice Guidelines for Management of the Difficult Airway, jointly published by multiple anesthesia societies.
Article
Anesthesiology
Brian P. O'Gara, Najla Y. Beydoun, Ariel Mueller, Abirami Kumaresan, Shahzad Shaefi
Summary: A recent survey found that the majority of cardiac anesthesiologists prefer using volatile anesthetics for anesthesia maintenance, and they believe that anesthetic selection affects patient outcomes and that volatile anesthetics have organ-protective properties.
ANESTHESIA AND ANALGESIA
(2023)
Article
Anesthesiology
Paloma Toledo, Cynthia A. Wong
Summary: This article reviews the contributions of Anesthesia & Analgesia and the International Anesthesia Research Society in promoting fundamental paradigm shifts in our understanding of obstetric anesthesiology.
ANESTHESIA AND ANALGESIA
(2022)
Article
Anesthesiology
Paloma Toledo, Cynthia A. A. Wong
Summary: Significant advancements have been made in the field of obstetric anesthesiology over the past century. This article reviews the contributions of Anesthesia & Analgesia journal and the International Anesthesia Research Society in shaping our understanding and practice of obstetric anesthesiology.
ANESTHESIA AND ANALGESIA
(2022)
Article
Health Care Sciences & Services
Dan M. Drzymalski, Sonika Seth, Jeffrey R. Johnson, Agnieszka Trzcinka
Summary: This study aimed to assess the impact of audit and feedback combined with a rule-based artificial intelligence algorithm on the accuracy of ASA PS classification. The interventions led to immediate and sustained improvements in accurately incorporating BMI into ASA PS classification, which is crucial for quality metrics, research design, and resource allocation.
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
(2021)
