Same-Day Total Hip and Knee Arthroplasty: The Anesthesiologist's Expanding Role in Ambulatory ERAS Review Abstract Background Same-day discharge following elective primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) has become a well-established component of modern orthopedic care. Successful implementation relies on appropriate patient selection, rapid-recovery pathways, multidisciplinary
Anesthesia
Quantitative Neuromuscular Monitoring: Why Are We Still Guessing at Recovery?
Quantitative Neuromuscular Monitoring Why Are We Still Guessing at Recovery Review Abstract Purpose: This review critically evaluates the scientific rationale, current evidence, professional guideline recommendations, and practical implementation of quantitative neuromuscular monitoring during recovery from neuromuscular blockade, with particular emphasis on patients receiving nondepolarizing neuromuscular blocking
Perioperative Anaphylaxis: Preparing for the Next Rocuronium, Chlorhexidine, or Antibiotic Reaction
Perioperative Anaphylaxis: Preparing for Rocuronium, Chlorhexidine, and Antibiotic Reactions Review Abstract Purpose: This review examines perioperative anaphylaxis, with emphasis on practical preparedness for reactions involving neuromuscular blocking agents, chlorhexidine, and perioperative antibiotics. Methodology: This narrative review integrates current perioperative anaphylaxis guidance, drug-allergy practice parameters, official
Frailty-Adjusted Anesthesia: Should Physiologic Age Replace Chronologic Age?
Frailty-Adjusted Anesthesia: Should Physiologic Age Replace Chronologic Age? Review Abstract Chronologic age has traditionally served as a cornerstone of perioperative risk assessment and clinical decision making. While advancing age is associated with an increased likelihood of postoperative complications, it is increasingly recognized that age alone provides an
GLP-1 Receptor Agonists and Aspiration Risk: From Universal Holding to Risk-Based Perioperative Management
GLP-1 Receptor Agonists and Aspiration Risk: From Universal Holding to Risk-Based Perioperative Management Review Abstract Purpose The rapid adoption of glucagon-like peptide-1 receptor agonists (GLP-1 RAs) and dual glucose-dependent insulinotropic polypeptide/glucagon-like peptide-1 (GIP/GLP-1) receptor agonists has transformed the management of type 2 diabetes mellitus and obesity. As the use
Energy Devices Under the Microscope: Are We Underestimating Thermal Injury?
Energy Devices Under the Microscope: Are We Underestimating Thermal Injury? Review Abstract Purpose: To examine current understanding of thermal injury mechanisms in energy-based medical devices and assess whether healthcare providers adequately recognize risk factors, injury patterns, and prevention strategies. Methodology: Analysis of current literature, clinical case studies,
The Role of Anesthesiologists in Perioperative Medicine: Should We Lead or Follow?
The Role of Anesthesiologists in Perioperative Medicine: Should We Lead or Follow? Review Abstract Anesthesiologists have evolved from providers of intraoperative anesthesia to physicians involved in the complete perioperative care continuum. This paper examines the current role of anesthesiologists in perioperative medicine and addresses whether
Artificial Intelligence in Airway Management: Can Algorithms Predict a Difficult Intubation?
Artificial Intelligence in Airway Management: Can Algorithms Predict a Difficult Intubation? Review Abstract Accurate prediction of difficult intubation remains a critical and unresolved challenge in anesthesiology and emergency medicine. Failure to anticipate a difficult airway can result in serious complications, including hypoxia, aspiration, airway trauma, and in
Anesthesia for Non-Operating Room Procedures (NORA): The New Frontier in Risk
Anesthesia for Non-Operating Room Procedures (NORA) The New Frontier in Risk Review Abstract Non operating room anesthesia has become one of the most rapidly expanding domains within anesthesiology, with procedural volumes increasing by more than 15 percent annually. This growth reflects broader trends in healthcare delivery, including
The Second Victim Phenomenon: Why Most Anesthesiologists Experience Trauma After Medical Errors
The Second Victim Phenomenon: Why Most Anesthesiologists Experience Trauma After Medical Errors Key Takeaways Understanding the second victim phenomenon is crucial for protecting healthcare professionals’ mental health and maintaining quality patient care. Here are the essential insights every anesthesiologist and healthcare leader should know:
