Juan Pablo Forero, Eric C Sun, Edward R Mariano, Anjali A Dixit
{"title":"Anesthesia Care for Patients Undergoing Total Joint Arthroplasty: A Narrative Review of Disparities in Regional Anesthesia and Recommendations for Future Research Directions.","authors":"Juan Pablo Forero, Eric C Sun, Edward R Mariano, Anjali A Dixit","doi":"10.1007/s40140-024-00676-3","DOIUrl":"10.1007/s40140-024-00676-3","url":null,"abstract":"<p><strong>Purpose of review: </strong>High-quality evidence substantiates the use of regional anesthesia for elective total joint arthroplasty. The use of regional anesthesia in this surgical population, therefore, can also be used to evaluate health care disparities and measure health equity. This narrative review assesses and summarizes available literature on disparities in the use of regional anesthesia for total joint arthroplasty and identifies factors contributing to those disparities.</p><p><strong>Recent findings: </strong>We found that disparities exist in the use of regional anesthesia for total joint arthroplasty and are multifactorial in origin, encompassing patient characteristics such as race and ethnicity and systemic factors such as hospital type and insurance status. However, there is an overall paucity of literature focused specifically on drivers of disparities, and no evidence supporting interventions that may alleviate known disparities.</p><p><strong>Summary: </strong>Disparities in use of regional anesthesia for total joint arthroplasty are multifactorial in origin and encompass differences in care at the levels of race, ethnicity, hospital, and insurance status, among others. Additional work is needed at the epidemiologic level to understand what factors underlie known disparities in anesthesia care and how best to promote health equity for surgical patients undergoing this set of procedures.</p>","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"15 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12083783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095105","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}
Courtney Gomez, Shuhong Guo, Sulayman Jobarteh, Abhijit V Lele, Monica S Vavilala, Marie Angele Theard, Pudkrong Aichholz
{"title":"An Overview of Adult Acute Traumatic Neurologic Injury for the Anesthesiologist: <i>What is Known, What is New, and Emerging Concepts</i>.","authors":"Courtney Gomez, Shuhong Guo, Sulayman Jobarteh, Abhijit V Lele, Monica S Vavilala, Marie Angele Theard, Pudkrong Aichholz","doi":"10.1007/s40140-024-00667-4","DOIUrl":"10.1007/s40140-024-00667-4","url":null,"abstract":"<p><strong>Purpose of review: </strong>We examine what is known, what is new, and what is emerging in acute neurotrauma relevant to the anesthesiologist.</p><p><strong>Recent findings: </strong>Timely and goal-directed care is critical for all patients requiring urgent/emergent anesthesia care. Anesthesia care for acute neurological injury should incorporate understanding the evolution of traumatic brain injury and spinal cord injury that translates to preoperative preparation, hemodynamic resuscitation, prevention of second insults, and safe transport between care settings. Anesthesia care should support optimizing patient outcomes.</p><p><strong>Summary: </strong>Best practices involve extrapolating data from the intensive care unit setting since there is a lack of research addressing anesthesia care for acute neurological injury. There are opportunities to generate data to support evidence-based anesthetic care.</p>","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"15 ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11759497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047532","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}
Daniel S. Cukierman, J. J. Guerra-Londoño, Juan P. Cata
{"title":"Intraoperative Considerations for Rapid Recovery After Ambulatory Surgery: What’s New and What’s Controversial","authors":"Daniel S. Cukierman, J. J. Guerra-Londoño, Juan P. Cata","doi":"10.1007/s40140-023-00602-z","DOIUrl":"https://doi.org/10.1007/s40140-023-00602-z","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"221 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139160992","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}
Paul Piennette, John Ahn, Andrew S. Braun, Christopher Paul
{"title":"Current Review of the Use of Intrathecal Morphine for Postoperative Analgesia in Total Joint Arthroplasty","authors":"Paul Piennette, John Ahn, Andrew S. Braun, Christopher Paul","doi":"10.1007/s40140-023-00598-6","DOIUrl":"https://doi.org/10.1007/s40140-023-00598-6","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"549 ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139170430","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}
{"title":"Long-Term Cognitive Outcomes After Surgery and Anesthesia: What We Find Depends on Where We Look","authors":"Hyundeok Joo, Laura Y. Li, Elizabeth L. Whitlock","doi":"10.1007/s40140-023-00590-0","DOIUrl":"https://doi.org/10.1007/s40140-023-00590-0","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"57 20","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138957014","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}
Kathryn Harter Bridges, Phillip Ryan Wilson, Catherine Dawson Tobin
{"title":"Nonoperating Room Anesthesia: What Is New? What Is Controversial?","authors":"Kathryn Harter Bridges, Phillip Ryan Wilson, Catherine Dawson Tobin","doi":"10.1007/s40140-023-00596-8","DOIUrl":"https://doi.org/10.1007/s40140-023-00596-8","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"91 16","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138957813","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}
William J. Binder, Joshua D. Stearns, Andrew W. Gorlin
{"title":"Parenteral Meperidine: a Review of the Pharmacology and Clinical Applications","authors":"William J. Binder, Joshua D. Stearns, Andrew W. Gorlin","doi":"10.1007/s40140-023-00597-7","DOIUrl":"https://doi.org/10.1007/s40140-023-00597-7","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"52 9","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138967113","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}
{"title":"Do Outcomes Differ Between Thoracic Epidurals and Continuous Fascial Plane Blocks in Adults Undergoing Major Abdominal Surgery?","authors":"Anthony Carver, Franklin Wou, Amit Pawa","doi":"10.1007/s40140-023-00594-w","DOIUrl":"https://doi.org/10.1007/s40140-023-00594-w","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"133 23","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139004275","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}