Benjamin Kim, Gurleen Sangha, Amrik Singh, Christian Bohringer
{"title":"The Effect of Intraoperative Hypotension on Postoperative Renal Function.","authors":"Benjamin Kim, Gurleen Sangha, Amrik Singh, Christian Bohringer","doi":"10.1007/s40140-023-00564-2","DOIUrl":"10.1007/s40140-023-00564-2","url":null,"abstract":"<p><strong>Purpose of review: </strong>This review summarizes the most recent literature on the association between intraoperative hypotension (IOH) and the occurrence of postoperative acute kidney injury (AKI). It provides recommendations for the management of intraoperative blood pressure to reduce the incidence of postoperative AKI. Fluid management strategies, administration of vasopressor medications, and other methods for reducing the incidence of AKI are also briefly discussed.</p><p><strong>Recent findings: </strong>Recent retrospective studies have demonstrated a solid association of IOH with postoperative AKI. IOH is associated not only with AKI but also with myocardial infarction, stroke, and death. Strict BP management to avoid a mean blood pressure less than 65mmHg is now recommended to reduce the incidence of postoperative AKI and other adverse outcomes.</p><p><strong>Summary: </strong>IOH is robustly associated with AKI, and intraoperative mean BP should be maintained above 65 mmHg at all times. The etiology of postoperative AKI is however multifactorial, and factors other than BP therefore also need to be considered to prevent it.</p>","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"13 1","pages":"181-186"},"PeriodicalIF":1.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11721893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45567146","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}
Hailey Ivanson, Brannon Altenhofen, M. Cannesson, Cecilia Canales
{"title":"The Ethics of Big Data and Artificial Intelligence in Perioperative Medicine: Is Unregulated AI Already at the Bedside?","authors":"Hailey Ivanson, Brannon Altenhofen, M. Cannesson, Cecilia Canales","doi":"10.1007/s40140-023-00572-2","DOIUrl":"https://doi.org/10.1007/s40140-023-00572-2","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"13 1","pages":"196 - 201"},"PeriodicalIF":1.3,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45936378","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":"The Relationship Between Intraoperative Tissue Oxygenation Monitoring and Postoperative Renal Function After Cardiac Surgery","authors":"Joseph Walpole, W. Gao","doi":"10.1007/s40140-023-00571-3","DOIUrl":"https://doi.org/10.1007/s40140-023-00571-3","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"1 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42304845","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":"Computer-Assisted IV Anesthesia: Still a Future?","authors":"M. Le guen, Ngai Liu, J. Selim","doi":"10.1007/s40140-023-00568-y","DOIUrl":"https://doi.org/10.1007/s40140-023-00568-y","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"13 1","pages":"187 - 195"},"PeriodicalIF":1.3,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47774447","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":"Coming Soon to an OR Near You: a Child with a Ventricular Assist Device","authors":"Z. Kleiman, M. Navaratnam","doi":"10.1007/s40140-023-00565-1","DOIUrl":"https://doi.org/10.1007/s40140-023-00565-1","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"13 1","pages":"172 - 180"},"PeriodicalIF":1.3,"publicationDate":"2023-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49359542","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}
A. Karnwal, Jennifer Yoo, K. Sanders, P. Ross, C. Hochstim, V. Bhardwaj, M. Bansal
{"title":"Anesthesia for Triple Endoscopy in Aerodigestive Patients","authors":"A. Karnwal, Jennifer Yoo, K. Sanders, P. Ross, C. Hochstim, V. Bhardwaj, M. Bansal","doi":"10.1007/s40140-023-00569-x","DOIUrl":"https://doi.org/10.1007/s40140-023-00569-x","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"13 1","pages":"159 - 164"},"PeriodicalIF":1.3,"publicationDate":"2023-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49306043","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":"Remimazolam in Pediatric Anesthesia and Sedation","authors":"R. J. Ramamurthi, G. Hammer","doi":"10.1007/s40140-023-00570-4","DOIUrl":"https://doi.org/10.1007/s40140-023-00570-4","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"13 1","pages":"165 - 171"},"PeriodicalIF":1.3,"publicationDate":"2023-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48317480","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":"Antifibrinolytics as a Patient Blood Management Modality in Craniosynostosis Surgery: Current Concepts and a View to the Future","authors":"A. Varidel, J. Meara, M. Proctor, S. Goobie","doi":"10.1007/s40140-023-00567-z","DOIUrl":"https://doi.org/10.1007/s40140-023-00567-z","url":null,"abstract":"","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"13 1","pages":"148 - 158"},"PeriodicalIF":1.3,"publicationDate":"2023-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42036803","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":"On the Horizon: Specific Applications of Automation and Artificial Intelligence in Anesthesiology.","authors":"Sherwin C Davoud, Vesela P Kovacheva","doi":"10.1007/s40140-023-00558-0","DOIUrl":"10.1007/s40140-023-00558-0","url":null,"abstract":"<p><strong>Purpose of review: </strong>The purpose of this review is to summarize the current research and critically examine artificial intelligence (AI) technologies and their applicability to the daily practice of anesthesiologists.</p><p><strong>Recent findings: </strong>Novel AI tools are developed using data from electronic health records, imaging, waveforms, clinical notes, and wearables. These tools can accurately predict the perioperative risk for adverse outcomes, the need for blood transfusion, and the risk of difficult intubation. Intraoperatively, AI models can assist with technical skill augmentation, patient monitoring, and management. Postoperatively, AI technology can aid in preventing complications and discharge planning. While further prospective validation is needed, these early applications demonstrate promise in every area of perioperative care.</p><p><strong>Summary: </strong>The practice of anesthesiology is at a precipice fueled by technological innovation. The clinical AI implementation would enable personalized and safer patient care by offering actionable insights from the wealth of perioperative data.</p>","PeriodicalId":36608,"journal":{"name":"Current Anesthesiology Reports","volume":"13 1","pages":"31-40"},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10722862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49398317","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}