INTERNATIONAL ANESTHESIOLOGY CLINICS最新文献

{"title":"Tailoring the perioperative surgical home for children in refugee families.","authors":"Aruna Kamath, Katherine Gentry, Elizabeth Dawson-Hahn, Faith Ross, Jennifer Chiem, Fiona Patrao, Sarah Greenberg, Anisa Ibrahim, Nathalia Jimenez","doi":"10.1097/AIA.0000000000000387","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000387","url":null,"abstract":"According to recent United Nations High Commissioner for Refugees (UNHCR) estimates, ~90 million people are forcibly displaced due to conflict, persecution, violence, human rights violations, public disorder, natural disasters, or famine. Of those forcibly displaced, 27.1 million are refugees. By the 1951 Refugee Convention, a refugee is defined as a person, who, “owing to a well-founded fear of persecution for reasons of race, religion, nationality, membership of a particular social group or political opinion, is outside the country of his nationality and is unable or, owing to such fear, is unwilling to avail himself of the protection of that country.” More than half of all refugees are children. Refugees worldwide have steadily increased, almost tripling over the past decade. Most refugees today, roughly 80%, are hosted by lowand middle-income countries, while the United States receives the largest applications of refugees worldwide. Regardless of a host country’s health system capacity, refugees universally face barriers to access and delivery of quality health services. Children are considered among the most vulnerable throughout the migration process, with regard to health risks, physical and mental well-being, and adverse outcomes. Surgical conditions comprise a large and rising portion of the global burden of disease, but the majority of people around the world, including refugee children, cannot receive safe surgical and anesthesia care when needed. For forcibly displaced persons, there is an estimated surgical need of 3 million procedures annually. At least 60% of refugees live in urban settings, with resettlement in host communities. The area of focus for this work is based on an urban tertiary care center and partnering primary care clinic in the United States. First, we present the conceptual frameworks with regard to refugee policies and perioperative care. Next, we examine the health considerations of refugee children and a case scenario to illustrate this. Finally, we propose an integrated, patient-centered care model to equitably address the perioperative health care of refugee children. Frameworks","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"61 1","pages":"1-7"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10075736","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":"Childhood caries and dental surgery under general anesthesia: an overview of a global disease and its impact on anesthesiology.","authors":"Shiragi Patel, Andrés J Fantauzzi, Raj Patel, Joanna Buscemi, Helen H Lee","doi":"10.1097/AIA.0000000000000385","DOIUrl":"10.1097/AIA.0000000000000385","url":null,"abstract":"","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"61 1","pages":"21-25"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9752176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10071794","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}

{"title":"Racial inequities in opioid use disorder management: can the anesthesiologist improve outcomes?","authors":"Emmanuel Alalade, Brittany L Willer","doi":"10.1097/AIA.0000000000000383","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000383","url":null,"abstract":"","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"61 1","pages":"16-20"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10077386","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":"Implementing pathways to anesthesiology: Promoting diversity, equity, inclusion, and success.","authors":"Katie J O'Conor, Lisa Young, Oluwakemi Tomobi, Sherita Hill Golden, Christelle D K Samen, Michael C Banks","doi":"10.1097/AIA.0000000000000386","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000386","url":null,"abstract":",","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"61 1","pages":"34-41"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10077388","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":"Programmatic approaches to achieving equity for women in anesthesiology.","authors":"Yelena Spitzer, Annery G Garcia-Marcinkiewicz, Elizabeth B Malinzak","doi":"10.1097/AIA.0000000000000388","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000388","url":null,"abstract":"• Women anesthesiologists can experience barriers and bias in the workplace, which varies in nature across their career and can negatively hinder professional development. • Mitigation of these barriers and discrimination can be achieved through: (1) addressing individual bias, (2) closing the knowledge gap on the scope of bias, (3) deliberate representation, (4) strengthening professional networks, and (5) organized efforts to create policies that address gender inequity in the workplace. • Women in anesthesiology is one example of several organized initiatives and programs that promote gender equity for women anesthesiologists of all identities.","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"61 1","pages":"42-48"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10129474","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":"Current challenges faced by transgender and gender-diverse patients and providers in anesthesiology.","authors":"Travis L Reece-Nguyen, Luis Tollinche, Christian Van Rooyen, Remigio A Roque","doi":"10.1097/AIA.0000000000000384","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000384","url":null,"abstract":"The transgender and gender-diverse (TGD) population of the United States is estimated to be approximately 0.5% of the adult population or about 1.3 million adults. 1 Of those adults, 38.5% are transgender women, 35.9% are transgender men, and 25.6% are gender-diverse. 1 Mirroring the overall increase in the lesbian, gay, bisexual, transgender","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"61 1","pages":"26-33"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10077387","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":"Left ventricular assist devices: review of historical context, clinical indications, and device-related adverse events.","authors":"Richa Dhawan","doi":"10.1097/AIA.0000000000000375","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000375","url":null,"abstract":"Left ventricular assist devices (LVADs) have revolutionized medical treatment for patients with end-stage heart failure (HF), a major contributor of morbidity and mortality in the United States and worldwide, with > 30 million people affected. Despite advances in pharmacological therapy, many people with HF have progressive disease necessitating escalation of medical and surgical care. Orthotopic heart transplantation is the gold standard and provides de fi nitive treatment for end-stage HF; however, short supply of donor hearts limits this option in many patients. LVADs have emerged as an alternative option, with escalation in usage in the last 2 decades. Widespread use of LVADs has decreased mortality and improved quality of life for patients with end-stage HF. Since their advent in the 1960s, LVAD use has evolved from bridge-to-transplant into destination therapy. 1 This study discusses the emergence of LVADs, current indications for use, types of devices, hemodynamic management, and limitations associated with their use. the 2-year follow-up long-term outcome assessed the and ef fi cacy of a for of HVAD","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"60 4","pages":"24-30"},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10470410","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":"Mechanical circulatory support in the intensive care unit.","authors":"Philip Sommer, Mark Nunnally","doi":"10.1097/AIA.0000000000000381","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000381","url":null,"abstract":"Goals for mechanical circulatory support (MCS) have grown from facilitating surgical procedures 1 and supporting respiratory dysfunction 2,3 to minimizing iatrogenic harm, facilitating reha-bilitation, and sustaining patients in cardiogenic shock. MCS in the intensive care unit (ICU) should be thought of as a complete clinical service more than a technology because of the numerous clinical care issues that need to be assessed/addressed. intra-aortic balloon counterpulsation in the ICU setting, mainly on use of extracorporeal membrane oxygenation (ECMO) in the ICU.","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"60 4","pages":"46-54"},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10470411","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":"Total artificial heart system.","authors":"Michael Essandoh, Nicolas Kumar","doi":"10.1097/AIA.0000000000000377","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000377","url":null,"abstract":"Heart failure is a ubiquitous condition affecting over 60 million people globally and causes substantial morbidity and mortality. Conventionally, terminal heart failure is treated with guidelinedirected medical therapy and cardiac resynchronization therapy, which unfortunately becomes refractory over time, and necessitates escalation to advanced therapies or heart transplantation. Heart transplantation is the ultimate therapy for medically refractory advanced heart failure. Still, the limited supply of donor hearts (~4000 yearly) has spurred the development of mechanical circulatory support (MCS) strategies for heart failure treatment as bridge-to-decision making, bridge-to-myocardial recovery, bridge-to-orthotopic heart transplantation (BTT), and destination therapy (DT).","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"60 4","pages":"39-45"},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10096557","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":"Mechanical circulatory support devices in noncardiac surgery.","authors":"Kristin C Trela","doi":"10.1097/AIA.0000000000000374","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000374","url":null,"abstract":"Mechanical circulatory support (MCS) devices are percutaneously or surgically implantable devices that support either the circulatory system, the pulmonary system, or both. Device tech-nology has improved over time, resulting in more patients using MCS, particularly left ventricular assist devices (LVAD). 1 In addition, the COVID-19 pandemic has brought MCS to the forefront due to the utilization of extracorporeal membrane oxygenation (ECMO) to support patients in profound respiratory failure. 2 The increase in MCS patients has led to more patients requiring anesthesia for noncardiac surgery (NCS), which can be secondary to the pathology that required MCS in the fi rst place, a complication of MCS, or an entirely separate pathology. 3 Thus, it is prudent for anesthesiologists to under-stand the basic principles of how these devices work to provide safe anesthetics. This article focuses on the general principles surrounding the preoperative evaluation of the MCS patient presenting for NCS, focusing on the most likely encountered devices in this scenario: the intra-aortic balloon pump (IABP), ECMO, and the LVAD.","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"60 4","pages":"55-63"},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10094178","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}