{"title":"Off Label But on Target: Sevoflurane as a Topical Analgesic.","authors":"Thomas A Anderson, Andrew Dinh","doi":"10.1213/ANE.0000000000008306","DOIUrl":"https://doi.org/10.1213/ANE.0000000000008306","url":null,"abstract":"","PeriodicalId":7784,"journal":{"name":"Anesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ionized Calcium and Low Cardiac Output Syndrome: Is Calcium the Sole Determinant?","authors":"Srikiran Ramarapu, Christian Cooper","doi":"10.1213/ANE.0000000000008335","DOIUrl":"https://doi.org/10.1213/ANE.0000000000008335","url":null,"abstract":"","PeriodicalId":7784,"journal":{"name":"Anesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Why Compensation Satisfaction in Cardiac Anesthesia in the United States Matters: Shortages, Burnout, and What Happens Next.","authors":"Emily Methangkool, Abimbola Faloye, Daryl Oakes","doi":"10.1213/ANE.0000000000008337","DOIUrl":"https://doi.org/10.1213/ANE.0000000000008337","url":null,"abstract":"","PeriodicalId":7784,"journal":{"name":"Anesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unraveling the Drivers of Perioperative Mortality in Africa.","authors":"Michael F Bath, Joachim Amoako","doi":"10.1213/ANE.0000000000008375","DOIUrl":"https://doi.org/10.1213/ANE.0000000000008375","url":null,"abstract":"","PeriodicalId":7784,"journal":{"name":"Anesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An Analysis of Manuscript Trajectories Following Journal Editorial Decisions.","authors":"Valluvan Rangasamy, Daniel Mount, Thomas R Vetter","doi":"10.1213/ANE.0000000000008346","DOIUrl":"https://doi.org/10.1213/ANE.0000000000008346","url":null,"abstract":"<p><strong>Background: </strong>Manuscript rejection is inevitable in academic publishing. With rising submission volumes, pre-peer review rejection (\"desk rejection\") is increasingly used as a pragmatic filter to focus on papers more likely to be published. Temporal trends, geographic disparities, and post-rejection outcomes are essential to inform editorial practices, author expectations, and assess whether pre-peer review decisions are justified.</p><p><strong>Methods: </strong>We retrospectively analyzed all original research manuscripts submitted to Anesthesia & Analgesia (A&A) from January 2021 to December 2024. Outcomes were pre-peer review rejection, post-peer review rejection, and acceptance. Predictors included submission year, corresponding author country, and author submission history. Multivariable logistic regression models estimated adjusted odds ratios (aOR). To track rejected manuscripts to publication elsewhere, we developed a hybrid automated-manual tracking system querying PubMed and CrossRef Application Programming Interface (APIs) with title matching and author verification, followed by systematic manual verification. Destination journals were classified by pay-to-publish status.</p><p><strong>Results: </strong>Of 3881 manuscripts, 3317 of 3881 (85.5%) were rejected; 1463 (37.7%) received pre-peer review rejection, 1854 (47.8%) post-peer review rejection. Median (interquartile range [IQR]) time to rejection was 5 (3-9) days vs 29 (20-46) days for pre- and post-peer review rejection, respectively. Pre-peer review rejection doubled from 27.9% (2021) to 56.2% (2024), while post-peer review rejection fell from 56.6% to 34%. Manuscripts from upper- and lower-middle-income countries had greater odds of pre-peer review rejection versus high-income countries (aOR, 3.23; 95% CI, 2.79-3.75 and aOR, 3.75; 95% CI, 2.91-4.85; both P < .001) but lower post-peer review rejection odds. Publication tracking achieved 86.5% success (2868/3317). Pre-peer review rejected manuscripts published faster than post-peer review rejected ones (median [IQR] 294 [190-461] vs 345 [220-520] days; P < .001). Of the 2868 manuscripts published elsewhere, 78% of those in journals with an impact factor (IF) appeared in journals with an IF below that of A&A (4.0) and 939 (32.7%) appeared in pay-to-publish venues.</p><p><strong>Conclusions: </strong>Editorial decision-making at A&A shifted markedly toward earlier decision, with pre-peer review rejection doubled while post-peer review rejection halved over 4 years. Geographic disparities emerged at the pre-peer review stage, suggesting earlier filtering of manuscripts from middle-income countries. Although 86.5% of rejected manuscripts were published elsewhere, 78% of those in IF-indexed journals appeared in journals with a lower IF, and 32.7% overall appeared in pay-to-publish venues.</p>","PeriodicalId":7784,"journal":{"name":"Anesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Oxytocin for Elective Cesarean Delivery: What Do We Know, and Why Do We Care?","authors":"Lawrence C Tsen, Mrinalini Balki","doi":"10.1213/ANE.0000000000008307","DOIUrl":"https://doi.org/10.1213/ANE.0000000000008307","url":null,"abstract":"","PeriodicalId":7784,"journal":{"name":"Anesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Basem B Abdelmalak, Mona Sarkiss, Thomas R Gildea, Andrew Zura, Tracey Straker, Felipe Urdaneta, Beth Ann Traylor, Yimin Geng, D John Doyle
{"title":"Expert Consensus Statement on Anesthesia Care for Advanced Diagnostic Bronchoscopy from the Society for Airway Management, the Society for Head and Neck Anesthesia, the Society for Ambulatory Anesthesia, and the American Association for Bronchology and Interventional Pulmonology.","authors":"Basem B Abdelmalak, Mona Sarkiss, Thomas R Gildea, Andrew Zura, Tracey Straker, Felipe Urdaneta, Beth Ann Traylor, Yimin Geng, D John Doyle","doi":"10.1213/ANE.0000000000008366","DOIUrl":"https://doi.org/10.1213/ANE.0000000000008366","url":null,"abstract":"","PeriodicalId":7784,"journal":{"name":"Anesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daryl L Dorsey, Robert J Kopotic, Sandy Weininger, Cornelius Sendagire, Michael S Lipnick
{"title":"Decoding the Complex Regulatory Landscape for Pulse Oximetry.","authors":"Daryl L Dorsey, Robert J Kopotic, Sandy Weininger, Cornelius Sendagire, Michael S Lipnick","doi":"10.1213/ANE.0000000000008361","DOIUrl":"https://doi.org/10.1213/ANE.0000000000008361","url":null,"abstract":"","PeriodicalId":7784,"journal":{"name":"Anesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Initial Evaluation of TeaM-L&DSim: A Simulation-Based Interdisciplinary Training Program for Labor and Delivery Teams in Resource-Variable Settings.","authors":"Ling-Qun Hu, Qi Li, Yuyan Liu, Tian Li, Yingying Chen, Yingyi Wu, Qi Rong, Ping Jin, Zhenyu Cai, Jingping Wang, Archis Deshpande, Lingyan Han, Yi Tan, Yiling Hu, Bryan Mahoney","doi":"10.1213/ANE.0000000000008119","DOIUrl":"https://doi.org/10.1213/ANE.0000000000008119","url":null,"abstract":"<p><strong>Background: </strong>Simulation-based interdisciplinary training improves perinatal outcomes, but scalable and adaptable models for diverse labor and delivery (L&D) settings remain limited. The TeaM-L&DSim (Interdisciplinary Training for Patient Safety and Quality Care in Modern Labor & Delivery Simulation) program was developed by the No Pain Labor & Delivery-Global Health Initiative, combining nontechnical and technical simulation training, to enhance team functions, clinical decision-making, emergency preparedness, and complex care in resource-variable maternity care environments.</p><p><strong>Methods: </strong>We implemented TeaM-L&DSim using a mixed-methods quality improvement framework nationally at six training hubs in the first year, with obstetricians, anesthesiologists, neonatologists, midwives/nurses, and hospital administrators from 52 hospitals in China. The program emphasized three educational innovations: the Three Co(re) Domains (Collaboration, Cognition, and Competence), the 4P Strategy (Prevision, Prophylaxis, Preparedness, Prompt responses), and a cascading mentorship model for trainer development. Training included 27 standardized simulation modules delivered through hybrid virtual-physical formats. Evaluation was structured using the four levels of the Kirkpatrick model (reaction, learning, behavior, and results). Data sources included pre/post-training surveys, voluntary feedback, site-level implementation audits, and observational reports.</p><p><strong>Results: </strong>Ninety-seven percent of participants reported that the training met or exceeded expectations. Self-reported outcomes included improved interdisciplinary communication (92.7%), greater emergency response confidence (88.2%), and clearer role understanding (90.5%). A one-year follow-up survey with 29% response rate indicated 72% of respondents reported changes in personal practice, while 43% reported institution-initiated protocol modifications. These changes saw greater impact in Level 3A hospitals. The program demonstrated feasibility across both urban academic and rural hospitals, with early reports noting enhanced team dynamics and emergency response times.</p><p><strong>Conclusions: </strong>TeaM-L&DSim is a scalable, interdisciplinary simulation program that improved team-based clinical competencies in L&D units, better effective in Level 3A facilities. More data are needed to understand adaptation to lower resource settings. This model holds promise for broader dissemination in global maternal safety initiatives.</p>","PeriodicalId":7784,"journal":{"name":"Anesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149178342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}