2020
Regional Anesthesia is Underutilized for Carotid Endarterectomy Despite Improved Perioperative Outcomes Compared with General Anesthesia
Lumas S, Hsiang W, Akhtar S, Ochoa Chaar CI. Regional Anesthesia is Underutilized for Carotid Endarterectomy Despite Improved Perioperative Outcomes Compared with General Anesthesia. Annals Of Vascular Surgery 2020, 73: 336-343. PMID: 33373769, DOI: 10.1016/j.avsg.2020.11.035.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement ProgramCarotid endarterectomyGeneral anesthesiaRegional anesthesiaImproved outcomesSurgeons National Surgical Quality Improvement ProgramChronic obstructive pulmonary diseaseOutcomes of CEASurgical Quality Improvement ProgramCombined end pointObstructive pulmonary diseaseChoice of anestheticQuality Improvement ProgramAnesthesia typeHospital lengthPerioperative outcomesBaseline characteristicsPatient characteristicsCarotid surgeryHeart failurePropensity matchingPulmonary diseaseGA patientsMyocardial infarctionAmerican College
2010
Scientific Principles and Clinical Implications of Perioperative Glucose Regulation and Control
Akhtar S, Barash PG, Inzucchi SE. Scientific Principles and Clinical Implications of Perioperative Glucose Regulation and Control. Anesthesia & Analgesia 2010, 110: 478-497. PMID: 20081134, DOI: 10.1213/ane.0b013e3181c6be63.Peer-Reviewed Original ResearchConceptsIntensive glycemic controlGlycemic controlPerioperative periodPostsurgical patientsAcute insulin resistanceClose glucose monitoringPerioperative glycemic controlRecent prospective trialsDevelopment of hyperglycemiaRisk of hypoglycemiaIntraoperative glycemic controlNeuroendocrine stress responseGlycemic targetsProspective trialIll patientsIntraoperative managementPoor outcomeInsulin resistanceImproved outcomesTrue efficacyGlucose levelsGlucose regulationHyperglycemiaPatientsClinical implications