Anesthesia Practice on the Rise.
Dutton, R. P., T. M. McLoughlin, Jr., F. V. Salinas and L. C. Torsher (2019). “Anesthesia Practice on the Rise.” Adv Anesth 37: xix-xxi.
Welcome to Advances in Anesthesia! We are pleased to present you with 11 articles covering topics across the spectrum of perioperative care. These include traditional clinical science articles on management of hemodynamics during cesarean section, treatment of malignant hyperthermia, and perioperative blood conservation; cutting edge information on new regional anesthetic techniques, use of tranexamic acid, and an overview of implanted nerve stimulation technology. In addition, we have included articles that could be drawn directly from our current headlines: diversity in the anesthesia workforce, perioperative management of patients with substance abuse disorder, and a focused look at artificial intelligence and clinical informatics for anesthesiologists. One unusual article in this year’s volume is a Pro:Pro:Pro review of career options for anesthesiologists, team written by 2 academic anesthesiologists, a small-group practitioner, and a representative from the largest private practice in the United States. There is no “con” to this article because overall it’s a great time to be an anesthesiologist! Driven by our profession’s ability to care for any kind of patient, from neonate (or even in utero) to centenarian, and to facilitate any procedural aspect of modern medicine from electroconvulsive therapy to cardiac transplantation, anesthesiology is at a peak of influence never before achieved. Compensation is good; case numbers are growing, and residency positions are hotly sought after. Any kind of anesthesiology practice today has much to recommend it and represents a smart career choice for the talented medical student. Beyond the overall picture though, we solicited this article to share some hard-won information not commonly found in academic papers or conference presentations. The goal was to compare the benefits and challenges of different anesthesia practice models in a way that will help graduating residents and fellows pick the best spot to launch their own careers, thus helping to keep our profession on the rise. (Excerpt from text of this introduction to a special issue of Advances in Anesthesia, p. xix.)