Education based on publicly-available keyword data is associated with decreased stress and improved trajectory of in-training exam performance.

Study Objective: This study aimed to assess the impact of data-driven didactic sessions on metrics including fund of knowledge, resident confidence in clinical topics, and stress in addition to American Board of Anesthesiology In-Training Examination (ITE) percentiles.

Design: Observational mixed-methods study.

Setting: Classroom, video-recorded e-learning.

Anesthesia Learning in the Digital Age: Are Program Directors and Residents on the Same Page?

Background: In our current digital age, textbooks have been supplemented or supplanted by multiple online modalities for knowledge acquisition. Trainees, often from a younger generation than their program directors (PDs), prefer options such as podcasts, videos, and question banks. We sought to identify whether an exists between PDs and trainees regarding what is assigned and what is used.

Do You Really Mean It? Assessing the Strength, Frequency, and Reliability of Applicant Commitment Statements During the Anesthesiology Residency Match.

Background: Despite the critical nature of the residency interview process, few metrics have been shown to adequately predict applicant success in matching to a given program. While evaluating and ranking potential candidates, bias can occur when applicants make commitment statements to a program. Survey data show that pressure to demonstrate commitment leads applicants to express commitment to multiple institutions including telling >1 program that they will rank them #1.

Outcomes After Transcatheter Aortic Valve Replacement: A Propensity Matched Retrospective Cohort Study.

Objectives: To examine patient acuity and perioperative outcomes in a contemporary cohort of patients undergoing either transcatheter aortic valve replacement (TAVR) or surgical aortic valve replacement (SAVR).

Design: A retrospective propensity-matched cohort study with univariable logistic regression to assess postoperative outcomes.

Setting: Hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program.

Use of Historical Surgical Times to Predict Duration of Primary Aortic Valve Replacement.

Objectives: To test whether a model using a historical average of a surgeon's surgical times for primary aortic valve replacements is a more accurate predictor of actual surgical times than solely relying on a surgeon's estimate.

Design: Retrospective review.

Setting: Single university hospital that serves as a tertiary referral center.

Resident-Driven Quality Improvement Project in Perioperative Hand Hygiene.

Objectives: The goal of the project was to improve hand hygiene compliance in the perioperative setting while involving anesthesia residents in quality improvement. To achieve this goal, we facilitated direct trainee participation on patient safety and quality improvement initiatives. The result was a project for perioperative hand hygiene improvement conceived and led by anesthesiology residents.

Unplanned Reintubation Following Cardiac Surgery: Incidence, Timing, Risk Factors, and Outcomes.

Objectives: To determine the incidence, timing, risk factors for, and outcomes after unplanned reintubation following cardiac surgery in adults.

Design: Retrospective analysis of admission data from the American College of Surgeons National Surgical Quality Improvement Project Database, 2007-2013, inclusive. Univariate and multivariate analyses of risk factors and outcomes.

Complex Perioperative Decision-Making: Liver Resection in a Patient with Extensive Superior Vena Cava/Right Atrial Thrombus and Superior Vena Cava Syndrome.

The perioperative management of patients suffering from extensive superior vena cava (SVC) thrombus complicated by SVC syndrome presents unique challenges. The anesthesiologist needs to be prepared for possible thrombus dislodgement resulting in pulmonary embolism and also has to assess the need for fluid resuscitation given the dangers of massive intravenous fluid application via the upper extremities. We present our perioperative approach in management of a patient scheduled for right hepatectomy who was previously diagnosed with extensive SVC and right atrial (RA) thrombus complicated by SVC syndrome.

Rate of Major Anesthetic-Related Outcomes in the Intraoperative and Immediate Postoperative Period After Cardiac Surgery.

Objectives: To examine anesthesia-centered outcomes in a large cohort of patients undergoing coronary artery bypass grafting (CABG) or valvular heart surgery.

Design: A retrospective study with univariate and multivariate logistic regression to identify independent predictors for mortality.

Setting: Diverse setting including university, small, medium, and large community hospitals.

Pulmonary thrombectomy in a patient with hemoglobin Nottingham.

A 36-year-old female with hemoglobin Nottingham (betaFG 5(98) Val --> Gly) causing severe hemolytic anemia and chronic thromboembolic pulmonary hypertension presented with symptomatic subacute right lower lobar pulmonary arterial thrombosis requiring surgical pulmonary thrombectomy. We describe a successful, multidisciplinary approach to the problems associated with this disease, particularly with the use of cardiopulmonary bypass and deep hypothermic circulatory arrest.

Role of transesophageal echocardiography in patients with suspected aortic dissection.

Patients with acute aortic dissection of the ascending aorta benefit from rapid surgical intervention. We report a patient with suspected acute aortic dissection based on history and transthoracic echocardiography findings. This patient was taken to the operating room without further workup, where transesophageal echocardiography (TEE) revealed acute myocardial infarction and mitral regurgitation due to papillary muscle rupture.