Archive for 2026
Volume 77 Number 4
New-Onset Stress-Induced Cardiomyopathy at Emergence from Anesthesia after Ambulatory Laparoscopic Bilateral Salpingo-Oophorectomy: A Case of Broken Heart Syndrome
We present a case report of SICM triggered by emergence from anesthesia after minimally invasive gynecologic surgery. This case highlights the importance of perioperative vigilance even in low-risk surgical settings, and risk stratification especially among patients with known emotional or physiologic vulnerabilities.
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Vol. 77 #4
New-Onset Stress-Induced Cardiomyopathy at Emergence from Anesthesia after Ambulatory Laparoscopic Bilateral Salpingo-Oophorectomy: A Case of Broken Heart Syndrome Stress-induced cardiomyopathy (SICM) was first described as “Takotsubo cardiomyopathy” 35 years ago in Japan. Since the initial report, SICM has been increasingly diagnosed during the perioperative period, including in ambulatory surgery.1,2 It is associated with sympathetic nervous system […]
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Mitochondrial Genetic Susceptibility to Anesthetics in Patients with Venezuelan Heritage
On January 27th, the American Society of Anesthesiologists (ASA) and Society of Pediatric Anesthesia (SPA) released their 2nd Consensus Statement regarding a group of unexpected deaths or severe neurological outcomes in patients of Venezuelan lineage—predominantly children— who had undergone uncomplicated general anesthetics for routine surgical procedures.
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ASA-Lifebox Resident Challenge: An Annual Fundraiser to Increase Global Access to Essential Safety Monitors
In the United States, it is mandatory to monitor all patients receiving anesthesia care for adequate oxygenation and ventilation. But in low-resource countries, patients regularly undergo surgery in operating rooms that lack pulse oximeters and capnographs. This absence of essential safety monitors leads to high rates of surgical complications—including death—for millions of patients worldwide.
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Just Culture and the U-TURN Model: Building Safer, Healthier Workplaces in Healthcare
In modern healthcare, mistakes and conflicts are inevitable. What matters is not whether they occur, but rather how organizations respond when they do. A punitive or blame-driven approach drives errors underground and leaves staff demoralized, while a learning-oriented system strengthens safety and trust. Two frameworks—Just Culture and the U-TURN conflict management model—offer complementary solutions.
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Keeping Patients Warm in the Winter
As the temperature drops outside, let’s think about how to sustainably keep our patients warm in the OR or procedural suite.
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Practicing What I Teach
Before every lecture, I practice my talk for my husband to get his feedback. Over the years, he has picked up quite a bit himself—from perioperative lactation safety to non-operating room anesthesia in the outpatient setting. But I think his favorite was the time I practiced my active listening and empathy talk before the 2024 Post-Graduate Assembly.
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Building the Next Chapter Together
As I step into my role as Executive Director of the NYSSA, I want to take a moment to introduce myself and share how excited I am to serve this community.
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