Introduction Postoperative neurocognitive disorders, including delirium and cognitive dysfunction, remain among the most significant complications following anesthesia and surgery, particularly in older and vulnerable patients (1). Increasing evidence suggests that surgical stress and anesthetic exposure can trigger neuroinflammation, synaptic dysf

Introduction Diabetes mellitus is one of the most frequently encountered comorbidities in surgical practice and poses distinct perioperative challenges for anesthesiologists. Altered glucose metabolism, end-organ involvement, and medication-related issues require careful planning and vigilant management across all phases of anesthesia care to minim

As we transition into 2026, Medsynapse recognizes that the most significant advancements in healthcare are born from collective expertise. Medical progress is not merely an individual pursuit; it is a testament to the shared intellect, unwavering resilience, and profound professional advocacy that defines our community. Behind every clinical breakt

Introduction Airway management remains a fundamental and high-stakes responsibility for anesthesiologists and acute care providers (1). Despite advances in training and technology, difficult airway scenarios continue to be a leading cause of anesthesia-related morbidity and mortality (1). Recent years have seen rapid innovation in airway assessment

Introduction The 2025 ASA Practice Advisory provides evidence-based recommendations to guide anesthetic care for older adults, an expanding and vulnerable surgical population (1). As adults aged ≥65 years now undergo more than 30% of inpatient procedures, anesthesiologists must increasingly manage age-related physiologic changes, frailty, multimorb

Anesthesiology in 2025 reflected a clear shift in perioperative care. From the emergence of non-opioid analgesic strategies to the wider adoption of AI-supported monitoring and closed-loop systems, the speciality moved toward safer, more precise, and efficiency-driven practice. Long-acting therapies, ERAS-aligned regional techniques, and sustainabi

Introduction: The rapid evolution of perioperative informatics is transforming anesthetic practice by enabling clinicians to deliver personalized, data-driven, and complication-reducing care (1). Through the integration of multimodal perioperative data, ranging from physiologic monitoring and electronic health records (EHRs) to predictive analytics

Introduction Maternal obesity, defined as a body mass index (BMI) ≥ 30 kg/m² and classified as morbid obesity when BMI ≥ 40 kg/m², has become a major determinant of adverse obstetric outcomes globally (1). The physiologic changes of pregnancy—such as reduced functional residual capacity, increased oxygen consumption, and upper airway edema—are ampl

Effective perioperative management in diabetes begins with a thorough preoperative assessment. Goals include optimising baseline control (often targeting A1c < 8% for elective cases (1)) and identifying complications. Cardiac autonomic neuropathy is common, so look for resting tachycardia or orthostatic hypotension (2). Renal function should be che