AANA journal
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It is 2021, and the American Association of Nurse Anesthetists is celebrating its 90th birthday. What does it mean that our professional association is 90 years old? What historical perspective can be gained and what lies ahead?
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Cancer is one of the leading causes of death in the United States. Total resection of tumors can be curative; however, investigators have speculated that inflammatory, metabolic, neuroendocrine, and immunologic changes that occur perioperatively may be promoted or induced by anesthetics. The influence of anesthetic choice on cancer recurrence and metastasis has yet to be definitively linked. ⋯ Further evaluation is required to determine the implications of regional anesthesia and propofolbased total intravenous anesthesia on cancer recurrence. Several ongoing randomized controlled trials are studying this link. Changes to clinical practice cannot definitively be recommended until the results of these studies can be examined.