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The AIMS database is a source of contemporaneous documentation of resident experience that can be queried to generate valid, verifiable case logs. The extent of AIMS adoption by academic anesthesia departments should encourage accreditation organizations to support uploading of AIMS-based case log files to improve accuracy and to decrease the clerical burden on anesthesia residents.

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New routes of administration allow familiar medications to be utilized with greater clinical efficacy. Elimination of the need for indwelling catheters may reduce both the frequency of analgesic gaps and catheter-related complications. Physicians need to be familiar with developments in drug delivery technologies to be able to effectively utilize analgesics as part of well designed multimodal regimens to bring effective and well tolerated analgesia to patients with acute pain.

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Postoperative visual loss (POVL) is a rare but potentially devastating complication associated with spine surgery. In 1999, the American Society of Anesthesiologists Committee on Professional Liability established a POVL Registry to examine cases in search of common elements. Most cases of POVL after spine surgery which have been reported to the POVL Registry have been associated with intraoperative prone positioning. We present an atypical case that occurred after spine surgery performed in the lateral decubitus position.