About anesthesiology and surgery: analgesia, anaesthesia, and non-surgical papers published in journals of surgery

Abstract

Subjects treated in a general orthopaedic publication are innumerable. Some themes could not be included in a very specialized journal or in a technical publication because they treat "borderline" subjects such as the biology of healing in tissues, patient-related outcomes in a specific procedure, or pain management. Other papers that have a difficulty in finding a place are participation of vitamins or regimes in healing, education in preparation of patients for a specialized procedure such as joint replacement, and doctor's experience in introducing new procedures.We published many such controversial subjects related to orthopaedics and conjunctive tissue [1-3]. We published papers dealing with the use of specific molecules like tranexamic acid during surgery [4][5][6][7]. We published also papers related to the use of drugs or medications before or after surgery as well as regional anaesthetic blocks [8][9][10][11]. However, the most read and cited borderline papers are dedicated to pain management and blood loss as well as the outcome studies in controversial subjects [12][13][14][15]. Some of the published papers were dedicated to analgesia and anaesthesia. For millennia, pain was a major subject for both patients and doctors and modern anaesthesia realized unbelievable progress in managing pre-operative and postoperative care as well as the realization of surgery "per se" [16,17]. No surgery without anaesthesia. The surgical team includes as pre-requisite the presence of a specialized anesthesiologist doctor or assistant. Difficult cases are managed correctly with pre-operative and post-operative protocols. Many patients are old, presenting comorbidities and chronic treatments such as anticoagulants or respiratory medication. Patients become more and more demanding and the cases become more complex and difficult. Is it reasonable to refuse