The cover highlights two analyses conducted by the ASA Closed Claims Study Group that appear in this issue of the Journal demonstrating that permanent injuries to the cervical spinal cord occur with alarming frequency during the conduct of general anesthesia and during pain interventions done at the cervical level. The MRI that appears in the background demonstrates a high T2-weighted signal within the cervical spinal cord after a direct injection into the cervical spinal cord that occurred during a cervical epidural injection performed under deep sedation:
* Lanier and Warner: New Perioperative Cervical Injury: Medical and Legal Implications for Patients and Anesthesia Providers, pp. 729
* Hindman et al.: Cervical Spinal Cord, Root, and Bony Spine Injuries: A Closed Claims Analysis, pp. 782
* Rathmell et al.: Injury and Liability Associated with Cervical Procedures for Chronic Pain, pp. 918
The cover also features photographs of Kevin K. Tremper, Ph.D., M.D., and Warren M. Zapol, M.D., who presented the Rovenstine Lecture and the Severinghaus Lecture, respectively, at the 2010 ASA Annual Meeting:
* Tremper: Anesthesiology: From Patient Safety to Population Outcomes-The 49th Annual Rovenstine Lecture, pp. 755
* Zapol: Life at the Frontier: The Third Annual John W. Severinghaus Lecture on Translational Science, pp. 771
(C) 2011 American Society of Anesthesiologists, Inc.