Advances in Perioperative Anesthesia and Pain Management

Dear Colleagues,

Perioperative anesthetic care is undergoing rapid transformation, driven by increasingly complex surgical populations, advances in monitoring and airway technologies, evolving pharmacological strategies, and a growing emphasis on individualized, physiology-guided care. Patients presenting for surgery are older and more frequently affected by obesity, cardiovascular and respiratory disease, frailty, and other comorbidities that increase perioperative risk. At the same time, anesthesiologists are increasingly involved in the management of trauma patients and critically ill individuals in whom airway management, induction of anesthesia, mechanical ventilation, hemodynamic instability, coagulation abnormalities, and pain management may have a direct impact on clinical outcomes.

Contemporary perioperative practice therefore extends well beyond the delivery of anesthesia. It encompasses risk assessment and optimization, safe airway management, maintenance of physiological stability, patient blood management, multimodal analgesia, enhanced recovery, and prevention of postoperative complications. Emerging technologies, including advanced monitoring, point of care ultrasound, video laryngoscopy, decision support systems, and artificial intelligence, also offer new opportunities to improve safety and personalize perioperative care. Translating these advances into clinically meaningful improvements, however, requires robust evidence and multidisciplinary collaboration.

This Special Issue aims to present and disseminate recent advances in perioperative anesthesia and pain management, with particular emphasis on strategies that improve patient safety, physiological stability, and postoperative outcomes. We welcome original research, systematic reviews and meta-analyses, narrative reviews, clinical studies, and other high-quality contributions addressing both established and emerging approaches to perioperative care.

Topics of interest include, but are not limited to:

• Perioperative risk assessment and optimization;
• Airway management, difficult airway, and awake intubation;
• Physiologically difficult airway and peri-intubation optimization;
• Anesthesia for trauma and critically ill patients;
• Hemodynamic monitoring and management;
• Perioperative respiratory management and oxygenation;
• Pharmacology of anesthesia and neuromuscular blockade;
• Regional anesthesia and multimodal analgesia;
• Acute and postoperative pain management;
• Patient blood management, coagulation, and transfusion;
• Perioperative care of patients with obesity and other high-risk conditions;
• Enhanced recovery and prevention of postoperative complications;
• Perioperative outcomes and quality improvement;
• Artificial intelligence, advanced monitoring, and emerging technologies in anesthesia.

We hope that this Special Issue will provide a multidisciplinary platform for clinically relevant research that advances evidence-based, patient-centered perioperative care.

Prof. Dr. Ayten Saraçoǧlu
Guest Editor

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