The classic 1985 science fiction film Back to the Future transports the erstwhile protagonist (Marty McFly, played by a young Michael J. Fox) 30 yr backwards into the past in the eccentric “Doc” Brown’s custom DeLorean time machine to deal with a series of comedic yet moral quandaries regarding his future existence. A notable quote by Doc Brown is, “The future is whatever you make it, so make it a good one.”

The future of intraoperative and perioperative anesthetic management is of course unfolding every moment, but as in our personal and social lives, seminal events tend to provide “inflection points” when changes in pace allow us to step back and take stock of what “is already there.” For the different generations, those entering anesthesia practice, in the prime of their professional careers, or leaving practice (roughly equating...

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