The "Top 5 of November" is a list of the five most read articles in the anesthesiology publication Anesthesiology News in the United States. In fifth place is an anesthesiologist's simulation of the day. Fourth place goes to a comparison of spinal and general anesthesia in ambulatory surgery. The third article discusses the inaccuracy of cuff blood pressure monitoring during intraoperative hypotension. The second article is a review article on the anesthetic management of patients with heart failure during noncardiac surgery. The first is a case study of a questionable decision not to use an NG tube, which resulted in permanent damage to the patient. The articles are available online and in the print edition of Anesthesiology News.