The Frost Series #351 Author: Alma Juels, MD Anesthesiology News Case Presentation A 34-year-old man without significant past medical history presented for shoulder arthroscopy. He reported an allergy to sulfa-containing drugs. The patient received midazolam en route to the OR. In the OR, cefazolin 2 g was administered. General anesthesia was induced with fentanyl, lidocaine, […]

Author: Bob Kronemyer Anesthesiologist News In medically supervised settings, the sufentanil sublingual tablet (ssT; Dsuvia, AcelRx Pharmaceuticals) has been found to be well tolerated for the short-term treatment of moderate to severe acute pain, with at most moderate levels of adverse events. This study (Pain Med 2019 Jan 7. was a pooled phase 3 safety […]

AUTHORS: Gaver, Renee S. MD et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 1124-1129 BACKGROUND: Sugammadex, with its novel mechanism of action of encapsulation and noncompetitive binding of aminosteroid neuromuscular-blocking agents (rocuronium and vecuronium), may offer distinct advantage to pediatric patients where residual neuromuscular blockade may be poorly tolerated. […]

AUTHORS: Ferrari, Lynne R. MD et al Anesthesia & Analgesia: June 2019 BACKGROUND: The American Society of Anesthesiologists physical status (ASA-PS) classification system is used worldwide to classify patients based on comorbid conditions before general anesthesia. Despite its popularity, the ASA-PS classification system has been shown to have poor interrater reliability due to its subjective definitions, especially […]

Author: Andis Robeznieks American Medical Association Every year, a new record is set for medical school enrollment. But despite this influx of new doctors, the U.S. physician work-force continues to trend older. There were 985,000 licensed physicians in the U.S. in 2018, according to the Federation of State Medical Boards’ (FSMB) biennial census, which notes […]

Definitive Healthcare The shift from inpatient to outpatient care centers has been well-documented over the last few years. Ambulatory surgery centers (ASCs) are often the focal point in this trend, situated at the sweet intersection of cost and convenience, pulling attention from hospital outpatient centers. Traditionally, acute care hospitals have dominated the surgical arena, the […]

AUTHORS: Richard C. Prielipp MD, MBA; David J. Birnbach MD, MPH APSF Newsletter Circulation 122,210 • Volume 34, No. 2 • October 2019 This issue of the APSF Newsletter sheds new light on an old issue and challenges clinicians to refocus their attention on health care-associated infections (HCAI) and even more relevant, surgical site infections (SSI). Infection control […]

AUTHORS: Tran, Lieu T. MD et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 1087-1092 BACKGROUND: Liver transplantation in children is often associated with coagulopathy and significant blood loss. Available data are limited. In this observational retrospective study, we assessed transfusion practices in pediatric patients undergoing liver transplantation at a […]

AUTHORS: Mazzeffi, Michael MD, MPH, MSc et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 659-666 BACKGROUND: There is a paucity of data on the underlying procoagulant–anticoagulant balance during extracorporeal membrane oxygenation (ECMO). We hypothesized that adult ECMO patients would have an imbalance between procoagulant and anticoagulant factors, leading to […]

I thught this was interesting so I wanted to share with our readers even if it doesn’t deal directly with anesthesia. Author: Srour B et al. BMJ 2019 May 29 Rico-Campà A et al. BMJ 2019 May 29 Higher consumption of ultra-processed food is associated with higher risks for cardiovascular disease and death. Ultra-processed food (e.g., carbonated drinks, […]