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Authors: Richard P. Dutton, M.D., M.B.A. ASA Monitor 05 2016, Vol.80, 30-31. We physician anesthesiologists have a justifiable reputation for improving patient safety. We were positively cited in To Err Is Human, we’ve invented and promulgated dozens of new monitors and medications, our society’s registry is one of the largest in medicine, and we’ve driven our collective malpractice […]
Read MorePatients with chronic pain who also have a disorder prior to developing chronic pain, such as anxiety, do not do as well in a treatment program for chronic pain compared with patients who do not have premorbid anxiety, according to a study presented at the 2016 Annual Meeting of the Anxiety and Depression Association of […]
Read MoreThud. Clunk. The sounds heard across athletic fields when helmets and bodies collide make coaches, parents, fans—and especially the athletes themselves—wince. Nearly 4 million sports-related concussions occur in the United States each year, according to the Centers for Disease Control and Prevention. Football, hockey and lacrosse are sports that clearly contribute to concussion numbers, but […]
Read MoreAuthors: S Griffiths MBBS FRCA; C Nicholson MBChB (Otago) FRCA BJA Education. 2016;16(1):21-25. Introduction Liver disease in pregnancy is not common but can be a significant cause of maternal and fetal morbidity and mortality, frequently appearing in the triennial confidential enquiries ( Table 1 ). Fulminant hepatic failure is very rare and poses major challenges […]
Read MoreResidents interested in emergency medicine and anesthesiology can now have the best of both worlds—at the same time. The American Board of Anesthesiology (ABA) and the American Board of Emergency Medicine (ABEM) launched a combined training option that will offer residents the opportunity to get certified for both specialties. “The combined training programs in emergency […]
Read MoreSource: The Cochrane Database of Systematic Reviews 3 CD010135 (Mar 2016) AUTHORS: R, Srivastava A et al BACKGROUND Anaesthetic drugs during general anaesthesia are titrated according to sympathetic or somatic responses to surgical stimuli. It is now possible to measure depth of anaesthesia using electroencephalography (EEG). Entropy, an EEG-based monitor can be used to assess […]
Read MoreTwenty-six seconds: That’s the average amount of extra time it might take an anesthesia resident to exchange up to 20% more information when using a new PACU handoff checklist developed by researchers at MedStar Georgetown University Hospital, a new study suggests. The PACU is a “high-risk environment” where health care providers are multitasking rapidly to […]
Read MoreThe use of peripheral nerve blocks (PNBs) is associated with better medical and economic outcomes in patients receiving hip and knee replacement, according to a study being presented later this month at the 41st Annual Meeting of the American Society of Regional Anesthesia and Pain Medicine. The use of PNBs is on the rise, but […]
Read MoreAnesthesia & Analgesia: March 2016 AUTHORS: Subramanian, Balachundhar MD et al BACKGROUND: The purpose of this multicenter pilot study was to: (1) determine the frequency of regional cerebral oxygen saturation (rScO2) desaturations during cardiac surgery involving cardiopulmonary bypass (CPB); (2) evaluate the accuracy of clinician-identified rScO2 desaturations compared with those recorded continuously during surgery by […]
Read MoreAnesthesia & Analgesia: March 2016 AUTHORS: Sawhney, Monakshi PhD, NP(Adult) et al BACKGROUND: Total knee arthroplasty is a painful surgery that requires early mobilization for successful joint function. Multimodal analgesia, including spinal analgesia, nerve blocks, periarticular infiltration (PI), opioids, and coanalgesics, has been shown to effectively manage postoperative pain. Both adductor canal (AC) and PI […]
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