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Authors: Butwick A et al Journal of Clinical Anesthesia (JCA) 33 460-8 (Sep 2016) STUDY OBJECTIVES Obstetric anesthesiologists commonly care for high-risk obstetric patients. However, it is unclear how obstetricians refer these patients for anesthetic evaluation and whether obstetric anesthesia clinics (OACs) are used. Our study aims were to determine the availability and characteristics of […]
Read MoreASA Monitor 12 2016, Vol.80, 40-42. Review of unusual patient care experiences is a cornerstone of medical education. Each month, the AQI-AIRS Steering Committee abstracts a patient history submitted to the Anesthesia Incident Reporting System (AIRS) and authors a discussion of the safety and human factors challenges involved. Real-life case histories often include multiple clinical […]
Read MoreAutors: Laura H. Lang, M.D. et al ASA Monitor 12 2016, Vol.80, 28-30. Although there are currently no reported anesthetic implications for patients exposed to the Zika virus (ZIKV), physician anesthesiologists should be prepared to answer questions from their patients regarding this global health issue. Babies of women who were infected with ZIKV during pregnancy […]
Read MoreAuthor:Amanda Rhee, M.D. ASA Monitor 12 2016, Vol.80, 24-26. Anesthesiologists have long been recognized as leaders in the field of medicine for promoting safety and quality. The prevention of hospital-acquired infections is no exception. While wound infections have once been thought of as solely related to surgical activities, there are aspects of the case managed […]
Read MoreAuthors: Vincent K. Lew, M.D. et al ASA Monitor 12 2016, Vol.80, 20-22. Health care-associated infections (HCAIs) occur in approximately 4-10 percent of hospitalized patients and account for more than 700,000 infections per year. The annual reported cost associated with these HCAIs is around 30 billion dollars. Nationally, the trend among medical insurers has been to significantly decrease […]
Read MoreAuthors: Matthew D. Koff, M.D., M.S.; Randy W. Loftus, M.D. ASA Monitor 12 2016, Vol.80, 16-18. Anesthesiologists are proven leaders in patient safety and have dramatically reduced the risks of administering general anesthesia. This excellence has extended to the perioperative period where steps have been taken to reduce postoperative cognitive dysfunction, to enhance recovery, and to minimize impairment […]
Read MoreBeyond the rising rates of deaths related to opioid use, a new analysis of hospital records shows significantly higher rates also affecting children being hospitalized for opioid poisoning By Thomas G. Ciccone Interview with Julie R. Gaither, PhD, MPH, RN and G. Caleb Alexander, MD, MS As the deadly consequences of opioid abuse in the […]
Read MoreThe forgotten opioid may be a “new” treatment for chronic pain syndromes that are refractory to other opioids, as well as a favored alternative to methadone, as it has a lower potential for drug-drug interactions, and has no reports of QT interval prolongation. Authors: Srinivas (Sri) Nalamachu, MD and Jeffrey Gudin, MD Levorphanol, termed “the forgotten opioid,” […]
Read MoreMedicine: October 2016 – Volume 95 – Issue 41 – p e4852 Authors: Lai, Chih-Cheng MD et al Abstract: The aim of this study was to establish predictors for successfully planned extubation, which can be followed by medical personnel. The patients who were admitted to the adult intensive care unit of a tertiary hospital and […]
Read MoreAuthor: Elliott S. Greene, M.D. ASA Monitor 12 2016, Vol.80, 10-13. In United States health care settings, infection control breeches by staff, including anesthesia personnel, have resulted in numerous outbreaks of bacterial infections, primarily invasive bloodstream infections and patient-to-patient transmission of hepatitis B or C virus.1 Unsafe injection practices identified by the Centers for Disease Control and […]
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