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ASA Monitor 12 2017, Vol.81, 30-31. 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 decisions, […]
Read MoreAuthor: Jonathan D. Katz, M.D. ASA Monitor 12 2017, Vol.81, 18-20. Jonathan D. Katz, M.D., is Clinical Professor of Anesthesiology, Yale University School of Medicine; Professor of Anesthesiology, Frank Netter School of Medicine; Attending Anesthesiologist, St. Vincent’s Medical Center, Bridgeport, Connecticut. “Physicians are useless after age 60 and as such should retire to a college for […]
Read MoreBronchoscopist-directed infusion with propofol can be administered in procedures that require moderate sedation such as endobronchial ultrasound (EBUS), according to results of a retrospective analysis presented at the 2017 Annual Meeting of the American College of CHEST Physicians. “We have demonstrated the safety of propofol infusion,” explained presenting author Ara A. Chrissian MD, FCCP, Loma […]
Read MoreBy Palavi Vaidya, Roya Vahdatinia , Victoria A. Troncoso, DO and Leonard B. Goldstein, DDS, PhD In this case study, the authors review hyperlordosis as a cause of back pain during pregnancy and discuss best practices for pain management before, during, and after pregnancy. Case Overview A 26-year-old female, who was 34 weeks pregnant with her first child, presented with lower […]
Read MoreAuthors: Nasir Hussain, M.Sc., M.D. et al Anesthesiology 12 2017, Vol.127, 998-1013. Background: Interscalene block provides optimal shoulder surgery analgesia, but concerns over its associated risks have prompted the search for alternatives. Suprascapular block was recently proposed as an interscalene block alternative, but evidence of its comparative analgesic effect is conflicting. This meta-analysis compares the analgesic effect […]
Read MoreNIH-funded scientists may have revealed brain functions in pre-clinical research that widen the safety margin for opioid pain relief without overdose. Opioid pain relievers can be extremely effective in relieving pain, but can carry a high risk of addiction and ultimately overdose when breathing is suppressed and stops. Scientists have discovered a way to separate […]
Read MoreBy Alex Kacik for Modern Healthcare Nov 2017 Healthcare costs for four common procedures are rising as hospitals and health systems employ more physicians, according to a new study. A 49% increase in hospital-employed physicians between 2012 and 2015 led to a $3.1 billion increase in Medicare costs related to four specific procedures in cardiology, orthopedics and […]
Read MoreBy MEGAN THIELKING Motorcycle crashes are alarmingly common — and incredibly costly, according to a new study. Researchers pulled data from adults treated for motorcycle and car crash injuries at hospitals in Ontario, Canada, between 2007 and 2013. The toll: nearly 282,000 adults injured in car accidents and nearly 27,000 in motorcycle crashes during that time […]
Read MoreAuthors: Daniel I. Sessler, M.D. et al Anesthesiology published on November 23, 2017. Background: The relative contributions of intraoperative and postoperative hypotension to perioperative morbidity remain unclear. We determined the association between hypotension and a composite of 30-day myocardial infarction and death over three periods: 1) intraoperative; 2) remaining day of surgery; and 3) during the initial […]
Read MoreAuthors: Stefan A. Girsberger, M.D. et al Anesthesiology published on November 23, 2017. Background: Thoracic epidural analgesia with bupivacaine resulted in clinically relevant postvoid residuals due to detrusor underactivity. This study aimed to compare the risk of bladder dysfunction with ropivacaine versus bupivacaine using postvoid residuals and maximum flow rates. Our hypothesis was that ropivacaine would result in lower […]
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