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AUTHORS: Lee, Eun Kyung MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1322–1328 BACKGROUND: Postoperative analgesic methods are suggested to have an impact on long-term prognosis after cancer surgery through opioid-induced immune suppression. We hypothesized that regional analgesia that reduces the systemic opioid requirement would be related to lower […]
Read MoreAuthor: Howard D. Palte, M.B., Ch.B., FCA ASA Monitor 02 2018, Vol.82, 22-25. The Anesthesia Quality Institute (AQI) has included a new parameter in its 2017 Measure Specifications for the Merit-based Incentive Payment System (MIPS) Reporting.1 Item AQ128 measures the percentage of patients aged 18 years or older who undergo anesthesia care and do not have […]
Read MoreAnother interesting article I wanted to share with our readers. By David Kohn Each year, thousands of Americans suffer a traumatic brain injury. In 2013, about 2.8 million TBI-related emergency department visits, hospitalizations and deaths occurred in the United States, according to the Centers for Disease Control and Prevention. Most of these are what are called mild traumatic brain […]
Read MoreAuthor: Arnaldo Valedon, M.D. ASA Monitor 02 2018, Vol.82, 16-17. Total joint replacement surgery has undergone significant evolution in the last 20 years. In the year 2000, the average hospital length of stay for these procedures was four to five days with a transition to skilled nursing facility or rehabilitation floor ranging from five days to three […]
Read MoreAuthor: Daniele Parise, M.D. ASA Monitor 02 2018, Vol.82, 72-73. “Epidural in room 19,” my attending told me. As I went through the patient’s history, she informed me that she had a history of opioid dependence and was being maintained on Suboxone® (buprenorphine and naloxone) during her pregnancy. I explained the risks of epidural anesthesia along with the […]
Read MoreAuthors: Uduak U. Williams, M.D.; Elizabeth Rebello, M.D., FASA ASA Monitor 02 2018, Vol.82, 14-15. The number of outpatient surgical procedures in the United States has more than doubled from 12 to 26 million over the past few decades.1 The anesthetic plan should be tailored to allow rapid recovery; however, the combination of sedatives with analgesics such […]
Read MoreAnesthesia Patient Safety Foundation March 2018 Letter to the Editor: Carbon Dioxide Used as Insufflating Gas May Raise ETCO2 During GI Endoscopy To the Editor: A recent change in practice amongst our gastroenterology colleagues prompts me to note this observation: gastrointestinal (GI) endoscopy is increasingly being performed with carbon dioxide (CO2) as the insufflating gas. The […]
Read MoreAuthors: Steven Young, M.D et al ASA Monitor 02 2018, Vol.82, 10-13. Over the past 20 years, office-based surgery has shown an exponential increase in both the number and complexitys of patients and types of procedures.Fortunately, serious O.R. crises are rare in the office-based surgical (OBS) setting, but when they do occur, both anesthesia and non-anesthesia […]
Read MoreAuthors: Andrew P. Loehrer, MD, MPH et al JAMA Surg. published January 24, 2018. Key Points Question How was Medicaid expansion under the Patient Protection and Affordable Care Act associated with patient presentation with and management of common surgical conditions? Findings In this study of patients with 1 of 5 common surgical conditions, Medicaid expansion was associated with a […]
Read MoreThis is important because as anesthesia providers we have an obligation to get smokers to quit. Author: MENAKA WILHELM Smoking is the No. 1 cause of death among people with severe mental illness. Advertising campaigns, tobacco taxes and public bans have lowered rates of smoking significantly in the U.S. since the 1960s. And for people […]
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