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DG Journal Club AUTHORS: AndrC) Dos Santos Rocha, Walid Habre et al. Paediatr Anaesth. 2021 Nov 27 Extraordinary progress has been made during the past few decades in the development of anesthesia machines and ventilation techniques. With unprecedented precision and performance, modern machines for pediatric anesthesia can deliver appropriate mechanical ventilation for children and infants […]
Read MoreDG Journal Club AUTHORS: Ellen M Soffin, Ichiro Okano et al. Reg Anesth Pain Med. 2021 Nov 17 BACKGROUND We evaluated the impact of bilateral ultrasound-guided erector spinae plane blocks on pain and opioid-related outcomes within a standardized care pathway for lumbar fusion. METHODS A retrospective propensity score matched cohort study. Clinical data were extracted […]
Read MoreDG Journal Club AUTHORS: Kuo-Chuan Hung, Ming Yew et al. Br J Anaesth. 2021 Nov 5 BACKGROUND The efficacy of i.v. or topical lidocaine as an anaesthesia adjunct in improving clinical outcomes in patients receiving gastrointestinal endoscopic procedures under propofol sedation remains unclear. METHODS Electronic databases (MEDLINE, EMBASE, and Cochrane Library) were searched for RCTs […]
Read MoreAuthor: Alexander F. Arriaga, MD, MPH, ScD ASA Monitor December 2021, Vol. 85, 42–43. Real-time debriefing after perioperative critical events can have beneficial effects at the individual, team, and system level. Perioperative crisis events (e.g., cardiac arrest, anaphylaxis) can have a lasting impact on anesthesia professionals. Available literature suggests that anesthesiologists may experience at least […]
Read MoreASA Monitor December 2021, Vol. 85, 15. You are caring for a parturient at 38 weeks gestation who is undergoing an urgent cesarean delivery with spinal anesthesia due to labor with a breech presentation and fetal macrosomia. Her medical history includes pulmonary hypertension, for which she is currently taking sildenafil three times daily. The obstetricians […]
Read MoreAuthors: Natalya S. Hasan-Hill, MD; Jody Cimbalo Leng, MD, MS; Anita Honkanen, MD, MS, FAAP ASA Monitor December 2021, Vol. 85, 29–30. Copyright © 2016 Board of Trustees of the Leland Stanford Junior University. All rights reserved. The COVID-19 pandemic has imposed significant challenges to the professional lives and working environments of health care providers. Even if the […]
Read MoreAuthors: Christopher A. Troianos, MD, FASE, FASA and Andrew D. Shaw, MB, FRCA, FRCPC, FFICM ASA Monitor December 2021, Vol. 85, 39. The Society of Cardiovascular Anesthesiologists (SCA) was established in 1978 to provide education and to support research and mentorship to anesthesiologists caring for patients with cardiac disease undergoing cardiac and non-cardiac surgery. The Accreditation Council […]
Read MoreASA Monitor December 2021, Vol. 85, 10. Case 2021-12: Avoiding the Blame Game This event occurred in an outpatient setting. The muscular, red-headed patient reported high anesthetic requirements and that he had woken up during every procedure he had. I told my resident to have extra propofol ready for LMA insertion. Resident pushed 200 of […]
Read MoreAuthors: Amy E. Vinson, MD, FAAP and Jina L. Sinskey, MD, FASA ASA Monitor December 2021, Vol. 85, 28–29. Recently, ASA approved a formal standing Committee on Physician Well-Being (COPWB) to address the growing needs of the membership and, ultimately, the patients we serve. For years there existed within ASA a community of anesthesiologists committed to […]
Read MoreASA Monitor December 2021, Vol. 85, 14–15. A 2-year-old child presents for endoscopic removal of a button battery lodged in the esophagus. The patient was transported from a location two hours away and received 60 mL of honey en route. The battery ingestion occurred approximately one hour prior to transport. According to a recent review […]
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