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AUTHORS: Park, Seoyeong MD et al Anesthesia & Analgesia: February 2022 BACKGROUND: The fibrinogen-to-albumin ratio (FAR) is a recently introduced prognostic marker for patients with coronary artery disease. The present study investigated whether the FAR is associated with clinical outcome after off-pump coronary artery bypass grafting (OPCAB). METHODS: We retrospectively reviewed 1759 patients who underwent OPCAB […]
Read MoreAuthors: Andreas Koster, M.D. et al Anesthesiology February 2022, Vol. 136, 336–344. Heparin-induced thrombocytopenia (HIT) is a severe immune-mediated disease in which heparin promotes thrombosis. Approximately 10% of patients who experience HIT die in the hospital. The incidence of HIT varies, depending on the type of heparin used and the patient population. In a recent analysis of the […]
Read MoreAuthors: Anthony E. Pusateri, Ph.D. et al Anesthesiology February 2022, Vol. 136, 327–335. The importance of early transfusion for patients with hemorrhagic shock, particularly early administration of plasma in proportion with red cells, has become widely recognized during the past decade. Recent studies have demonstrated survival benefit when transfusion is initiated before arrival at the trauma […]
Read MoreAuthors: Molly Kraus, MD and William David Sumrall, III, MD, FASA ASA Monitor February 2022, Vol. 86, 31–33. The ASA Committee on Practice Management has completed its sixth survey of graduating anesthesiology residents. The goal of the survey is to provide data about current trends in the anesthesiology job market. The committee hopes that graduating residents […]
Read MoreAuthor: Michael Walter Cardiovascular Business Bariatric surgery can help obese patients lower their risk of all-cause and cardiovascular mortality, according to a new systematic review and meta-analysis published in European Heart Journal.[1] “Treatment of obesity is difficult, and initially based on lifestyle change, diet, and increased physical activity,” wrote lead author Sophie L. van Veldhuisen, MD, of […]
Read MoreAuthors: Aaron A. Berg, D.O. et al Anesthesiology April 2022, Vol. 136, 531–541. Background Interscalene blocks provide analgesia for shoulder surgery but also cause phrenic nerve paralysis. Liposomal bupivacaine is approved for use in interscalene blocks with the potential to provide longer pain control. However, the impact of liposomal bupivacaine on the phrenic nerve has […]
Read MoreASA Monitor February 2022, Vol. 86, 20. What We’ve Got Here Is Failure to Communicate A first dose of ketorolac was given early by a different provider. After scanning the ketorolac at the end of the case, I did not confirm that any had already been administered. The error was discovered during handoff as I […]
Read MoreAuthor: Kelly Wolfgang Jong ASA Monitor February 2022, Vol. 86, 19. Recent studies have shown a link between intraoperative hypotension (IOH) and injury to the patient, from acute kidney injury (AKI) and adverse cardiac events to inadequate organ perfusion. Though the data suggest that a link exists, there is not yet clear evidence of a causal […]
Read MoreASA Monitor February 2022, Vol. 86, 3. The following capnogram is MOST likely associated with which of the following? □ (A) Faulty inspiratory valve □ (B) Partially obstructed endotracheal tube □ (C) Leak in sampling line The time capnogram (Figure 1) can provide evidence of certain disease states and equipment issues. A faulty inspiratory valve makes […]
Read MoreAuthors: Alexander J. Rodriguez, MD and Christian O’Donnell, MD ASA Monitor February 2022, Vol. 86, 41. In anesthesia, the patient relationship typically ends once the operation is over. In internal medicine, it often begins well before or after a patient begins their surgical journey. Combined training in internal medicine and anesthesiology prepares one to tackle essentially […]
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