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Authors: Scott Segal, M.D., M.H.C.M. and Peter H. Pan, M.D., M.S.E.E. Anesthesiology May 2022, Vol. 136, 667–669. “Dural puncture epidural appears to be a clever idea in search of an indication.” Neuraxial analgesia is considered the definitive standard for labor pain relief, utilized by more than 73% of laboring women in the United States, with growing popularity […]
Read MoreAuthor: George A. Mashour, M.D., Ph.D. Anesthesiology May 2022, Vol. 136, 675–677. “… if [ketamine] works, who cares whether the analgesic and psychedelic effects are mechanistically distinct?” Ketamine is arguably the most interesting drug in our armamentarium. Depending on the dose and setting, ketamine can be used as an anesthetic, analgesic, antidepressant, psychedelic, or psychotomimetic (e.g., […]
Read MoreASA Monitor April 2022, Vol. 86, 31. Mass casualty incidents (MCIs) exert stress on health care institutions with surges in patient volumes and complexities of new and often unpredictable pathophysiologic states. The fundamental goal in managing MCIs is preservation of life. The incident command structure (ICS) is designed to reduce weaknesses in MCI management because of […]
Read MoreAuthor: Amy Gallagher ASA Monitor April 2022, Vol. 86, 43. Newly defined pandemic-driven realities are requiring recruiters to learn new routines and new steps to select the ideal candidate with the best fit. Recruiters are striving to offer a “thriving” lifestyle, recognizing that it takes more than money to attract candidates today. In other words, it’s […]
Read MoreAuthors: Takeshi Yoshida, M.D., Ph.D. et al Anesthesiology May 2022, Vol. 136, 779–791. Background Vigorous spontaneous effort can potentially worsen lung injury. This study hypothesized that the prone position would diminish a maldistribution of lung stress and inflation after diaphragmatic contraction and reduce spontaneous effort, resulting in less lung injury. Methods A severe acute respiratory distress […]
Read MoreAnesthesia Experts cannot state how grateful we are for all of the fabulous individuals who have been in our military. Thank you so much you are our HEROS. We hope all of our readers enjoy a fun and safe Memorial Day holiday.
Read MoreAuthors: Monica Lupei, MD et al ASA Monitor April 2022, Vol. 86, 34–35. As anesthesiologists, intensivists, and surgeons in a quaternary academic medical center, we often find ourselves in situations where life-altering decisions need to be made in a complex environment with incomplete and rapidly changing information. In our estimation, this has never been truer than […]
Read MoreASA Monitor April 2022, Vol. 86, 16. An anesthesia incident reporter writes: “Patient arrives and was administered a slew of sedatives and anesthesia, dropping their heart rate to the point where a new device has to be placed because the original one is now broken, and now there is no way to extract it.” This reporter […]
Read MoreASA Monitor April 2022, Vol. 86, 12. A 60-year-old man with chronic back pain presents for spine surgery. According to a recent study comparing the use of conditioned open-label placebo with treatment as usual after spine surgery, which of the following outcomes is MOST likely in the conditioned open-label placebo group? □ (A) Lower postoperative […]
Read MoreAuthor: Samuel H. Wald, MD, MBA, FASA ASA Monitor April 2022, Vol. 86, 27–28. Stanford Clinical Assistant Professor Praveen Kalra, MD (left), and Resident Alexandra Klein, MD (right), work with PPE trainer Dane Marin from Performance Medical Group to learn how to correctly don PPE back in 2020. The idea of crisis resource management in anesthesiology […]
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