Author: Karen Veazey MedicalNewsToday Shingles, also known as herpes zoster, is a type of rash that occurs due to the varicella-zoster virus (VZV). Although shingles usually resolve after a few weeks, complications can develop that affect the nerves, ears, eyes, or organ systems. VZV is the virus that causes chickenpox. After chickenpox resolves, the virus […]
Read MoreASA Monitor April 2022, Vol. 86, 14. A patient experiences a seizure 12 hours after tumescent liposuction of the abdomen and thighs. What is the MOST likely reason for the delay in this complication? □ (A) Third-space crystalloid redistribution □ (B) Epinephrine added to the tumescent solution □ (C) Postprocedure blood loss The tumescent liposuction technique uses large volumes […]
Read MoreAuthor: Karen S. Sibert, MD, FASA ASA Monitor April 2022, Vol. 86, 15. I found myself on the wrong side of the ether screen last week, having surgery on my left hand to release Dupuytren’s contracture, a genetic gift from my father and generations of our Viking forebears (asamonitor.pub/33BeNvR). Wondering how long it will take to […]
Read MoreAuthors: Stacey Watt, MD, MBA, MHPE, FASA et al ASA Monitor April 2022, Vol. 86, 25–28. “Is there anyone so wise as to learn from the experience of others?” – Voltaire For years, wildfires along the west coast of the United States have threatened public safety and led to loss of life, property, and natural resources. […]
Read MoreThis is for our readers who treat pain pts. Author: Zawn Villines MedicalNewsToday A headache is a common symptom of COVID-19, particularly when the disease is due to the Omicron variant of the coronavirus. Headaches may occur as a primary symptom of COVID-19 or as a secondary symptom due to factors such as dehydration, sleep […]
Read MoreAuthors: Kyle P. Nester, MD, FASA; Katherine S. Cox, MD, FASA ASA Monitor April 2022, Vol. 86, 29. Living in Louisiana is great: the food, the people, the vibrant culture. But there are six months out of the year that give many of us pause. Hurricane season can lead to unpredictable events that present unique challenges […]
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 not […]
Read MoreAuthors: Ting Yan, M.D. et al Anesthesiology April 2022, Vol. 136, 551–566. Background Postoperative pulmonary complications are common. Aging and respiratory disease provoke airway hyperresponsiveness, high-risk surgery induces diaphragmatic dysfunction, and general anesthesia contributes to atelectasis and peripheral airway injury. This study therefore tested the hypothesis that inhalation of penehyclidine, a long-acting muscarinic antagonist, reduces the […]
Read MoreAuthors: Stacey Watt, MD, MBA, MHPE, FASA et al ASA Monitor April 2022, Vol. 86, 26–30. Any hospital can be impacted by a mass casualty event regardless of the size, location, or capabilities of the facility. A coordinated response cannot be developed between the first warning of a mass casualty event and the arrival of the […]
Read MoreThis is important because we often have to give an anesthetic to a pt who uses cocaine. Author: Mate Jarai MedicalNewsToday The length of time cocaine stays in a person’s system depends on the dosage, how often a person uses it, and other factors. Cocaine has a shorter half-life than many other drugs, which means that the […]
Read More