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Authors: David N. Flynn, M.D., M.B.A. et al Anesthesiology May 2022, Vol. 136, 865–866. To the Editor: We read with interest the review of the American Society of Anesthesiologists (ASA; Schaumburg, Illinois) Physical Status Classification System by Horvath et al. The authors provided an overview of the ASA Physical Status system; however, one use of the ASA […]
Read MoreAuthors: Balazs Horvath, M.D., F.A.S.A. et al Anesthesiology May 2022, Vol. 136, 866–867. In Reply: We sincerely thank Abouleish et al. and Flynn et al for their interest in and comments on our review article. Whereas our manuscript emphasized the virtually universal, multidisciplinary application of the American Society of Anesthesiologists (ASA; Schaumburg, Illinois) Physical Status Classification System to patient care […]
Read MoreAuthors: Hon Sen Tan, M.D., M.Med., M.H.Sc. et al Anesthesiology May 2022, Vol. 136, 678–687. Background The dural puncture epidural technique may improve analgesia quality by confirming midline placement and increasing intrathecal translocation of epidural medications. This would be advantageous in obese parturients with increased risk of block failure. This study hypothesizes that quality of […]
Read MoreAuthors: Sunny S. Lou, M.D., Ph.D. et al Anesthesiology February 2022. Background Accurate estimation of surgical transfusion risk is essential for efficient allocation of blood bank resources and for other aspects of anesthetic planning. This study hypothesized that a machine learning model incorporating both surgery- and patient-specific variables would outperform the traditional approach that uses […]
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 was […]
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, 15. A patient undergoing major thoracic surgery has a urine output of 0.2 mL/kg/h. According to a recent study defining oliguria as a urine output less than 0.3 mL/kg/h, which of the following statements BEST describes the impact of urine output on the risk of postoperative acute kidney injury […]
Read MoreAuthors: Matthew B. Allen, MD and Nicholas Sadovnikoff, MD, FCCM, HEC-C ASA Monitor February 2022, Vol. 86, 23–24. ASA guidelines for perioperative management of do-not-resuscitate (DNR) orders recommend that we revisit existing DNR orders prior to surgery and modify them as needed to align with patient preferences and clinical circumstances (asamonitor.pub/3lq2jgi). This “revisit and revise” or […]
Read MoreAUTHORS: Todd Novak, MD; Chelsea Zur, MD Anesthesia Patient Safety Foundation Volume 37, No. 01 February 2022 INTRODUCTION Rapid advancements in the fields of electrophysiology (EP) and interventional cardiology have increased the demand for anesthesia services.1,2 These procedures have grown in complexity and often involve the care of acutely sick patients with multiple comorbidities including advanced […]
Read MoreAuthors: Rachel Hadler, MD and Shahla Siddiqui, MD, MS, D.ABA, FCCM ASA Monitor February 2022, Vol. 86, 27–28. Case: A 65-year-old man with a previous medical history of hypertension, hyperlipidemia, and obesity is diagnosed with renal cell carcinoma with associated inferior vena cava (IVC) thrombus and concern for pulmonary metastases. He presents to the OR for nephrectomy […]
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