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ASA Monitor May 2022, Vol. 86, 18–19. Case 1 A trauma patient from the emergency department showed up as a “surprise” to the operating room. No known history, shot multiple times in the head, chest, and abdomen; emergency thoracotomy in ED after arrest. In the OR, his end-tidal CO2 was 9 mmHg and he had no […]
Read MoreAuthors: Ellile Sultan, MD, BMedSci, FRCA, MSc, CRA, T. Kyle Harrison, MD ASA Monitor May 2022, Vol. 86, 44–45. Only minutes after lifting off from LaGuardia Airport, two senior pilots were rapidly thrust into an emergency that threatened not only their lives but their passengers’ lives and unknown numbers of ground casualties (asamonitor.pub/35PIt9e). Following take […]
Read MoreASA Monitor May 2022, Vol. 86, 12. A 25-year-old man presents for laparoscopic cholecystectomy. He suffers from chronic low back pain and is using oxycodone, diazepam, and cannabis for pain management. According to a recent study, which of the following six-month outcomes is MOST likely in this patient compared with a similar patient who does not […]
Read MoreAuthor: Thomas R. Miller, PhD, MBA ASA Monitor May 2022, Vol. 86, 1–11. I wrote this column in February, that exciting time of the year when most publicly traded companies submit Form 10-K to the U.S. Securities and Exchange Commission. The 10-K is a comprehensive report filed each year to inform potential investors about a firm’s […]
Read MoreASA Monitor May 2022, Vol. 86, 34–35. In December, USA Today reported on the American Medical Association’s and American Hospital Association’s lawsuit against the U.S. Departments of Health and Human Services, Labor, and Treasury over flawed regulations in implementing the No Surprises Act, noting that ASA is in agreement. “The rules are a powerful mechanism for […]
Read MoreAuthors: Kunal Karamchandani, M.D., FCCP et al ASA Monitor February 2020, Vol. 84, 30–32. Opioids impact intensivists in multiple ways. While opioids form the cornerstone of managing pain and sedation in the intensive care unit (ICU), the significant increases in opioid use-related admissions in the wake of the opioid epidemic are concerning. Pain is ubiquitous in the […]
Read MoreAuthors: Timothy D. Quinn, M.D. et al ASA Monitor May 2019, Vol. 83, 14–16 Anesthesiologist Intensivists and Evaluating High-risk Surgical Patients Perioperative management of high-risk surgical patients poses many challenges. Patients may be deemed high risk based on poor baseline functional status, severe or uncontrolled co-morbidities, poor scores on risk and frailty calculators, invasiveness of the […]
Read MoreAuthors: Ashish K. Khanna, M.D., FCCP, FCCM et al ASA Monitor May 2019, Vol. 83, 18–20. Historical Perspective More than 65 years ago, Dr. Bjorn Ibsen, a Copenhagen anesthesiologist, was savvy enough to recognize the need to create the first ICU – the stimulus for which was the polio epidemic of 1952-53. At that time, over […]
Read MoreAuthors: Adjoa Boateng, MD, MPH; Vivek K. Moitra, MD, MHA, FCCM ASA Monitor October 2021, Vol. 85, 38–40. While critical care medicine has been a recognized and valuable subspeciality of anesthesiology for many years and the scope of practice has expanded, in many respects the recent COVID-19 pandemic has accelerated its transformation. Until recently, and for many […]
Read MoreAuthors: David J. Douin, M.D.; Ana Fernandez-Bustamante, M.D., Ph.D. Editorial Anesthesiology July 2022, Vol. 137, 13–14. “[What is] the potential value of hypercoagulability assays in the management of patients with hypoxemia and ARDS?” Image: J. P. Rathmell The presence of coagulation abnormalities in acute respiratory distress syndrome (ARDS) has been identified and studied for decades and these investigations […]
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