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Authors: Mike Charlesworth and Andrew Klein #theanesthesiablog Major airway complications are rare and the best evidence on which we base current practice comes from NAP4, which was published in 2011. This new contribution from Cumberworth et al. used similar methods within six hospitals to see what has changed and highlight key areas for further training and development. […]
Read MoreAuthors: Emily Methangkool, MD, MPH; Richard D. Urman, MD, MBA ASA Monitor June 2022, Vol. 86, 25–26. Figure: Opportunities for quality improvement in non-operating room anesthetizing locations. NORA=non-operating room anesthesia; M&M=mortality and morbidity. Communication failures contribute to adverse events, morbidity, and mortality and may be complicated by both interprofessional and interdisciplinary dynamics within the procedural setting (J […]
Read MoreAuthor: Sarah G. Bodin, MD, FASA ASA Monitor June 2022, Vol. 86, 30. Today I reviewed another “low-risk clearance” checkbox note from an advanced practice registered nurse, for a topical cataract case, under monitored anesthesia care. Prior to the patient’s topical cataract extraction, my healthy 64-year-old patient had visited her primary care physician to be cleared […]
Read MoreСаrdiac Anesthesiologist June 03, 2022 Adjunctive Therapy Warming Bleeding patients with core or intermediate zone temperatures less than 35°C will benefit from warming efforts, both passive (warm ambient temperature, adequate body coverings, low-ventilator fresh gas flows, airway heat and humidity exchangers) and active (heated humidifiers, warmed intravenous fluids, forced-air convective warming blankets). All too often, […]
Read MoreAuthors: Dylan Irvine, BScH et al Anesthesia Patient Safety Foundation Newsletter Volume 37, No. 2 • June 2022 Introduction As of 2018, an estimated 9.5% of the United States adult population were cannabis users.1 This percentage has likely continued to increase with the use of both recreational and medicinal cannabis in the United States. The use of […]
Read MoreAuthors: Mike Charlesworth and Andrew Klein #theanesthesiablog Despite several published guidelines recommending the use of peri-operative checklists, there is a paucity in reporting team adherence to checklist use. This new 5-year audit from Fuchs et al. aimed to report the adherence of anaesthesia providers to an anaesthesia pre-induction checklist. The checklist was to be undertaken before […]
Read MoreAuthors: Michael P. Puglia, II, M.D., Ph.D. et al Anesthesiology July 2022, Vol. 137, 28–40. Background Functional connectivity in cortical networks is thought to be important for consciousness and can be disrupted during the anesthetized state. Recent work in adults has revealed dynamic connectivity patterns during stable general anesthesia, but whether similar connectivity state transitions occur […]
Read MoreAuthors: Yuichi Sakaguchi, M.D. et al Anesthesiology July 2022, Vol. 137, 15–27. Background The low acceptance rate of continuous positive airway pressure therapy in postoperative patients with untreated obstructive sleep apnea (OSA) indicates the necessity for development of an alternative postoperative airway management strategy. The authors considered whether the combination of high-flow nasal cannula and upper-body […]
Read MoreAuthors: Jeremy Laney, MD; Joseph W. Szokol, MD, FASA Anesthesia Patient Safety Foundation Newsletter Volume 37, No. 2 • June 2022 For the past 2 years, the COVID-19 pandemic has bequeathed a plethora of barriers and unleashed its desolation on nearly every person on the planet. Infections have surpassed 445 million globally along with an […]
Read MoreDG Journal Club AUTHORS: Ho Lim Pak, Giorgio Lambru, Mohamed Okasha, Eleni Maratos World Neurosurg. 2022 Jul 8 BACKGROUND Microscopic microvascular decompression of the trigeminal nerve is the gold standard surgical treatment for medically refractory classical trigeminal neuralgia (TN). Endoscopy has significantly advanced surgery and provides enhanced visualisation of the cerebellopontine angle and its critical […]
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