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Authors: David Stahl, MD et al ASA Monitor July 2022, Vol. 86, 34–35. Walking into the PACU following an appendectomy on a Saturday afternoon, the on-call obstetrician pages you about a pregnant patient in the ED. You work at a 50-bed hospital in a mountain town that provides basic obstetric services but has no ICU and […]
Read MoreAUTHORS: Akkermans, Annemarie MD, PhD et al Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 341-353 BACKGROUND: Postoperative pulmonary complications (PPCs) occur in up to 33% of patients who undergo noncardiothoracic surgery. Emerging evidence suggests that permissive hypercapnia may reduce the risk of lung injury. We hypothesized that higher intraoperative end-tidal […]
Read MoreAUTHORS: Cohen, Barak MD et al Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 329-340 BACKGROUND: The risk of myocardial injury progressively increases at intraoperative mean arterial pressures (MAPs) ≤65 mm Hg. Higher pressures might be required in chronically hypertensive patients. We aimed to test the hypothesis that the harm threshold […]
Read MoreAUTHORS: Zickerman, Caroline MD et al Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 307-315 Abstract Export BACKGROUND: Postoperative negative behavioral changes (NBCs) are common among children, but risk for this is thought to be reduced with premedication. Midazolam has for many years been a standard premedication for children. More recently, […]
Read MoreAUTHORS: van der Merwe et al Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 250-263 BACKGROUND: There is an unmet need for essential surgical services in Africa. Limited anesthesia services are a contributing factor. Nonphysician anesthesia providers are utilized to assist with providing anesthesia and procedural sedation to make essential surgeries […]
Read MoreAuthor: Rob Shakar, MD, FASA ASA Monitor July 2022, Vol. 86, 41. In 2012, ASA introduced the Perioperative Surgical Home (PSH) as a response to the shift from volume-based to value-based health care. The society recognized that anesthesiologists would increasingly be measured by the cost-effectiveness and quality of the care they provide. We believed a patient-centric, […]
Read MoreASA Monitor July 2022, Vol. 86, 16. Based on a recent meta-analysis, which of the following viruses was associated with the HIGHEST rate of acute cardiac injury among critically ill patients? □ (A) Influenza A subtype H3N2 □ (B) Influenza B □ (C) SARS-CoV-2 The course of illness for patients with COVID-19 caused by SARS-CoV-2 may […]
Read MoreAUTHORS: Taha, Bushra MD et al Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 268-276 BACKGROUND: Utilization of extracorporeal membrane oxygenation (ECMO) for adult critically ill patients is increasing, but data in obstetric cohorts are scant. This study analyzed ECMO utilization and maternal outcomes in obstetric patients in the United States. […]
Read MoreASA Monitor July 2022, Vol. 86, 15. In December 2021, an infusion pump manufacturer sent out a letter to its customers, many of which are anesthesiology departments, warning that its pumps posed a safety risk. After an upstream occlusion alarm, the user can clear the alarm state without clearing the upstream occlusion; in this case, the […]
Read MoreAuthor: Jamie Eske MedicalNewsToday The kidneys remove waste products and excess fluid from the bloodstream. These two organs sit on either side of the body just below the rib cage. The kidneys rest against the back muscles, which can make it difficult to tell the difference between kidney pain and back pain. When trying to […]
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