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Author: Aman Kalra, MD ASA Monitor July 2022, Vol. 86, 22–24. Adverse respiratory events are among the most common critical perioperative events in pediatric anesthesia. Proficient management of the pediatric airway requires thorough understanding of its unique anatomical and physiological characteristics (Acta Anaesthesiol Scand 2009;53:1-9; Paediatr Anaesth 2012;22:1008-15; Int J Crit Illn Inj Sci 2014;4:65-70). These differences are […]
Read MoreAuthors: Andrew Sedivy, MD et al ASA Monitor October 2022, Vol. 86, 20–21. When adverse outcomes occur postoperatively, anesthesiologists and surgeons often are at odds about the mechanism and may blame each other. If the creatinine changes after cardiac, vascular, or other surgeries, the surgeon may infer that the patient was over- or under-hydrated or there […]
Read MoreASA Monitor October 2022, Vol. 86, 16. Which of the following agents is MOST likely to decrease intraocular pressure? □ (A) Fentanyl □ (B) Succinylcholine □ (C) Midazolam Ophthalmic surgeries are the most commonly performed surgical procedures in the United States. Intraocular pressure (IOP) is defined by the pressure exerted by different components of the globe to the containing […]
Read MoreAuthors: Brittany Reardon, MD; Loren Smith, MD, PhD ASA Monitor July 2022, Vol. 86, 32. Airway management is a cornerstone of anesthesiology, particularly management of potentially difficult airways, as anesthesiologists are the foremost experts in this arena. Anesthesiologists are acutely aware of how important it is to recognize a potentially difficult airway before administering sedation or anesthesia […]
Read MoreASA Monitor October 2022, Vol. 86, 14–16. A 14-year-old otherwise healthy female underwent a posterior spinal fusion for scoliosis. A TIVA anesthetic was used to accommodate neuromonitoring. Our organization uses a strict protocol for spinal fusions that specifies a single injection of intrathecal morphine prior to incision, infusions of ketamine and tranexamic acid, and I.V. access […]
Read MoreAuthor: Kelly Wolfgang ASA Monitor October 2022, Vol. 86, 13. Extracorporeal membrane oxygenation, or ECMO, was initially developed as an extension of cardiopulmonary bypass to replace the function of the heart and lungs by pumping and oxygenating a patient’s blood outside the body. The procedure, once only able to be used for hours or days at […]
Read MoreASA Monitor October 2022, Vol. 86, 11–12. Trends Cardiovascular-related deaths in the US fall, but disparities remain A National Institutes of Health (NIH)-supported study found that cardiovascular-related deaths have declined over the past two decades, but disparities remain. Inequities are mostly driven by differences in race and ethnicity, geographic location, and access to care, among other […]
Read MoreAuthors: Spencer P. Walsh, M.D. et al Anesthesiology October 2022, Vol. 137, 473–483. After the landmark Acute Respiratory Distress Syndrome Network study in 2000, the idea of low tidal volume (VT) ventilation spread through the critical care and anesthesiology communities. Studies have shown that positive-pressure ventilation contributes to lung inflammation and might predispose general surgery and […]
Read MoreAuthors: Felipe Muñoz-Leyva, M.D. et al Anesthesiology October 2022, Vol. 137, 459–470. Background An optimal opioid-sparing multimodal analgesic regimen to treat severe pain can enhance recovery after total knee arthroplasty. The hypothesis was that adding five recently described intravenous and regional interventions to multimodal analgesic regimen can further reduce opioid consumption. Methods In a double-blinded fashion, […]
Read MoreAuthor: Kathleen Doheny Practical Pain Management A multimodal approach to therapy may help relieve the chronic pain that some individuals experience months after initial shingles infection. After a bout of shingles, many people recover well and leave the pain of the condition behind. But not all. And for those who don’t, life can get — […]
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