Month: November 2022

Monkeypox Outbreak 2022

Authors: Richard Simoneaux; Steven L. Shafer, MD, FASA ASA Monitor November 2022, Vol. 86, 1–4. The monkeypox virus, like its cousin the variola virus (the causative agent of smallpox), is a DNA virus of the genus Orthopoxvirus. Monkeypox was first noted in the late 1950s when outbreaks of a “pox-like disease” were observed in monkeys housed […]

Final 2023 Medicare Physician Payment Rule Negatively Impacts Anesthesia Groups, Harms Patient Access to Surgical Care

 American Society of Anesthesiologists (ASA) The American Society of Anesthesiologists calls on Congress to block a nearly 4.5% Medicare payment cut to anesthesiologists and other physicians included in the Centers for Medicare & Medicaid Services (CMS) 2023 Medicare Physician Fee Schedule (PFS) final rule released this week. These significant cuts will compound the financial strain anesthesia groups are already […]

Anesthesia Incident Reporting System (AIRS) Case 2022-10: We’re Not Baking Cookies Here

ASA Monitor October 2022, Vol. 86, 14–16. VIEW LARGEDOWNLOAD SLIDE 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, […]

Anesthesiologists Drive Expanded Use of ECMO

Author: 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 […]

Genixus™ Introduces Propofol as the First Product to be Delivered Within KinetiX™ Ready-to-Administer (RTA) Syringe Platform

Cardiovascular-related deaths in the US fall, but disparities remain

Source: asamonitor.pub/3AmcdYd 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 factors. The findings, recently published in Circulation (Circulation July 2022), reviewed three papers. Each paper – published by […]

Ventilation Strategies During General Anesthesia for Noncardiac Surgery

AUTHORS: Bolther, Maria MD et al Anesthesia & Analgesia: November 2022 – Volume 135 – Issue 5 – p 971-985 BACKGROUND: The optimal ventilation strategy during general anesthesia is unclear. This systematic review investigated the relationship between ventilation targets or strategies (eg, positive end-expiratory pressure [PEEP], tidal volume, and recruitment maneuvers) and postoperative outcomes. METHODS: PubMed […]

Cite Share Favorites Permissions ORIGINAL RESEARCH ARTICLES: ORIGINAL CLINICAL RESEARCH REPORT Intraoperative Inspiratory Oxygen Fraction and Myocardial Injury After Noncardiac Surgery

AUTHORS: Pedersen, Sofie S. MD et al  Anesthesia & Analgesia: November 2022 – Volume 135 – Issue 5 – p 1021-1030 BACKGROUND: Two trials reported that a high inspiratory oxygen fraction (Fio2) does not promote myocardial infarction or death. Observational studies can provide larger statistical strength, but associations can be due to unobserved confounding. Therefore, we […]

Emergency Airway Management Outside the Operating Room

AUTHORS: Karamchandani, Kunal MD, FCCP, FCCM et al  Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 648-662 Abstract Emergency airway management outside the operating room (OR) is often associated with an increased risk of airway related, as well as cardiopulmonary, complications which can impact morbidity and mortality. These emergent airways may […]

Severe Intraoperative Hyperglycemia and Infectious Complications After Elective Brain Neurosurgical Procedures

AUTHORS: Kulikov, Alexander MD, PhD et al  Anesthesia & Analgesia: November 2022 – Volume 135 – Issue 5 – p 1082-1088 BACKGROUND: Postoperative infections after brain surgery are a serious complication potentially worsening the outcome of surgical treatment. Severe intraoperative hyperglycemia (SIH) contributes to both infectious and noninfectious postoperative complications. However, there are a lack of […]