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Authors: Nicholas L. McKenzie, B.S.P.H. et al Anesthesiology January 2023, Vol. 138, 42–54. Background Perioperative β-blocker therapy has been associated with increased risk of stroke. However, the association between β-blocker initiation before the day of surgery and the risk of stroke is unknown. The authors hypothesized there would be no association between preoperative β-blocker initiation within […]
Read MoreAuthor: Paul Pomerantz, FACHE ASA Monitor January 2023, Vol. 87, 12. Happy New Year! As I write this, it is mid-November, and I am always amazed at how quickly the end of year comes upon us. At ASA, it is a busy time: annual meeting reconciliation and follow-up, membership renewals, performance reviews, end-of-year accounting, implementation of […]
Read MoreAuthors: Heather Lander, MD; et al ASA Monitor January 2023, Vol. 87, 20–21. According to a recent World Health Organization (WHO) publication, in 2020 the number of people aged 60 years and older outnumbered children younger than 5 years worldwide (asamonitor.pub/3NC2L83). Simultaneous to the rapidly growing older population, their surgical and perioperative needs are also increasing. […]
Read MoreAuthor: Mariah Taylor Becker’s Hospital Review A recent study found risk-adjusted survival rates for cardiac arrest can vary as much as 71 percent between two randomly chosen hospitals. The study, published Dec. 15 in JACC Cardiovascular Interventions, analyzed 4,787 patients from 231 hospitals. The median survival rate was 36 percent, but the rates varied from 20 percent to […]
Read MoreAuthor: Doheny K. Pract Pain Manag. 2023 January/February;23(1). Migraine affects at least 39 million US adults, according to the Association of Migraine Disorders,¹ causing lost workdays, time away from family, and other quality of life issues. Worldwide, about 10% of people are affected by migraine and women are three times as likely to be affected […]
Read MoreAuthor: Richard Novak, MD The Anesthesia Consultant The Department of Anesthesiology, Perioperative and Pain Medicine at Stanford has administered Mock Oral Board Exams to its residents twice yearly since the 1980s. The Mock Oral is designed to mimic the conditions of the American Board of Anesthesiology (ABA) Standardized Oral Exam (SOE), which candidates must pass to become board-certified. The […]
Read MoreNEJM Journal Watch Patricia Kritek, MD, reviewing Bernard SA et al. JAMA 2022 Nov 8 Semler MW et al. N Engl J Med 2022 Nov 10 Two trials showed no benefit to targeted titration of oxygen in the intensive care unit. Assuring adequate oxygen delivery is a central tenet in the intensive care unit (ICU); however, some studies have […]
Read MoreASA Monitor January 2023, Vol. 87, 14–15. An 11-year-old patient with complex past medical history, including known difficult vascular access, history of central access complications, and neuromuscular scoliosis, presented for posterior spine fusion. There was difficulty securing peripheral I.V.s, even with ultrasound guidance. A small-gauge I.V. was placed in the left saphenous vein as a backup […]
Read MoreRadius Anesthesia blog Delirium after anesthesia, also known as emergence delirium (ED) is a clinical condition in which patients have alterations to their attention, awareness, and perceptions. In children, this often results in behavioral disturbances such as crying, sobbing, thrashing and disorientation [1]. Emergence delirium can be a difficult diagnosis to make as most children are […]
Read MoreAuthor: Talmage D. Egan, MD, FASA ASA Monitor January 2023, Vol. 87, 1–7. In my role as chair of an anesthesiology department at an academic medical center, every few weeks I have lunch with the medical students rotating on our service. These lunches are in part an effort to recruit our medical school’s best students into […]
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