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Authors: Basem B. Abdelmalak, MD, FASA, SAMBA-F et al ASA Monitor November 2022, Vol. 86, 26–27. Driven by advances in minimally invasive diagnostic and therapeutic procedures, the demand for anesthesia and procedural sedation outside the OR has expanded more rapidly than ever. This has placed tremendous strain on anesthesiology departments, both to fulfill anesthesia service needs […]
Read MoreAuthors: Richard P. Dutton, MD, MBA, FASA; et al ASA Monitor November 2022, Vol. 86, 21–22. Most hospitals in America are seeking an increase in anesthesia services, mainly due to increasing need for nonoperating room coverage. At present, the market demand for anesthesia clinicians exceeds the available supply by a substantial margin. Among the possible solutions […]
Read MoreAuthors: Laura A. Downey, M.D.; Susan M. Goobie, M.D., F.R.C.P.C. Anesthesiology November 2022, Vol. 137, 604–619. Erythrocyte transfusions in pediatric patients during the perioperative period are indicated for the treatment of severe anemia, bleeding, and/or decreased oxygen-carrying capacity resulting in end-organ dysfunction. However, erythrocyte transfusions can place pediatric patients at risk for transfusion-related adverse outcomes including infection, […]
Read MoreAuthors: Holshouser B, Ferguson M. Pract Pain Manag. 2022 September/October;22(5). For children and adolescents, the prevalence of migraine by age 15 is 8% to 23%, and around 38.8% of Americans age 12 and older should be offered or considered for preventive migraine treatment.¹˒² Due to the debilitating nature of migraine disorder, it is important to […]
Read MoreAuthor: Thomas R. Miller, PhD, MBA ASA Monitor November 2022, Vol. 86, 1–8. I thank the readers who have emailed comments and questions to The Curious Economist. Recently, several curious readers asked two important anesthesia workforce-related questions, and my responses are the topics of this month’s column. The inquiries were: What are the trends in anesthesia […]
Read MoreAuthors: Virginia E. Tangel, M.A., M.Sc et al Anesthesiology November 2022, Vol. 137, 555–567. Background There are multiple preoperative risk scores for pediatric mortality. The aim of this study was to systematically describe and compare the existing studies of patient-specific multispecialty risk prediction scores for perioperative mortality in pediatric populations, with the goal of guiding clinicians […]
Read MoreAuthors: Michael R. Mathis, M.D.; et al Anesthesiology November 2022, Vol. 137, 586–601. Background Postoperative hemodynamic deterioration among cardiac surgical patients can indicate or lead to adverse outcomes. Whereas prediction models for such events using electronic health records or physiologic waveform data are previously described, their combined value remains incompletely defined. The authors hypothesized that models […]
Read MoreAuthor: Jim King Practical Pain Management Sep 29, 2022 Multimodal, non-Western therapy can help patients with persistent pain, especially when other treatment modalities fail. Drs. Johnathan Goree and Carrie Hyde share their clinical experience. Physicians treating chronic pain have a range of options, but many modalities have a high failure rate and some have serious […]
Read MoreJustice Department may still pursue cases if they can prove a doctor knowingly or intentionally prescribed controlled substances, including opioids, without evidence of medical necessity. Prescribers should document patient need, treatment plans, and more. Author: Katie Bennett JD Pract Pain Manag. 2022 September/October;22(5). While the recent onslaught of Supreme Court decisions has left our divided […]
Read MoreAuthors: Helen Hoyt, B.S. et al Anesthesiology November 2022, Vol. 137, 568–585. Background Etomidate, barbiturates, alfaxalone, and propofol are anesthetics that allosterically modulate γ-aminobutyric acid type A (GABAA) receptors via distinct sets of molecular binding sites. Two-state concerted coagonist models account for anesthetic effects and predict supra-additive interactions between drug pairs acting at distinct sites. Some behavioral and […]
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