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ASA Monitor February 2023, Vol. 87, 8. Patient was an infant (1-3 years), approx 10 kg. Pt presented to the operating room for bilateral syndactyly repair. After the induction of general anesthesia, the plastic surgery resident infiltrated the right hand, left hand, and left groin with lidocaine 1% for a total of 16 mL (160 mg). […]
Read MoreAuthors: Manuel Bonilla, MS; Michael W. Champeau, MD, FAAP, FASA ASA Monitor February 2023, Vol. 87, 1–5. The federal No Surprises Act (NSA), implemented in 2022, represents an important step forward in protecting patients from surprise medical bills and improving transparency within the health care system. Unfortunately, the NSA’s flawed implementation has revealed significant problems for physicians […]
Read MoreASA Monitor February 2023, Vol. 87, 11. Trends WHO advises immediate “kangaroo mother care” for increased survival rates of premature babies Credit: David Ballot for the Jacobs School of Engineering, UC San Diego. Every year, an estimated 15 million babies are born premature (before 37 weeks of pregnancy), amounting to more than one in 10 of […]
Read MoreAuthors: Anjelo Anthony, BS; Rohan Hylton, BA; Christine Vo, MD ASA Monitor February 2023, Vol. 87, 22. Pain management has been an increasing topic of interest, and so too have the disparities in pain care across different cultural and ethnic groups. Despite the concerted efforts to diminish health care disparities, it is apparent that we continue to fall […]
Read MoreAuthors: Katherine A. Lingras, PhD, LP et al ASA Monitor February 2023, Vol. 87, 15–16. “There’s something much bigger than the business case for diversity, equity, inclusion, and belonging work. It’s the human case. How good do we want to be with and for each other?” – Aiko Bethea The importance of diversity in health care […]
Read MoreAuthor: Demicha D. Rankin, MD ASA Monitor February 2023, Vol. 87, 21. Like many anesthesiologists, I have the privilege of serving in an academic institution where teaching medical students is a fulfilling aspect of any given day. Normally, the educational domain revolves around the applications of pharmacology, airway management, and pathophysiology. But on this particular day, […]
Read MoreAuthors: Regan Bergmark, MD, FACS, FARS et al ASA Monitor February 2023, Vol. 87, 13–14. Patients with limited English proficiency (LEP) have inferior health care outcomes in the United States. Beyond linguistic access, some patients may face social, cultural, insurance-related, and financial barriers to quality care. In 2022, technological innovations should allow for complete interpretation in […]
Read MoreAuthors: Jonathan E. Charnin, MD, FASA et al ASA Monitor January 2023, Vol. 87, 36–37. There are always opportunities to improve perioperative patient safety, but some might escape notice because the agent of harm is invisible. The Anesthesia Patient Safety Foundation (APSF) Committee on Infection Prevention is a multidisciplinary, multiprofessional group of experts who convene to […]
Read MoreAuthors: Tomonori Takazawa, M.D., Ph.D. et al Anesthesiology February 2023, Vol. 138, 172–183. Background There are no effective pharmacologic interventions for preventing postoperative cognitive dysfunction in daily practice. Since the antibiotic minocycline is known to suppress postoperative neuroinflammation, this study hypothesized and investigated whether minocycline might have a preventive effect on postoperative cognitive dysfunction after noncardiac […]
Read MoreAuthors: Jamie R. Privratsky, M.D., Ph.D. et al Anesthesiology February 2023, Vol. 138, 184–194. Background Acute kidney injury (AKI) after noncardiac surgery is common and has substantial health impact. Preclinical and clinical studies examining the influence of sex on AKI have yielded conflicting results, although they typically do not account for age-related changes. The objective of […]
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