Month: February 2023

Uncategorized Published - 10 February, 2023    By - Dr Clemens
Prevalence and Outcomes of Opioid Use Disorder in Pediatric Surgical Patients

AUTHORS: Alalade, Emmanuel MD et al  Anesthesia & Analgesia 136(2):p 308-316, February 2023. BACKGROUND: Chronic opioid use among adolescents is a leading preventable public health problem in the United States. Consequently, a sizable proportion of surgical patients in this age group may have a comorbid opioid use disorder (OUD). No previously published study has examined the […]

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Uncategorized Published - 10 February, 2023    By - Dr Clemens
Pulmonary Vasodilator Response of Combined Inhaled Epoprostenol and Inhaled Milrinone in Cardiac Surgical Patients

AUTHORS: Elmi-Sarabi, Mahsa MS et al  Anesthesia & Analgesia 136(2):p 282-294, February 2023. BACKGROUND: Pulmonary hypertension (PH) and right ventricular (RV) dysfunction are major complications in cardiac surgery. Intraoperative management of patients at high risk of RV failure should aim to reduce RV afterload and optimize RV filling pressures, while avoiding systemic hypotension, to facilitate weaning […]

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Uncategorized Published - 10 February, 2023    By - Dr Clemens
Pro-Con Debate: Monitored Anesthesia Care Versus General Endotracheal Anesthesia for Endoscopic Retrograde Cholangiopancreatography

Authors: Luke S. Janik, MD; Samantha Stamper, MD; Jeffery S. Vender, MD, MCCM; Christopher A. Troianos, MD, FASE, FASA Anesthesia Patient Safety Foundation Volume 37, No. 3 • October 2022  Reprinted from Anesthesia & Analgesia, June 2022 • Volume 134 • Number 6, pages 1192–1200, with permission from International Anesthesia Research Society. Professional titles and nomenclature were standardized […]

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Uncategorized Published - 10 February, 2023    By - Dr Clemens
Supraglottic Airway Devices (SADs) and Laparoscopic Surgery

Authors: Shauna Schwartz, DO; Yong G. Peng, MD, PhD, FASE, FASA Anesthesia Patient Safety Foundation Volume 38, No. 1 • February 2023   The information provided is for safety-related educational purposes only, and does not constitute medical or legal advice. Individual or group responses are only commentary, provided for purposes of education or discussion, and are […]

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Uncategorized Published - 10 February, 2023    By - Dr Clemens
Recognizing and Combating Cognitive Bias in Anesthesiology: Implications for Patient Safety

Authors: George Tewfik, MD, MBA, FASA, CPE, MSBA et al  Anesthesia Patient Safety Foundation Volume 38, No. 1 • February 2023  A CASE VIGNETTE After hearing the overhead page for emergency anesthesia help, an anesthesia professional rushed to the operating room with an Ear, Nose and Throat (ENT) case in progress. On arrival, she noted an […]

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Uncategorized Published - 9 February, 2023    By - Dr Clemens
Evolving Safety Challenges in Patients Presenting for Liver Transplantation Today

Authors: Khoa Tran, MD; Ashraf Sedra, MD; Joseph Szokol, MD, JD, MBA Anesthesia Patient Safety Foundation Volume 38, No. 1 • February 2023  INTRODUCTION It has now been over 20 years since the Institute of Medicine published the paradigm-changing report “To Err is Human,” which concluded that as many as 98,000 deaths occurred in hospitals each […]

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Uncategorized Published - 9 February, 2023    By - Dr Clemens
Association Between the FRAIL Scale and Postoperative Complications in Older Surgical Patients

AUTHORS: Gong, Selena BhSc et al  Anesthesia & Analgesia 136(2):p 251-261, February 2023. BACKGROUND:  Several frailty screening tools have been shown to predict mortality and complications after surgery. However, these tools were developed for in-person evaluation and cannot be used during virtual assessments before surgery. The FRAIL (fatigue, resistance, ambulation, illness, and loss of weight) scale […]

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Uncategorized Published - 9 February, 2023    By - Dr Clemens
The Anesthesia Workforce Crisis Revisited

AUTHORS: Morriss, Wayne W. MBChB, FANZCA*; Enright, Angela C. MB, FRCPC† Anesthesia & Analgesia 136(2):p 227-229, February 2023.  The coronavirus disease 2019 (COVID-19) pandemic has focused attention on the anesthesia workforce around the world. In many countries, anesthesiologists have had to work in critical care units as well as the operating room, and deficiencies in […]

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Uncategorized Published - 9 February, 2023    By - Dr Clemens
The Anesthesia Incident Reporting System (AIRS)

Author: Patrick Guffey MD, MHA  Anesthesia Patient Safety Foundation Volume 38, No. 1 • February 2023 INTRODUCTION TO ANESTHESIA INCIDENT REPORTING SYSTEM (AIRS) The Anesthesia Incident Reporting System (AIRS) was created specifically to detect rare and novel adverse events that occur in national health care systems in the perioperative period. Events may encompass equipment malfunctions, medication […]

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Uncategorized Published - 9 February, 2023    By - Dr Clemens
Transportation of Pediatric Patients With Hyperinflation System

AUTHORS: James Xie, MD; Jonathan Barnett, MD; Gary Banks; Jessica Hoke Anesthesia Patient Safety Foundation Volume 37, No. 3 • October 2022  Dear Rapid Response: Transporting patients is a high-risk process, accounting for up to 5% of pediatric anesthesia adverse events.1 Studies have identified respiratory and airway adverse events as some of the most common complications, along […]

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