Month: June 2023

Uncategorized Published - 6 June, 2023    By - Dr Clemens
Association of the United States Affordable Care Act Dependent Coverage Provision with Labor Neuraxial Analgesia Use 2023

Authors: Jean Guglielminotti, MD, PhD et al  Anesthesiology May 2023. Background Providing continuous health insurance coverage during the perinatal period may increase access to and utilization of labor neuraxial analgesia. This study tested the hypothesis that implementation of the 2010 Dependent Coverage Provision of the Patient Protection and Affordable Care Act, requiring private health insurers to […]

Read More
Uncategorized Published - 6 June, 2023    By - Dr Clemens
Technology 2023

ASA Monitor June 2023, Vol. 87, 16–17. Technology New system improves visualization in transforaminal lumbar interbody fusion procedures DePuy Synthes Research & Development has developed the TELIGEN™ System for advanced visualization experience and user-centric procedural control in minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) procedures. Lower back pain is the leading cause of years lived with […]

Read More
Uncategorized Published - 6 June, 2023    By - Dr Clemens
Deliberate Oxygen Therapy – How Much Is Too Much of a Good Thing? 2023

Authors: Jeffrey M. Carness, MD, FASA; Catherine M. Kuza, MD, FASA, FCCM ASA Monitor June 2023, Vol. 87, 33. Oxygen is one of the most common and overused interventions in hospitals. It is a crucial component of atmospheric air, comprising approximately 21%, and is vital to numerous bodily functions and processes. While once reserved to treat and […]

Read More
Uncategorized Published - 6 June, 2023    By - Dr Clemens
We’re Out Again?! Drug Scarcity and What We Can Do About It 2023

Michael J. Norton, MD, MBA, FASA; Kayla M. Knuf, MD ASA Monitor June 2023, Vol. 87, 32. In recent years, people around the world have experienced difficulty obtaining the medications they need to manage their acute and chronic health concerns. Adderall, amoxicillin, and Tamiflu have recently made news for being in short supply, but they’re just the […]

Read More
Uncategorized Published - 6 June, 2023    By - Dr Clemens
Out-of-OR Airway Management: Anticipating and Mitigating Physiologic Difficulty 2023

Authors: Craig S. Jabaley, MD, FCCM et al  ASA Monitor June 2023, Vol. 87, 30–31. Intubation being performed in the ICU (Artwork by: Catherine M. Kuza, MD). As a discipline, anesthesiology has served to meaningfully advance patient safety. In this context, airway management in dedicated procedural settings has benefited from algorithmic guidance, novel pharmaceuticals, and technological […]

Read More
Uncategorized Published - 5 June, 2023    By - Dr Clemens
A Financial Model of the 100% Medicare Practice 2023

Authors: Johnathan Pregler, MD, FASA et al  ASA Monitor June 2023, Vol. 87, 1–6. What are the implications of a single-payer health system in which private insurance would be eliminated and practice finances would be solely based on Medicare as it exists today. This paradigm would be a unique and especially problematic issue for anesthesiologists. Presently, […]

Read More
Uncategorized Published - 5 June, 2023    By - Dr Clemens
Trends 2023

ASA Monitor June 2023, Vol. 87, 16–17. Trends Artificial pancreas improves blood glucose control in young children by 12% In the NIH-funded Pediatric Artificial Pancreas (PEDAP) Trial, artificial pancreas technology improved blood glucose control in young children between ages 2 and 5 with type 1 diabetes. The study was a 13-week randomized, controlled trial that enrolled […]

Read More
Uncategorized Published - 5 June, 2023    By - Dr Clemens
Chronic Opioid Use: An Interactive Case History 2023

Author Yaras R, Bettinger J. Pract Pain Manage. 2023 MayJune:23(2). How to apply the updated CDC Clinical Practice Guideline for Prescribing Opioids for Pain in patients already on opioid therapy for chronic pain. The following hypothetical case is intended to reflect the changes in the CDC opioid prescribing guidelines (see full background).¹ Below is a step-by-step guide through […]

Read More
Uncategorized Published - 5 June, 2023    By - Dr Clemens
Anesthesia Incident Reporting System (AIRS) Case 2023-06: For Want of a Light Bulb, an Airplane Was Lost – Redux 2023

ASA Monitor June 2023, Vol. 87, 11–12. The Anesthesia Incident Reporting System (AIRS) was launched in 2011, turning 12 this year. We have thousands of reports letting us know when an anesthetic was associated with a complication. In reviewing the cases in AIRS, one theme we have noted is the persistence of distraction from electronic devices […]

Read More
Uncategorized Published - 5 June, 2023    By - Dr Clemens
SEE Question 2023

ASA Monitor June 2023, Vol. 87, 10. A 35-year-old man is admitted to the intensive care unit (ICU) in septic shock after surgery for a perforated appendix. According to a recent study comparing fluid administration strategies in ICU patients in septic shock, which of the following outcomes is MOST likely if this patient is administered a […]

Read More