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AUTHORS: Melissa Byrne, DO, MPH, FASA; Danielle Saab, MD Anesthesia Patient Safety Foundation Volume 39, No. 1 • February 2024 INTRODUCTION Nonsurgical cosmetic enhancements such as neurotoxins, eyelash extensions, gel manicures, or permanent jewelry, have grown exponentially in popularity over the last several years. Whether individuals seek to alter their appearance to achieve a more youthful […]
Read MoreASA Monitor April 2024, Vol. 88, 10. A 70-year-old woman with sepsis presents for urgent cystoscopy and stenting. She has already received 1 L of crystalloid fluid, but her systolic blood pressure is currently less than 100 mm Hg and her lactate level is greater than 4 mmol/L. According to a recent trial that compared early […]
Read MoreASA Monitor April 2024, Vol. 88, 14. New statement on cerebral venous thrombosis The American Heart Association released a statement to raise awareness about cerebral venous thrombosis (CVT) among patients and physicians for timely recognition and treatment. The statement reviews the latest evidence and updates recommendations for diagnosing and managing CVT, focusing on advancements in treatment […]
Read MoreASA Monitor April 2024, Vol. 88, 11–13. 60-year-old coming to OR after redo sternotomy (AVR and ascending aorta aneurysm). Multiple infusions on pumps in addition to insulin infusion via pump (not syringe). Bedside nursing wanted to consolidate and took insulin off pump (patient was euglycemic). The nurse was concerned the clamp and roller had not been […]
Read MoreAS A Monitor April 2024, Vol. 88, 9. In patients with depressed myocardial contractility, how is left ventricular afterload MOST likely to be affected by positive pressure ventilation? □ (A) Increased □ (B) Decreased □ (C) Unchanged Right and left ventricular ejection is affected by alveolar pressure, pleural pressure, and lung volume during the respiratory cycle. During positive pressure […]
Read MoreAUTHORS: Zeng, Min MD, PhD et al Anesthesia & Analgesia 138(4):p 839-847, April 2024. | BACKGROUND: Dexmedetomidine was reported to reduce postoperative acute pain after neurosurgery. However, the efficacy of dexmedetomidine for preventing chronic incisional pain is uncertain. METHODS: This article is a secondary analysis of a randomized, double-blind, placebo-controlled trial. Eligible patients were randomly allocated to […]
Read MoreAUTHORS: David W. Tscholl, MD et al Anesthesia Patient Safety Foundation Volume 39, No. 1 • February 2024 BACKGROUND The principles of Situation Awareness (SA) originated in aviation psychology, a field that bears similarities to medicine in its daily challenges of dealing with complex, dynamic, and often unforeseen situations. David Gaba, MD, an anesthesiologist at Stanford […]
Read MoreASA Monitor April 2024, Vol. 88, 14. Lower risk of suicidal ideation with semaglutide A study funded by the National Institutes of Health (NIH) has found that semaglutide, an FDA-approved medication for obesity and type 2 diabetes, is associated with a 49%-73% lower risk of first-time or recurring suicidal ideations compared to other medications with different […]
Read MoreAuthors: Drew Disque, MD et al Anesthesia Patient Safety Foundation Volume 39, No. 1 • February 2024 Cardiovascular Implantable Electronic Device (CIED) technology continues to evolve and the global population of individuals with CIEDs is expanding. We present a focused update to the perioperative management of CIEDs since our last publication in 2020. LEADLESS CIEDS In […]
Read MoreAUTHORS: Chhabada, Surendrasingh MD et al Anesthesia & Analgesia 138(4):p 821-828, April 2024. BACKGROUND: Obesity distorts airways and slightly complicates intubations in adults, but whether obesity complicates pediatric intubations remains unclear. We, therefore, tested the primary hypothesis that increasing age- and sex-specific body mass index (BMI) percentile is associated with difficult intubation, defined as >1 intubation […]
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