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ASA Monitor July 2024, Vol. 88, 14. A 19-year-old man is admitted to your trauma center after a gunshot wound to the chest. He is in hemorrhagic shock, and you are considering 4-factor prothrombin complex concentrate (4-PCC) in addition to blood transfusion. According to a recent study that compared 4-PCC with placebo for traumatically injured patients […]
Read MoreAuthors: John W. Patton, III, MD, MBA et al ASA Monitor July 2024, Vol. 88, 29–30. Social media is defined as “forms of electronic communication (e.g., social networking and microblogging) through which users create online communities to share information, ideas, personal messages, and other content” (asamonitor.pub/3y9rAVf). Its origins can be traced back to the United States […]
Read MoreAuthors: Raut Dessai S, Ninave S, Verma N, et al. Cureus 16(7): e64257. doi:10.7759/cureus.64257 Background In anaesthesiology, intrathecal drugs play pivotal roles in spinal anaesthesia. Despite their ability to induce a high sensory block, bupivacaine alone may not be adequate for postoperative analgesia. It often requires a substantial dose of postoperative rescue analgesia to manage […]
Read MoreAuthors: Higashi A, Kinoshita M, Sudo K, et al. Cureus 16(7): e64391. doi:10.7759/cureus.64391 Abstract Congenital heart disease may require multiple cardiac surgeries during childhood. Subsequent non-cardiac surgeries increase the perioperative bleeding and hypoxia because of changes in circulation. An 18-year-old male patient with a history of multiple cardiac interventions, including Fontan surgery, underwent a thoracoscopic […]
Read MoreASA Monitor July 2024, Vol. 88, 12. An anesthesiology resident was caring for a patient scheduled for removal of a baclofen pump due to suspected infection, and during the preoperative period the neurosurgery resident assisting on the case requested the anesthesiology resident consider an appropriate dose to cover until the pump was working again. The […]
Read MoreAuthors: Shivganesh B. R. D, Karim H R, Agrawal N, et al. Cureus 16(7): e64487. doi:10.7759/cureus.64487 Background Perioperative dysglycemia increases morbidity and mortality, particularly among those with diabetes mellitus (DM), and elevated HbA1c levels, reflecting long-term blood glucose, are linked to poor healing and higher infection rates. This study investigates the link between preoperative HbA1c levels and perioperative […]
Read MoreAuthor: Amy Pearson, MD, FASA ASA Monitor July 2024, Vol. 88, 28–30. For those of us in anesthesiology, social media can seem too risky and complicated to utilize well. The landscape is always changing, and as trusted health care professionals, we need to carefully balance our authenticity and professional objectivity. So how do we stay ahead […]
Read MoreAuthors: Teeda Pinyavat, MD et al ASA Monitor July 2024, Vol. 88, 1–8. An MH Hotline Consultant takes a call. The setting is a typical OR, pulse ox beeping, multiple voices in the background. Consultant: Hi, I’m Dr. Pinyavat, the MH hotline consultant. How can I help you? Caller: Thank you for taking my call. I’m an anesthesiologist […]
Read MoreAuthors: Taniguchi K, Tanaka Y, Amano T, et al. Cureus 16(7): e64268. doi:10.7759/cureus.64268 Abstract Adnexal cyst torsion in late preterm pregnancies is rare, but it frequently causes secondary uterine contractions. Thus, deciding on performing a simultaneous cesarean section due to the potential for early postoperative labor onset is crucial despite no obstetric indications. Here, we […]
Read MoreAuthors: Dahake J S, Verma N Cureus 16(7): e64439. doi:10.7759/cureus.64439 Abstract There are two commonly used scoring systems to evaluate recovery from general anaesthesia (GA): the Modified Aldrete Score (MAS) and the Fast-Track Criteria (FTC). Recently, concerns have been expressed about the safety and effectiveness of the Aldrete scoring system due to its exclusion of […]
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