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Authors: Sarah G. Bodin, MD, FASA ASA Monitor June 2022, Vol. 86, 30. Today I reviewed another “low-risk clearance” checkbox note from an advanced practice registered nurse, for a topical cataract case, under monitored anesthesia care. Prior to the patient’s topical cataract extraction, my healthy 64-year-old patient had visited her primary care physician to be cleared […]
Read MoreAuthor: Niraja Rajan, MBBS, FAAP, SAMBA-F, FASA ASA Monitor June 2022, Vol. 86, 28–29. Many pediatric surgeries are performed on an outpatient basis either in a hospital or a freestanding ambulatory surgery center (ASC) with tonsillectomy and/or adenoidectomy, myringotomy, appendectomy, urological procedures, and other operating room therapeutic procedures on nose, mouth, and pharynx accounting for the […]
Read MoreASA Monitor June 2022, Vol. 86, 11. Three minutes after administering a standard intubating dose of rocuronium (0.6 mg/kg) to a patient with cirrhosis, you discover the vocal cords are closed during laryngoscopy and the patient is moving. An alteration in which of the following MOST likely explains this finding? □ (A) Hepatic clearance □ (B) The neuromuscular […]
Read MoreAuthors: John J. Finneran, IV, M.D. et al Anesthesiology June 2022, Vol. 136, 970–982. Background The common technique using a basal infusion for an ambulatory continuous peripheral nerve blocks frequently results in exhaustion of the local anesthetic reservoir before resolution of surgical pain. This study was designed to improve and prolong analgesia by delaying initiation using […]
Read MoreAuthors: Sher-Lu Pai, MD, FASA, SAMBA-F; Kelly Lebak, MD, FASA ASA Monitor June 2022, Vol. 86, 27. The coronavirus disease (COVID-19) pandemic has changed the world, and it may have changed the practice of medicine, including the specialty of anesthesiology (Anesth Analg 2020;131:31-6). From cancellation of elective procedures, perioperative testing protocols, lack of hospital inpatient beds, intraoperative […]
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