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Author: Aman Kalra, MD ASA Monitor July 2022, Vol. 86, 22–24. Adverse respiratory events are among the most common critical perioperative events in pediatric anesthesia. Proficient management of the pediatric airway requires thorough understanding of its unique anatomical and physiological characteristics (Acta Anaesthesiol Scand 2009;53:1-9; Paediatr Anaesth 2012;22:1008-15; Int J Crit Illn Inj Sci 2014;4:65-70). These differences are […]
Read MoreAuthors: Andrew Sedivy, MD et al ASA Monitor October 2022, Vol. 86, 20–21. When adverse outcomes occur postoperatively, anesthesiologists and surgeons often are at odds about the mechanism and may blame each other. If the creatinine changes after cardiac, vascular, or other surgeries, the surgeon may infer that the patient was over- or under-hydrated or there […]
Read MoreASA Monitor October 2022, Vol. 86, 16. Which of the following agents is MOST likely to decrease intraocular pressure? □ (A) Fentanyl □ (B) Succinylcholine □ (C) Midazolam Ophthalmic surgeries are the most commonly performed surgical procedures in the United States. Intraocular pressure (IOP) is defined by the pressure exerted by different components of the globe to the containing […]
Read MoreAuthors: Brittany Reardon, MD; Loren Smith, MD, PhD ASA Monitor July 2022, Vol. 86, 32. Airway management is a cornerstone of anesthesiology, particularly management of potentially difficult airways, as anesthesiologists are the foremost experts in this arena. Anesthesiologists are acutely aware of how important it is to recognize a potentially difficult airway before administering sedation or anesthesia […]
Read MoreASA Monitor October 2022, Vol. 86, 14–16. A 14-year-old otherwise healthy female underwent a posterior spinal fusion for scoliosis. A TIVA anesthetic was used to accommodate neuromonitoring. Our organization uses a strict protocol for spinal fusions that specifies a single injection of intrathecal morphine prior to incision, infusions of ketamine and tranexamic acid, and I.V. access […]
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