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ASA Monitor 11 2018, Vol.82, 44. Which of the following characteristics is most likely in a neonate with a gastroschisis rather than an omphalocele? (A) Congenital heart disease (B) Inborn errors of metabolism (C) Absence of coverage with a membranous sac (D) Urologic abnormalities Omphalocele (Figure 1) and gastroschisis (Figure 2) represent two of the more common neonatal […]
Read MoreAuthors: Stephen H. Jackson, M.D. ASA Monitor 11 2018, Vol.82, 24-27. Ethical Principles and Informed Consent1-3 The ethical implications of routine (“screening,” non-con-sented) preoperative pregnancy testing often are obscured by scientific and legal misinformation that creates unfounded uncertainty. The process of informed consent honors what the patient wants through respecting the ethical principle of patient autonomy (self-determination). Ethically, a woman has the right to be offered pregnancy […]
Read MoreAuthors: Michael Souter, M.B., Ch.B., FRCA, FNCS ASA Monitor 11 2018, Vol.82, 20-22. Michael Souter, M.B., Ch.B., FRCA, FNCS, is Professor of Anesthesiology and Pain Medicine and Neurological Surgery/Chief of Anesthesia Services (HMC), Harborview Medical Center, University of Washington, and Medical Director, LifeCenter Northwest (Organ Procurement Organization), Seattle. Prior to a consensus on the definition of […]
Read MoreAuthors: Krishnan S. Ramanujan, M.D. et al ASA Monitor 11 2018, Vol.82, 16-18. The opioid epidemic is one of the largest and most recent public health crises to strike the United States, with the rate of opioid-related overdose deaths nearly quadrupling between 1999 and 2014. To combat this growing epidemic, research has been conducted to identify those […]
Read MoreAuthors: Jeffrey S. Jacobs, M.D., M.B.A., FASA et al ASA Monitor 11 2018, Vol.82, 14-15. It’s another day in the O.R. with another day of surprises. Lately, however, the revelations aren’t the medical complexities of the patient or the cause of O.R. delay (never anesthesia, of course). For too long, the primary question has been, “what medications […]
Read MoreAuthors: Dominic S. Carollo, M.D. et al ASA Monitor 11 2018, Vol.82, 10-13. This article is excerpted in part from “Fundamentals of the Pediatric Informed Consent Process.”1 The process of obtaining informed consent for a pediatric patient is distinctly different from the adult patient. Competent patients (i.e., adults with decision-making capacity) act autonomously in the process of […]
Read MoreThe Drug Enforcement Administration (DEA) recently released an alert warning of an extortion scam targeting DEA registrants, including anesthesiologists and CRNAs. Members are encouraged to be careful to avoid being impacted by the scam. According to the DEA, individuals are receiving telephone calls and emails from persons who identify themselves as DEA employees or other […]
Read MoreAuthors: Annemarie Akkermans, M.D et al Anesthesiology October 31, 2018. What We Already Know about This Topic: It remains unknown what end-tidal carbon dioxide and mean arterial pressure are optimal for surgical management of patients with an aneurysmal subarachnoid hemorrhage What This Article Tells Us That Is New: The investigators retrospectively evaluated 1,099 patients who had […]
Read MoreThe C-section rate has almost doubled in less than a generation. By Julia Belluz Vox Oct 27, 2018 Over the last century, medical advances have transformed childbirth from the most common cause of death for young women and infants into a much more survivable one. And the c-section has been an important tool — until doctors overused it. “Your […]
Read MoreAuthor Sarah McQuate University of Washington News Oct 10, 2018 During surgery, anesthesiologists monitor and manage patients to make sure they are safe and breathing well. But these doctors can’t always predict when complications will arise. Prescience also provides real-world explanations behind its predictions. With this information, anesthesiologists can better understand why a patient is […]
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