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Intubation is a standard part of airway management in the O.R., ICU and other settings. At some point, every intubation will be followed by an extubation. But what if the extubation has complications? Few anesthesiologists think about strategies for reintubation until problems have already begun to escalate. “Extubation has percolated into most airway guidelines at […]
Read MoreAuthor: Lenny Bernstein Washington Post October 3 Illicit drug users who are certain that fentanyl is mixed into the heroin they consume are much more likely to take precautions that reduce their chances of overdosing, researchers reported Wednesday in a small study. The survey examined the use of fentanyl test strips by 125 injection drug […]
Read MoreAuthors: Stanley W. Stead, M.D., M.B.A., FASA et al ASA Monitor 10 2018, Vol.82, 72-79. ASA is pleased to present the annual commercial conversion factor survey for 2018. Each summer we anonymously survey anesthesiology practices across the country. We ask them to report up to five of their largest managed care (commercial) contracts conversion factors (CF) and […]
Read MoreASA Monitor 10 2018, Vol.82, 60-61. A recent retrospective cohort study tallied administrative and pharmacy billing data collected during the years 2008 to 2013 on patients with septic shock admitted to hospitals. The authors analyzed the impact of the 2011 norepinephrine shortage in the U.S. According to the results of the study, which of the following […]
Read MoreAuthors: Sorin J. Brull, M.D. FCARCSI (Hon) et al ASA Monitor 10 2018, Vol.82, 52-54. The Anesthesia Patient Safety Foundation (APSF) presented a panel on neuromuscular blockade and patient safety during ANESTHESIOLOGY 2017 in Boston. The panel included presentation of a survey that sought to determine key clinical and patient safety issues related to perioperative management of […]
Read MoreThis is for our readers who treat pain pts with narcotics. Authors: By Yuan CS et al JAMA 2000; 283:367–72. Context: Constipation is the most common chronic adverse effect of opioid pain medications in patients who require long-term opioid administration, such as patients with advanced cancer, but conventional measures for ameliorating constipation often are insufficient. Objective: To […]
Read MorePatients 65 and older undergoing surgery are at increased risk for developing perioperative neurocognitive disorders, including postoperative delirium (POD), with detrimental effects on their recovery. POD is the most common surgical complication in older adults, occurring in 5 to 50 percent of older adults after an operation, according to the American Geriatrics Society. It’s estimated […]
Read MoreI thought this was interesting so I wanted to share with our readers. A 12-item screening tool can help identify teens who are likely to start smoking in the next year, researchers report in Pediatrics. To develop the tool, the researchers used data from over 800 children who completed questionnaires several times each year from seventh […]
Read More(A) An IO device may be used for transfusion. (B) Pediatric patients are the only patients who should receive IO access. (C) The risk for osteomyelitis is 20 percent. (D) In the advanced cardiac life support protocols, drug administration via a tracheal tube is preferred over the IO route. IO access was developed in the […]
Read MoreWhat We Already Know about This Topic: Positive end-expiratory pressure protects against ventilation-induced lung injury by improving homogeneity of ventilation, but positive end-expiratory pressure contributes to the mechanical power required to ventilate the lung What This Article Tells Us That Is New: This in vivo study (36 pigs mechanically ventilated in the prone position) suggests that low […]
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