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ASA Monitor 04 2017, Vol.81, 56. A 67-year-old woman with no significant past medical history presents to the emergency department with dyspnea. Her electrocardiogram shows atrial flutter with a ventricular rate of 150 beats/minute. Which of the following would be most effective for pharmacologic cardioversion to sinus rhythm in this patient? Atrial flutter is a right-sided atrial re-entrant […]
Read MoreASA Monitor 04 2017, Vol.81, 46-47. You are in the process of placing a nontunneled central venous catheter (CVC) in an adult intensive care unit (ICU) patient. Based on the findings of a recent study, which of the following associations between CVC locations and adverse outcomes is mostlikely true? The use of CVCs has been associated with […]
Read MoreAuthors: Thomas R. MIller, Ph.D., M.B.A. et al ASA Monitor 04 2017, Vol.81, 10-12. How many anesthesia professionals will be providing patient care in 20 years? How many people will need procedures requiring anesthesia by that time? These may seem like questions best reserved for a crystal ball, but they are questions commonly asked among economists and […]
Read MoreBy Julie A. Schilling and McKenzie C. Ferguson, PharmD, BCPS Question: When prescribing duloxetine, what are the recommendations for monitoring liver function tests? Duloxetine is a serotonin-norepinephrine reuptake inhibitor (SNRI) that also exhibits weak inhibition of dopamine. It is approved by the Food and Drug Administration for the treatment of major depressive disorder (MDD), generalized anxiety disorder (GAD), […]
Read MoreAUTHORS: Oras J, Redfors B et al Acta Anaesthesiologica Scandinavica (Jan 2017) BACKGROUND Takotsubo syndrome (TS) is an acute cardiac condition with a substantial mortality for which no specific treatment is available. We have previously shown that isoflurane attenuates the development of left ventricular (LV) dysfunction in an experimental TS-model. We compared the effects of […]
Read MoreNationwide efforts to make health care safer are paying off, according to a report released by the Department of Health and Human Services (HHS). Thanks, in part, to provisions of the Affordable Care Act (ACA), approximately 125,000 fewer patients died due to hospital-acquired conditions (HACs), and more than $28 billion in health care costs were […]
Read MoreThe most important thing a health care provider can do is recognize sepsis and septic shock early and take immediate action, according to new guidelines released at the Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress. “I think it is important to recognize that sepsis and septic shock are medical emergencies,” said Andrew Rhodes, FRCP, […]
Read MoreAUTHORS: Siddiqui, Maryam MD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 879–886 BACKGROUND: Asian American/Pacific Islanders (AAPIs) are the fastest-growing racial group in the United States. Despite a higher socioeconomic status, AAPI women experience higher rates of maternal morbidity and mortality. METHODS: Using the National Inpatient Sample, we […]
Read MoreAUTHORS: Bauchat, Jeanette R. MD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 872–878 BACKGROUND: Neuraxial morphine is the most commonly used analgesic technique after cesarean delivery. The incidence of respiratory depression is reported to be very low (0%–1.2%) in this patient population as measured by pulse oximetry and […]
Read MoreAUTHORS: Gleich, Stephen J. MD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 908–914 BACKGROUND: Arthrogryposis syndromes are a heterogeneous group of disorders characterized by congenital joint contractures often requiring multiple surgeries during childhood to address skeletal and visceral abnormalities. Previous reports suggest that these children have increased perioperative […]
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