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Published in ASA Monitor 08 2016, Vol.80, 48-49. Review of unusual patient care experiences is a cornerstone of medical education. Each month, the AQI-AIRS Steering Committee abstracts a patient history submitted to the Anesthesia Incident Reporting System (AIRS) and authors a discussion of the safety and human factors challenges involved. Real-life case histories often include multiple […]
Read MoreAs with all chronic pain conditions, osteoarthritis (OA) is associated with an increased risk for depression, anxiety, pain catastrophizing, and sleep problems. By Ajay Wasan, MD and Kristin Della Volpe Practical Pain Management spoke with Ajay Wasan, MD, to better understand how mood and sleep affect pain processing in OA, and how providers can help detect and manage these comorbidities. […]
Read MoreStudies now confirm that osteoarthritis pain is affected not just by structural and inflammatory joint changes but also by central pain sensitization. Author: Don L. Goldenberg, MD Traditionally, osteoarthritis (OA) has been considered to be a peripheral pain disorder, related to progressive cartilage and bone damage, with little evidence for tissue inflammation. During the last […]
Read MoreResearchers at the University of California, San Francisco have put a price tag on that waste: almost $1,000 per procedure examined at the academic medical center. It’s long been a problem for the nation’s hospitals: A staggering number of medical supplies — from surgical gloves to sponges to medications — go unused and are discarded after […]
Read MoreAuthors: Catherine M. Bulka, M.P.H. et al Anesthesiology published on August 11, 2016 Background: Residual postoperative paralysis from nondepolarizing neuromuscular blocking agents (NMBAs) is a known problem. This paralysis has been associated with impaired respiratory function, but the clinical significance remains unclear. The aims of this analysis were two-fold: (1) to investigate if intermediate-acting NMBA use during […]
Read MoreAlpharetta, Ga.-based Sweet Dreams Nurse Anesthesia has agreed to pay more than $1 million to resolve allegations it violated the False Claims Act and the Anti-Kickback Statute by paying kickbacks to healthcare providers for referrals, according to the Department of Justice. The government alleged Sweet Dreams provided free anesthesia drugs to ambulatory surgery centers in exchange […]
Read MoreAs osteoarthritis (OA) researchers from different specialties join forces, there has been rapid developments in the field of pain neurobiology, which is shedding light on OA pain as well. By Anne-Marie Malfait, MD, PhD and Kristin Della Volpe An interview with Anne-Marie Malfait, MD, PhD Pain is the hallmark symptom of osteoarthritis (OA) and the most common reason why […]
Read MoreAuthors: Yoshinobu Nakayama, M.D., Ph.D. et al Anesthesiology published on August 4, 2016. Background: The main cause of unsuccessful peripheral radial artery catheterization using traditional palpation is imprecisely locating the arterial center. The authors evaluated factors causing disparities between the arterial centers determined by palpation versusultrasound. The authors applied them to create and test a novel catheterization […]
Read MoreAuthors: Michael F. Aziz, M.D. et al Anesthesiology published on August 4, 2016. Background: Multiple attempts at tracheal intubation are associated with mortality, and successful rescue requires a structured plan. However, there remains a paucity of data to guide the choice of intubation rescue technique after failed initial direct laryngoscopy. The authors studied a large perioperative […]
Read MoreAmy Gelfand, MD Reviewing Giffin NJ et al., Neurology 2016 Jul 19; 87:309 A descriptive study of this underappreciated contributor to migraine symptomatology To describe the frequency of postdrome symptoms among patients with migraine, researchers recruited 120 patients from four centers who endorsed having nonheadache symptoms with their attacks. Participants completed daily electronic symptom diaries for 3 months. […]
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