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Surgeons may push anesthesia providers to participate in inappropriate or ill-fitting procedures at ambulatory surgery centers (ASCs), which is why it’s important to push back based on evidence-based practices to boost quality and positive outcomes. “We should be the gatekeepers of patients coming to ASCs so we can be the gatekeepers of outcomes, too,” said […]
Read MoreKamen Vlassakov, MD Director, Regional & Orthopedic Anesthesia Brigham and Women’s Hospital Assistant Professor Harvard Medical School Boston, Massachusetts Dr Vlassakov reported no relevant financial disclosures. Multimodal airway approaches are being designed as a response to unusual difficult airway cases. Perhaps it is time to consider including these approaches in difficult airway algorithms as a […]
Read MoreAnesthesia & Analgesia: August 12, 2016 AUTHORS: Nishimura, Akiko DDS, PhD et al BACKGROUND: The revised Starling law suggests that intravenously infused fluid may leak into the interstitium and not remain in the intravascular space. This hypothesis is supported by clinical findings that postoperative weight gain is proportional to the amount of infused fluid. The […]
Read MoreThe American College of Surgeons (ACS) has issued a statement on proper dress for surgeons, whether in the operating room or interacting with families or the public outside. ACS Executive Director David B. Hoyt, MD, said the refresher statement is meant to provide evidence-based consensus on appropriate head coverings and when scrubs must be changed. […]
Read MoreAnesthesia & Analgesia: August 9, 2016 AUTHORS: Hattler, Judith MD et al BACKGROUND: Combined spinal-epidural labor analgesia has gained popularity, but it is unclear whether this technique is associated with a higher incidence of nonreassuring fetal heart rate (FHR) tracings compared with epidural analgesia. Our meta-analysis aimed at comparing the incidence of nonreassuring FHR tracings […]
Read MoreResearchers have devised what they hope is a more accurate system for predicting in-hospital mortality in patients undergoing major surgery (Anesthesiology 2016;124:570-579). The number of patient deaths during or after surgery may be small, but the rate among some subgroups can be as high as 10%, making accurate predictions of in-hospital mortality crucial, according to the […]
Read MoreAnesthesia & Analgesia: August 9, 2016 AUTHORS: Bowdle, Andrew MD, PhD, FASE et al BACKGROUND: Imaging the guidewire with ultrasonography in the internal jugular vein during central venous catheterization often is used to verify proper guidewire placement and to aid in prevention of inadvertent arterial catheterization. It is known, however, that inadvertent arterial catheterization can […]
Read MoreThere’s a lot to do in and around the OR between cases. In an effort to improve the efficiency of our room turnovers, and to bring their monthly average times down, we implemented a “parallel process” at our director’s recommendation. Every surgical team member was assigned specific, standardized tasks to carry out simultaneously, based on […]
Read MoreA West Virginia physician has been sentenced to a year and a day in jail after pleading guilty to seven felonies for illegal distribution of oxycodone. West Virginia has one of the highest rates of drug overdose deaths in the country, with 627 deaths in 2014, according to the Centers for Disease Control and Prevention. […]
Read MoreAuthors: Newgard CD et al., JAMA Surg 2016 Oct 12; Patients injured in rural settings were less likely to be cared for in a trauma center than those injured in urban settings, yet mortality didn’t differ between groups. Several studies have shown worse outcomes for patients with injuries that occur in rural versus urban settings, and have […]
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