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Authors: Matthew E. Patterson, M.D. et al ASA Monitor 05 2016, Vol.80, 26-27. The Perioperative Surgical Home (PSH) model of care has been developed in an attempt to streamline patient recovery by providing evidence-based care and reducing care variability. Although much attention has been placed on medications, techniques and devices that can accomplish this variability reduction, we […]
Read MoreAuthors: Keith J. Ruskin, M.D. et al ASA Monitor 05 2016, Vol.80, 20-21. Every industry has taken steps to improve employee safety by decreasing the possibility of industrial accidents and individual injuries. Mass transportation and health care are significantly different from other business sectors (e.g., manufacturing) and share several common features. For example, a factory might […]
Read MoreAuthors: Antoine Monsel, M.D., M.Sc. et al Anesthesiology 5 2016, Vol.124, 1041-1052. Background: Patients undergoing major vascular surgery often develop postoperative pneumonia that impacts their outcomes. Conflicting data exist concerning the potential benefit of tapered-shaped cuffs on tracheal sealing. The primary objective of this study was to assess the efficiency of a polyvinyl chloride tapered-cuff endotracheal tube […]
Read MoreAuthors: Davinder Ramsingh, M.D. et al Anesthesiology 5 2016, Vol.124, 1012-1020 Background: Unrecognized malposition of the endotracheal tube (ETT) can lead to severe complications in patients under general anesthesia. The focus of this double-blinded randomized study was to assess the accuracy of point-of-care ultrasound in verifying the correct position of the ETT and to compare it with […]
Read MoreA new survey shows that almost 70% of headache specialists report having episodic migraine (EM), much higher than the lifetime incidence of EM in the general population. Overall, only about 30% of respondents said they have no personal history of any of seven possible headache types. The survey also showed that many clinicians prefer treating […]
Read MoreAuthors: Jeff Simmons, M.D. et al ASA Monitor 05 2016, Vol.80, 16-18. Scenario: You have just performed the most altruistic act in the practice of anesthesia: giving a lunch break to someone in the GI lab. Of course, the ERCP is just getting started and the morbidly obese patient has just been positioned prone. He is […]
Read MoreAuthors: Robert S. Lagasse, M.D. et al ; ASA Monitor 05 2016, Vol.80, 12-14. Get Permissions Obtaining informed consent to administer anesthesia is both an ethical and legal obligation for physician anesthesiologists.Standards vary slightly across states, but most ethicists and lawyers agree that sufficient information for informed decision-making requires knowledge by the patient of material risks. […]
Read MoreGiven the shifting economics of health care, it’s more important than ever for physicians to prove their value to their institutions and to become leaders in their local hospital communities while helping redesign their specialty for the future. As Salvatore Vitale, MD, director of cardiac and thoracic anesthesia at Mount Sinai Beth Israel, in New […]
Read MoreAuthors: Dickman E et al. Am J Emerg Med 2016 Mar. Pain relief at 2 and 3 hours was similar whether the fracture was intracapsular or extracapsular. Ultrasound-guided femoral nerve block is increasingly used for analgesia in emergency department patients with hip fracture. Given the anatomy of innervation, a logical question is whether intracapsular fractures might be […]
Read MoreAuthors: Kim E-H et al. Am J Emerg Med 2016 Feb 11. The length of puncturable subclavian vein and the available angle for needle insertion were significantly greater with caudal traction compared with a neutral position of the arm. There is some evidence that a supraclavicular approach to subclavian vein cannulation with ultrasound guidance may be safer […]
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