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Nearly 20 organizations including the Academy have endorsed an updated “consensus statement” from the organization SmartTots calling for more research into the safety of anesthetics and sedatives administered to children younger than 4 years. Some evidence has shown that such exposures in very young animals are associated with impairment in learning ability, behavior and memory. […]
Read MoreA simple blood test taken before surgery may predict how quickly patients recover from their procedure, suggests a new study in the December issue of Anesthesiology, the official medical journal of the American Society of Anesthesiologists (ASA). According to the study, identifying a patient’s immune state from blood samples taken before surgery, revealed patterns that may […]
Read MoreThe US Food and Drug Administration (FDA) has approved sugammadex injection (Bridion, Merck) for the reversal of moderate or deep neuromuscular blockade induced by rocuronium or vecuronium during surgery, according to an agency news release. The FDA’s Anesthetic and Analgesic Drug Products Advisory Committee recommended approval of the drug back in November. Sugammadex binds to rocuronium and […]
Read MoreASA Monitor 12 2015, Vol.79, 36-37. Case 2015-12: A Different Point of View A 34-year-old man, newly paraplegic from a gunshot wound, presented for thoracic spine instrumentation. While his ventilatory reserve was poor, his airway was patent in his baseline awake state, and minute ventilation was adequate. After induction with propofol and rocuronium, bag mask ventilation […]
Read MoreAuthor: Uday Jain MD PhD ASA Monitor 12 2015, Vol.79, 28-30. Anesthesia and critical care during disasters and in austere environments requires improvisation.1 –4 Partially trained personnel utilize some techniques, often adequately, yet occasionally dangerously. Triage is essential to prioritize care. Preoperative, recovery and postoperative care is often inadequate. In disasters, casualties exceed resources. Critical resources may be […]
Read MoreAuthors: Marc P. Steurer, MD, DESA et al ASA Monitor 12 2015, Vol.79, 18-20. There are interesting similarities and differences in clinical anesthesia practice and organization between the U.S. and Europe.A detailed analysis stratified for all European countries and the different regions of the U.S. is beyond the scope of this newsletter. However, since both authors have […]
Read MoreAuthors: Jerrold H Levy MD FAHA, FCCM et al ASA Monitor 12 2015, Vol.79, 14-16. Over the years, we all have had the privilege of working and collaborating with many physician anesthesiologists in the United States, Europe and various other countries. In Europe, anesthesiology is a physician-focused practice and nurses function in different supporting roles; in some countries, […]
Read MoreAuthor: Colleen E. O’Leary, MD ASA Monitor 12 2015, Vol.79, 44-45. The ASA Committee on Professional Liability reports annually on trends in malpractice insurance costs for physician anesthesiologists. The Closed Claims Project conducted a survey of malpractice insurers from May-July 2015 on behalf of the committee. Twenty-three medical liability insurance companies providing professional liability insurance to […]
Read MoreASA Monitor 12 2015, Vol.79, 10-11. Thomas R. Miller, Ph.D., M.B.A.,is ASA Director of Health Policy Research. The 20-year period between 1994 and 2014 saw increases in both the number of Medicare fee-for-service beneficiaries and in the volume of the health services they received that required anesthesia. We estimate that the number of Medicare fee-for-service beneficiaries increased […]
Read MorePost operative cognitive decline (POCD) is a real condition and probably as many as 15% of patients 60 and older will experience some memory or problem-solving declines within 3 months of surgery. Or maybe not. Anesthesiologist and dementia researcher Kirk Hogan MD, director of the Hogan Laboratory at the University of Wisconsin, is convinced that POCD […]
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