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ASA Monitor 03 2016, Vol.80, 24-26. 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 clinical decisions, […]
Read MoreAuthor: David M. Broussard, M.D. ASA Monitor 03 2016, Vol.80, 8-9. As physician anesthesiologists, we may be called upon to demonstrate our mastery over multiple dimensions of professionalism during any patient encounter. Our knowledge and technical skills as well as our communication and coordination capabilities can be challenged, even in what were at the outset routine cases. […]
Read MoreOpioid abuse has reached crisis levels in the United States, with hospitals and healthcare providers on the frontlines, to the point that President Barack Obama’s final budget proposal allocated an additional $559 million to combat it. Now hospital leaders are putting their minds and organizations to work finding solutions to the epidemic. With an estimated average […]
Read MoreOn March 11, the Florida Legislature approved legislation (S1442 / H221) requiring new payment processes for out-of-network providers of emergency and nonemergency services. The legislation was strongly opposed by the Florida Society of Anesthesiologists and a number of stakeholders including the Florida Radiological Society. Once Florida Governor Rick Scott (R) receives the bill, he has […]
Read MoreAuthors: Faraj W. Abdallah, M.D. et al Anesthesiology published on 02 2016 Background: By targeting the distal branches of the femoral nerve in the mid-thigh, the adductor canal block (ACB) can preserve quadriceps muscle strength while providing analgesia similar to a conventional femoral nerve block (FNB) for inpatients undergoing major knee surgery. In this randomized, double-blind, noninferiority […]
Read MoreAuthors: Myles PS et al., N Engl J Med 2016 Feb 25; 374:728 It neither helps nor harms, but continuing the medication might be the wiser choice. A common question with patients undergoing coronary artery surgery is whether to discontinue aspirin. Inexplicably, we have little evidence to guide our practice. To address this issue, researchers randomized 2100 […]
Read MoreAuthors: Eun-Ho Lee, M.D. et al Anesthesiology published on 2 2016 Background:: Hypoalbuminemia may increase the risk of acute kidney injury (AKI). The authors investigated whether the immediate preoperative administration of 20% albumin solution affects the incidence of AKI after off-pump coronary artery bypass surgery. Methods:: In this prospective, single-center, randomized, parallel-arm double-blind trial, 220 patients with preoperative […]
Read MoreAuthors: Paul S. Myles, M.B., B.S., M.P.H., M.D., F.C.A.I., F.A.N.Z.C.A., F.R.C.A., F.A.H.M.S. et al Anesthesiology published on 2 2016 Background: The Evaluation of Nitrous oxide in the Gas Mixture for Anesthesia II trial randomly assigned 7,112 noncardiac surgery patients to a nitrous oxide or nitrous oxide–free anesthetic; severe postoperative nausea and vomiting (PONV) was a prespecified secondary end […]
Read MoreAbdullah S. Terkawi, MD Department of Anesthesiology University of Virginia Charlottesville, Virginia, USA Department of Anesthesiology King Fahad Medical City Riyadh, Saudi Arabia Outcomes Research Consortium Cleveland Clinic Cleveland, Ohio, USA Marcel E. Durieux, MD PhD Department of Anesthesiology University of Virginia Charlottesville, Virginia, USA The authors reported no relevant financial disclosures. The marked increase in the […]
Read MoreSpoof: Airline Pilots Follow Lead of Anesthesiologists: Demand Training for Routine Emergencies Should Not Be Mandatory Following the lead of their counterpart U.S. anesthesiologists, a bevy of U.S. commercial pilots have signed petitions demanding that the Federal Aviation Administration (FAA) no longer require mandatory, routine training for flying emergencies. Led by the articulate, charismatic Capt. […]
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