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Authors: Aziz MF et al., Anesth Analg 2015 Nov 17; In patients with predicted difficult airways intubated in the operating room, the GlideScope had a higher first-attempt intubation success rate than the C-MAC D-Blade. Video laryngoscopy (VL) improves intubation success in patients with predicted difficult airways primarily by ensuring glottic visualization. While VL with acute-angled devices has been […]
Read MoreAuthors: Karen C. Nanji MD MPH et al Anesthesiology 1 2016, Vol.124, 25-34. Background: The purpose of this study is to assess the rates of perioperative medication errors (MEs) and adverse drug events (ADEs) as percentages of medication administrations, to evaluate their root causes, and to formulate targeted solutions to prevent them. Methods: In this prospective observational study, anesthesia-trained […]
Read MoreThe CDC has proposed 12 recommendations for clinicians prescribing opioids. Among them: When initiating opioid therapy, immediate-release opioids at the lowest effective doses are recommended. Extra precautions should be taken when prescribing at or above 50 morphine milligram equivalents (MME) per day, and doses at or above 90 MME per day generally should be avoided. […]
Read MoreNearly 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, […]
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