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Authors: Andrews PJD et al., N Engl J Med 2015 Oct 7; A multicenter randomized trial was stopped early because hypothermia worsened outcomes when used as second-line therapy for elevated intracranial pressure. Induced hypothermia has become popular for treating cerebral edema from traumatic brain injury (TBI), but we do not know the effect on long-term […]
Read MoreDear Q&A, We write to describe an instance of anesthesia machine ventilator failure during provision of anesthesia. The case in point was an emergency vascular operation for a pulseless lower extremity. In preparation for the case, the anesthesia machine checkout was performed on the Dräger GS Premium. All tests confirmed that the anesthesia machine was […]
Read MoreDear Q&A, We were using oxygen and air with sevoflurane for a case in the cystoscopy suite. During the maintenance phase of the case, we found what we assumed to be water inside the air flowmeter, with its float rising and dropping rapidly and the liquid spilling into the next flowmeter (nitrous oxide). We promptly […]
Read MoreBy Lorri A. Lee, MD, and Tricia A. Meyer, PharmD, MS, FASHP An estimated one million people in the United States have been diagnosed with Parkinson’s Disease (PD) making it one of the most common neurological disorders in patients. This number is estimated to double in the next 30 years as PD is associated with […]
Read MoreBy Steven Greenberg, MD, FCCP et al Nationwide drug shortages affect anesthesia professionals every day.1 In 2012, a survey generated by the American Society of Anesthesiologists (ASA), and accessible on the ASA website, suggested that 97.6% of anesthesiologists experienced a drug shortage in their practices. There have been several documented reasons for drug shortages, which include […]
Read MoreBy Mark J. Rice, MD, and Douglas B. Coursin, MD Anesthesia care providers rely heavily on monitors and diagnostic devices for the safe passage of our patients. We believe that the technology we use in our practice has not only been thoroughly vetted by monitor and device manufacturers and the FDA, but also by academic […]
Read MoreThis is for our providers who treat back pain. Opioids, when combined with naproxen, are not more effective than naproxen alone for the majority of patients with acute, nontraumatic, nonradicular low back pain. Pain, functional impairment, and use of healthcare resources were similar among treatment groups at 7 days or 3 months, and almost two-thirds […]
Read MoreBy Charles E. Cowles, MD, MBA et al As medical technology advances, so does the complexity of the environment for anesthesia care. Many specialty care centers are utilizing hybrid combinations of MRI, radiation, and lasers in operating suites and other patient care areas. Some of these new treatment and diagnostic modalities pose hazards to the […]
Read MoreBy Rachel M. Kacmar, MD, and Jill M. Mhyre, MD On behalf of the Society for Obstetric Anesthesia and Perinatology (SOAP) Patient Safety Committee Patient transfer to the operating room for emergency cesarean delivery is a high risk epoch for serious medication error or venous access complication, based on a series of patient safety […]
Read MoreAlthough patients with chronic kidney disease (CKD) who present for surgery are often instructed to stop certain medications preoperatively, a study from New York University Langone Medical Center has concluded that such cessation may be largely unnecessary. The researchers found that five common agents—angiotensin-converting enzyme (ACE) inhibitors/angiotensin receptor blockers, diuretics, statins, insulin and calcium channel […]
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