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Author: David Polaner, MD, FAAP, on behalf of the AIRS Committee. ASA Monitor December 2024, Vol. 88, 1–8. A 3-month-old infant with an unspecified mitochondrial/metabolic disorder underwent general anesthesia for cardiac catheterization for VSD. The anesthetic administered was 200 mcg/kg/min of propofol for three hours. The child subsequently developed severe metabolic acidosis, circulatory collapse, myoglobinuria, and […]
Read MoreMolecular mechanism of ligand gating and opening of NMDA receptor. Nature 2024; 632:209–17. PMID: 39085540. Author: Ru-Rong Ji, Ph.D. I Anesthesiology December 2024, Vol. 141, A13–A15. Glutamate-induced excitatory synaptic transmission, vital for brain function, is partly mediated by N-methyl-d-aspartate receptors (NMDARs), which are critical in synaptic plasticity and learning and memory. NMDARs are ligand-gated ion channels composed […]
Read MoreAuthor: Christopher D. Kent on behalf of the Closed Claims Oversight Committee ASA Monitor December 2024, Vol. 88, 27. Case presentation 1 An ASA 3 patient with a BMI 45 received general anesthesia (GA) for a cranioplasty. The antecubital I.V. was placed with ultrasound by a provider who was not part of the anesthesia team. There […]
Read MoreASA Monitor December 2024, Vol. 88, 23. What is the MOST likely complication associated with the placement of a radial artery catheter in an adult? (A) Hematoma (B) Transient arterial occlusion (C) Local infection By some estimates, about 8 million arterial catheters are placed annually in the United States, with the radial artery being the most […]
Read MoreAuthor: Allen N. Gustin, Jr., MD, FCCP, FASA, FCCM ASA Monitor December 2024, Vol. 88, 18. Each health care professional reacts and copes differently to stress, especially when their patients don’t do well clinically. Everyone must find a method to manage their emotions when stressful events occur, whether in one’s personal life or professional life. I […]
Read MoreAutor: Muhammad B. Rafique, MD, FASA ASA Monitor December 2024, Vol. 88, 13–14. He was a brilliant anesthesiologist at the top of his career when, one day, he could not intubate a neonate and was worried. The next day, his family thought he did not look well and took him to the emergency room. A CT […]
Read MoreWe are seeking a dedicated anesthesiologist to join our all-anesthesiologist group. Our team will consist of 4 full-time providers and 1 for vacation relief, managing 3 operating rooms. Position Highlights: Zero call for 3 weeks, followed by 1 week of call without daytime work only call after 7 PM therefore you may not work the […]
Read MoreAutors: Matthew K. Whalin, MD, PhD et al ASA Monitor November 2024, Vol. 88, 1–4. Stroke is a national and global issue – compounded by an aging patient population with progressive comorbidities such as hypertension, diabetes mellitus, heart disease, and cardiac arrhythmias. Almost 800,000 people suffer acute stroke each year in the United States (Circulation 2023;147:e93-621). Many […]
Read MoreInhibition of IL-11 signalling extends mammalian healthspan and lifespan. Nature 2024; 632:157–65. PMID: 39020175. Author: Beatrice Beck-Schimmer, M.D. Anesthesiology December 2024, Vol. 141, A13–A15. The cell signaling pathways ERK, AMPK, and mTORC1 are well-known lifespan regulators in different species. In aging animals, these pathways play a crucial role in terms of activating hallmarks of aging such […]
Read MoreAuthors: Jason Sung Chi, MD et al ASA Monitor December 2024, Vol. 88, 20–21. Being involved in a medical malpractice claim is not an uncommon experience among the practicing physicians in the United States. The annual rate of paid malpractice claims across all specialties is 14.1 per 1,000 physician-years, while anesthesiologists have a lower rate of […]
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