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Authors: Jashvant Poeran, M.D., Ph.D. et al ` Anesthesiology June 2024. In Reply: We thank Milam et al. for reading our publication and initiating discussions to promote future research. First, the authors suggested that inadequate “fidelity” of evidence-based perioperative practice may partially explain persistent Black-White disparities observed in our study, i.e., a definition of evidence-based perioperative practice […]
Read MoreAuthors: Jonathan B. Cohen, MD, MS, FASA, CPPS; Patricia A. McGaffigan, MS, RN, CPPS Anesthesia Patient Safety Foundation June 2024 Volume 39, No. 2 SUMMARY:Although significant progress has been made in patient safety since the publication of the Institute of Medicine’s Report To Err is Human 25 years ago, there is evidence that progress is slowing down. […]
Read MoreAuthor: Patsy Newitt Becker’s ASC Review Certified registered nurse anesthetist compensation is rising across the country as anesthesia provider shortages plague hospitals and ASCs, VMG Health said in a May 22 blog post. Here are 10 key notes on why CRNA compensation is rising, according to the VMG Health article: 1. Although CRNA level of autonomy varies by market, the […]
Read MoreAuthors: Alexandre Mansour, M.D., Ph.D. et al Anesthesiology June 2024, Vol. 140, 1153–1164. Background Unfractionated heparin, administered during venoarterial extracorporeal membrane oxygenation to prevent thromboembolic events, largely depends on plasma antithrombin for its antithrombotic effects. Decreased heparin responsiveness seems frequent on extracorporeal membrane oxygenation; however, its association with acquired antithrombin deficiency is poorly understood. The objective […]
Read MoreAUTHORS: Lipszyc, Adam C. MD et al Anesthesia & Analgesia 138(6):p 1174-1186, June 2024. BACKGROUND: A noninvasive and accurate method of determining fluid responsiveness in ventilated patients would help to mitigate unnecessary fluid administration. Although carotid ultrasound has been previously studied for this purpose, several studies have recently been published. We performed an updated systematic review […]
Read MoreAuthors: Rahul Baijal, MD; Priti Dalal, MD; Megha Kanjia, MD Anesthesia Patient Safety Foundation June 2024 Volume 39, No. 2 SUMMARY:Perioperative complications are more common in patients with SCD compared to the general population with an increased risk of postoperative acute chest syndrome (ACS), infections, vaso-occlusive pain crises, and 30-day mortality. Children with SCD have […]
Read MoreAuthors: Michael Vandenheuvel, MD et al Anesthesia Patient Safety Foundation June 2024 Volume 39, No. 2 DEAR RAPID RESPONSE: Since the 1970s, the pulse oximeter (PO) has enabled noninvasive continuous assessment of arterial blood oxygenation as well as pulse rate. The pulse estimate is derived from the plethysmographic waveform and serves as a proxy for […]
Read MoreAuthors: Raquel Pereira-Silva, Ph.D. et al Anesthesiology June 2024, Vol. 140, 1176–1191. Background The dorsal reticular nucleus is a pain facilitatory area involved in diffuse noxious inhibitory control (DNIC) through opioidergic mechanisms that are poorly understood. The hypothesis was that signaling of μ-opioid receptors is altered in this area with prolonged chronic inflammatory pain and that […]
Read MoreAUTHORS: YaDeau, Jacques T. MD, PhD et al Anesthesia & Analgesia 138(6):p 1163-1172, June 2024. BACKGROUND: Optimal analgesic protocols for total knee arthroplasty (TKA) patients remain controversial. Multimodal analgesia is advocated, often including peripheral nerve blocks and/or periarticular injections (PAIs). If 2 blocks (adductor canal block [ACB] plus infiltration between the popliteal artery and capsule of […]
Read MoreAuthors: Michael R. Mathis, MD et al Anesthesia Patient Safety Foundation June 2024 Volume 39, No. 2 In an era of near-complete adoption of electronic health records (EHRs) and coalescence of health data across departments and institutions, a growing recognition of practice variation has emerged. Perioperative care is no exception, with recent studies demonstrating wide […]
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