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AUTHORS: 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 […]
Read MoreAuthors: L Niklas Daniel Åke Persson, M.Sc. et al Anesthesiology May 2024. Background Impaired glymphatic clearance of cerebral metabolic products and fluids contribute to traumatic and ischemic brain oedema and neurodegeneration in preclinical models. Glymphatic perivascular cerebrospinal fluid (CSF) flow varies between anesthetics possibly due to changes in vasomotor tone and thereby in the dynamics […]
Read MoreAuthors: Baker, Maxwell B. MSc et al Anesthesia & Analgesia 138(6):p 1154-1158, June 2024. | In the United States, the health care sector is responsible for 10% of the nation’s carbon emissions.1 Anesthesia-related care is responsible for 5% of total health care carbon emissions.2 Within hospitals themselves, as much as 33% of waste is produced by perioperative services.3 Medical […]
Read MoreAuthor: Karolina Brook, MD, FASA, CPPS Anesthesia Patient Safety Foundation June 2024 Volume 39, No. 2 SUMMARY:Wiretap laws govern the legality of audio recordings and vary state to state. Here, we summarize the various states’ wiretap laws, the remedies or punishments that can be exacted for violation of a wiretap law, and the applicability of […]
Read MoreAuthors: Amy Yerdon, DNP, MNA, CRNA, CNE, CHSE et al Anesthesia Safety Patient Foundation June 2024 Volume 39, No. 2 SUMMARY Mounting evidence supports an association between intraoperative hypotension (IOH) and negative postoperative outcomes, most significantly acute kidney injury (AKI), myocardial injury after non-cardiac surgery, and mortality. Recent studies also show associations between IOH and […]
Read MoreAuthors: Paul A. Lefebvre, JD et al Anesthesia Safety Patient Foundation June 2024 Volume 39, No. 2 INTRODUCTION . Notwithstanding technological advances and the ongoing efforts of patient safety advocates, medication administration errors routinely occur in health care facilities across the country.1-2 Each day, anesthesia professionals overcome challenges that commonly contribute to medication errors, such as […]
Read MoreAuthors: Tricia Vecchione, MD, MPH; Constance L. Monitto, MD Anesthesia Patient Safety Foundation June 2024 Volume 39, No. 2 SUMMARY:Opioid-induced respiratory depression can be a life-threatening, albeit preventable, complication in children. It is imperative to identify those at risk for opioid-induced respiratory depression and formulate safer practices, including the use of opioid-sparing adjuncts, frequent sedation […]
Read MoreAuthors: Brittany L. Willer, MD et al Anesthesiology May 2024. Background Day-of-surgery cancellations impede healthcare access and contribute to inequities in pediatric healthcare. Socially disadvantaged families have many risk factors for surgical cancellation, including low health literacy, transportation barriers, and childcare constraints. These social determinants of health are captured by the Childhood Opportunity Index (COI) […]
Read MoreAuthors: Benjamin Bergis, MD, Msc et al Anesthesiology May 2024. Background Hemorrhagic shock (HS) and rhabdomyolysis (RM) are two important risk factors of acute kidney injury (AKI) after severe trauma, however the effects of the combination of RM and HS on kidney function are unknown. The purpose of this study was to determine the impact […]
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