Authors: Mattia Busana, MD et al Anesthesiology September 2023. Background Despite the fervent scientific effort, a state-of-the art assessment of the different causes of hypoxemia (shunt, ventilation-perfusion mismatch and diffusion limitation) in COVID-19 ARDS is currently lacking. In this study we aimed to understand what is the relative contribution of the different mechanisms of hypoxemia […]
Read MoreAuthor: Richard Novak, MD THE ANESTHESIA CONSULTANT EDWARDS CLEARSIGHT FINGER-CUFF BLOOD PRESSURE MONITOR Picture this: prior to surgery you place a blood pressure cuff around the middle phalanx of your patient’s right middle finger, instead of a standard cuff on the upper arm, to measure blood pressure. Is this the future? After decades of watching […]
Read MoreAuthors: Laurence Moss, MD et al Anesthesiology September 2023. Background Oliceridine (Olinvyk®) is a μ-opioid receptor agonist that in contrast to conventional opioids preferentially engages the G-protein-coupled signaling pathway. We determined the utility function of oliceridine versus morphine based on neurocognitive tests and cold pressor test. Methods The study had a randomized, double-blind, placebo-controlled, partial block 3-way […]
Read MoreAuthors: Yongchen Cui, M.D. et al Anesthesiology September 2023. Background Continuous nerve block with ropivacaine is commonly performed after repair surgery for traumatic peripheral nerve injuries. After peripheral nerve injury, tetrodotoxin-resistant voltage-gated sodium channel Nav1.8 is upregulated and contributes to macrophage inflammation. We investigated whether ropivacaine promotes peripheral nerve regeneration through Nav1.8-mediated macrophage signaling. Methods […]
Read MoreAuthors: Hyundeok Joo, MD, MAS et al ASA Monitor September 2023, Vol. 87, 1–7. Durable, functionally impactful, and subjectively evident cognitive decline is a feared outcome of anesthesia and surgery, particularly for older adults (Br J Anaesth 2017;118:486-8). We need to look no further than Dr. Daniel Cole, a coauthor of this article and the editor […]
Read MoreAuthor: Avery Hurt Practical Pain Management July 2023 According to the National Council on Aging, older adults make up only 12% of the US population, yet 18% of suicides,1 with chronic pain being a known risk factor for suicide and suicidal behaviors.2 Black older adults (65-plus) are disproportionately affected by the limitations of chronic pain,3 and in addition […]
Read MoreAuthor: John D. Mitchell, MD ASA Monitor September 2023, Vol. 87, 35. As SEA President, I am grateful for the opportunity to share some of our efforts at SEA with the wider ASA community. This post-lockdown period has been one of tremendous growth for our society, fueled by the passion of our members to facilitate excellence […]
Read MoreAuthors: Matthew C. Miller, MD, FACS et al ASA Monitor September 2023, Vol. 87, 24. Smaller hospitals often fear that “market share” will be devoured by larger organizations. Rural communities frequently fear that they will lose their local hospital altogether, which is often their largest employer. In reality, by fostering both higher volume and higher-acuity care […]
Read MoreAuthor: Mary Dale Peterson, MD, MHA, FACHE, FASA ASA Monitor September 2023, Vol. 87, 11. As a health care executive (HCE), I know first-hand the challenges nearly every hospital and health system faces in today’s constrained environment. While some of the issues may vary regionally, many institutions are having to do more with less due to […]
Read MoreAuthor: Heidi Splete Practical Pain Management July 2023 Adults with cirrhosis who reported pain, including widespread pain, were significantly more likely to also experience mood and cognitive disturbances, fatigue, poor sleep, and impaired physical and social function, based on data from more than 200 individuals.1 Chronic pain is common in cirrhosis, however, the classifications of […]
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