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AUTHORS: Rubin, Daniel S. MD, MS et al Anesthesia & Analgesia February 16, 2023. BACKGROUND: The frequency of perioperative myocardial infarction has been declining; however, previous studies have only described type 1 myocardial infarctions. Here, we evaluate the overall frequency of myocardial infarction with the addition of an International Classification of Diseases 10th revision (ICD-10-CM) […]
Read MoreAuthors: Julia Klein, MD et al ASA Monitor July 2023, Vol. 87, 27–28. The PACU functions as a triage center where decisions are made as to whether the patient is ready for discharge, transfer to the floor, or whether continued ICU-level of care is needed. Although the 2013 ASA Practice Guidelines for Postanesthetic Care include mental […]
Read MoreAuthors: Jennifer J. Yuan, MD, MBA et al ASA Monitor July 2023, Vol. 87, 21. Traditionally, a doctor’s role has been as a patient’s advocate, with a focus on medical care and clinical decision-making. To be an effective clinician, some believe that a physician should be separated from conflicting financial interests, and administrative management should be […]
Read MoreAlexander S. Choi, MD, MPH, FASA; Authors: Michael B. Simon, MD, MBA, FASA; Carie M. Twichell, CAA, MSA ASA Monitor July 2023, Vol. 87, 19–20. In medicine, understanding verbal and nonverbal cues and effectively communicating with peers, colleagues, and patients are invaluable skills. It is an art form for some and a learned skillset for others. No […]
Read MoreDG Journal Club AUTHORS: Yoann El Maleh et al Sci Rep. 2023 Feb 11; 13(1): 2465 This updated meta-analysis aims at exploring whether the use of systematic high vs low intraoperative oxygen fraction (FiO2) may decrease the incidence of postoperative surgical site infection during general (GA) or regional anesthesia (RA). PubMed, Cochrane CENTRAL, ClinicalTrials.gov databases […]
Read MoreAuthors: Keya A. Locke, MD, MBA et al ASA Monitor July 2023, Vol. 87, 14–15. “The operating room should be at the disposal of the surgeons 24/7, no questions asked.” “Every day at 3 p.m. it’s like rats scurrying off the deck of the Titanic, and we can’t get any work done.” “1:30 p.m. is the […]
Read MoreAUTHORS: Siddiqui, Shahla MBBS, MS, FCCM et al Anesthesia & Analgesia February 15, 2023. BACKGROUND: Increased burnout and decreased professional fulfillment among intensive care physicians is partly due to intensive care unit (ICU) workload. Although the SARS-CoV-2 (COVID-19) pandemic increased ICU workload, it also may have increased feelings of personal fulfillment due to positive public […]
Read MoreAUTHORS: Lurati Buse et al European Journal of Anaesthesiology June 02, 2023. BACKGROUND In recent years, there has been increasing focus on the use of cardiac biomarkers in patients undergoing noncardiac surgery. AIMS The aim of this focused guideline was to provide updated guidance regarding the pre-, post- and combined pre-and postoperative use of cardiac […]
Read MoreAuthor: Michael Walter Cardiovascular Business More high-risk patients with pulmonary embolism (PE) should be considered for surgery, according to a new scientific statement presented Monday, Jan. 23, at the 59th Annual Meeting of the Society of Thoracic Surgeons (STS) in San Diego. The document, published in full in Circulation,[1] is the work of a volunteer writing group that […]
Read MoreAuthor: Paul Pomerantz, FACHE ASA Monitor July 2023, Vol. 87, 1–7. It is daunting to reflect on the fact that I have just a few quarterly columns left. In this one, I will share my observations on the major trends impacting the specialty and the society. In October, I will reflect on the major milestones of […]
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