Authors: George Tewfik MD, MBA, FASA, CPE, MSBA et al Anesthesia Patient Safety Foundation Oct 2023 BACKGROUND Food bolus impaction and foreign object ingestion are aberrant clinical conditions that often require urgent intervention including endoscopy with either a push or retrieval technique.1 Patients presenting with foreign body ingestion or impaction may subsequently develop catastrophic sequelae such […]
Read MoreAuthors: Molly M.H. Herr, MD; Leal G. Segura, MD Anesthesia Patient Safety Foundation Oct 2023 In anesthesiology, the use of single-use devices has sky-rocketed over the last two decades. Single-use devices used in anesthesia practice, including laryngoscopes, video laryngoscopes, blood pressure cuffs, medical gowns, operating room hats and attire, and pulse oximetry probes are often […]
Read MoreAuthor: Jerome Lax, MD Anesthesia Patient Safety Foundation Oct 2023 Dear RAPID Response Recently at our institution, toward the end of a laparotomy, a puzzling event occurred. As a radiofrequency detection wand (Medtronic Situate™ Detection System X, New Haven, CT ) was waved over the abdomen, an electronic interference alert was triggered. Subsequent assessment of […]
Read MoreAuthors: Eileen Nguyen, M.D., Ph.D. et al Anesthesiology October 2023, Vol. 139, 462–475. Background Pharmacologic manipulations directed at the periaqueductal gray have demonstrated the importance of the μ-opioid receptor in modulating reflexive responses to nociception. The authors hypothesized that a supraspinal pathway centered on neurons in the periaqueductal gray containing the μ-opioid receptor could modulate nociceptive […]
Read MoreAuthor: Jonathan B. Cohen, MD, MS Anesthesia Patient Safety Foundation Oct 2023 In March of this year, the U.S. Food and Drug Administration (FDA) approved naloxone hydrochloride nasal spray for over-the-counter, nonprescription use. This move was consistent with longstanding recommendations by the American Society of Anesthesiologists (ASA) and testimony given before several of its committees […]
Read MoreAuthors: John Beard, MD et al Anesthesia Patient Safety Foundation Oct 2023 Nonoperating room anesthesia (NORA) cases are projected to exceed 50% of total anesthesia cases in the near future.1 Although one large-scale study failed to show a difference in mortality between NORA and operating room (OR) settings,2 multiple analyses of data from the American Society of […]
Read MoreAuthors: Candace Chang, MD, MPH et al Anesthesia Patient Safety Foundation Oct 2023 INTRODUCTION While patient safety is an established field of study, little attention has been directed to clinician safety. According to the Occupational Health Safety Network, 1 in 5 nonfatal occupational injuries occurs in the health care and social assistance industry, and health […]
Read MoreAuthors: Gabor Erdoes, M.D., Ph.D. et al Anesthesiology September 2023. To the Editor: Nadtochiy et al. report using intravenous dabigatran, a direct thrombin inhibitor (DTI), for anticoagulation in an animal model of simulated cardiopulmonary bypass (CPB). Activated clotting time, thromboelastometric reaction time, and fibrin deposition in sections of the arterial line filters were analyzed to compare anticoagulation with […]
Read MoreAuthors: Michael P. Eaton, M.D., F.A.S.A. et al Anesthesiology September 2023. In Reply: The authors thank Drs. Erdoes, Koster, and Levy for their very cogent and detailed analysis of our study. We agree with many of the points they made, specifically the very limited effect dabigatran has on coagulation due to its specificity for thrombin. Most would […]
Read MoreAuthor: Erica Carbajal Becker’s Hospital Review Last year, 53 percent of physicians reported burnout. Among them, emergency medicine specialists had the highest rate at 65 percent, according to Medscape’s latest report on physician burnout and depression. Across the board, physician burnout has jumped 11 percentage points from 2018, when 42 percent of physicians said they were burned out. The […]
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