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Authors: Anita Gupta, DO, MPP, PharmD, FASA et al ASA Monitor May 2023, Vol. 87, 29–30. The opioid crisis has ravaged the United States, claimed lives, and devastated many families and communities. Despite the steep decline in opioid prescriptions in the U.S. in the last few years, opioid-related mortality overall is higher than ever, and still […]
Read MoreAuthor: Madeline Talbot ASA Monitor May 2023, Vol. 87, e12–e13. With an acceleration in retirement across the medical field due to the COVID-19 pandemic, the demand for anesthesiologists has boomed across the country. Simultaneously, academic medicine has had to adapt to a virtual world, taking on both the challenges and opportunities this new reality presents. Pedro […]
Read MoreAuthors: Seema Gandhi, MD et al ASA Monitor May 2023, Vol. 87, e4–e5. The majority of inhaled anesthetic gases administered to patients are unmetabolized and ultimately vented to the atmosphere. As potent greenhouse gases, these emissions contribute to climate change and negatively impact public health (BMJ 2022;377:o1301; PLoS One 2016;11:e0157014). Reducing waste is a fundamental strategy to […]
Read MoreAuthors: Ervin Ham, BS et al ASA Monitor May 2023, Vol. 87, 25–27. The mentee perspective (Ervin Ham) When I was in college working on bioengineering research, I was struck with a realization: millions of people would not benefit from the incredible technology in development, while those with access to the most advanced technology would continue […]
Read MoreAuthors: Lady Christine Ong Sio, MD et al ASA Monitor May 2023, Vol. 87, e10–e11. A 27-year-old primigravid with a history of opioid use disorder, on buprenorphine, presented to the OB suite in active labor. She underwent an emergent cesarean section under a spinal anesthetic due to persistent late decelerations. Her operative course was uneventful. Postoperatively, […]
Read MoreAuthors: Iryna Chugaieva, MD et al ASA Monitor May 2023, Vol. 87, e8–e9. Advances in health care have resulted in an aging population with multiple health problems. During pregnancy, maternal age alone is a known independent risk factor. Therefore, pregnancies during higher age with comorbidities are high-risk pregnancies. Despite significant improvements in the availability and quality […]
Read MoreAuthors: Brian Taussig, MD et al ASA Monitor May 2023, Vol. 87, 21. Your pager goes off for a postpartum hemorrhage (PPH) on the labor floor. While the patient is hemodynamically stable, the estimated blood loss is almost 2 liters, so you place additional large-bore intravenous access while drawing off a “rainbow set” of labs. You […]
Read MoreAuthors: Alexander G. Samworth, MD et al ASA Monitor May 2023, Vol. 87, 20. Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality worldwide (Obstet Gynecol 2017;130:366-73; BMC Pregnancy Childbirth 2009;9:55). Nearly half of all severe maternal morbidity in the United States is related to PPH (BMC Pregnancy Childbirth 2009;9:55). Physiologic changes of pregnancy […]
Read MoreAuthors: David Stahl, MD et al ASA Monitor May 2023, Vol. 87, 17–19. A 41-year-old G2P1 with a history of chronic hypertension, obesity (BMI 45), lower extremity edema, and asthma presents with severe-range blood pressures at 37 weeks gestational age. The diagnosis of preeclampsia with severe features is confirmed, an induction of labor is started, and […]
Read MoreASA Monitor May 2023, Vol. 87, 13. Case presentation A 50-60-year-old ASA 3 male, with a BMI of 41.3, past medical history significant for coronary artery disease (CAD), post-right coronary artery (RCA) stent placement, obstructive sleep apnea (OSA) treated with continuous positive airway pressure (CPAP), hypertension treated with metoprolol, and hyperlipidemia, was “cleared” by a cardiologist […]
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