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Author: Robin Hocevar ASA Monitor October 2023, Vol. 87, 32. MPOG’s perioperative patient registry consists of more than 22 million anesthetic cases integrated across more than 65 hospitals and health systems. Photo courtesy of MPOG. Sachin Kheterpal, MD, Professor of Anesthesiology at the University of Michigan and Executive Director of the Multicenter Perioperative Outcomes Group (MPOG), […]
Read MoreAuthors: Martin Krause, MD et al ASA Monitor October 2023, Vol. 87, 36–37. Intraoperative hypotension and hypertension can lead to end-organ injury, worsen clinical outcomes, and increase health care costs (Br J Anaesth 2018;121:706-21; Anesth Analg 2002;95:273-7; Anesthesiology 2018;128:317-27; J Hypertens 2021;39:1982-90; Anesthesiology 2011;114:1289-96; J Neurosurg 2017;127:1025-40; J Patient Saf 2021;17:e758-e64; J Clin Anesth 2021;75:110516). Unfortunately, there is little consensus on whether optimal blood pressure represents a target range or is […]
Read MoreAuthor: Eric Reilly, DO ASA Monitor October 2023, Vol. 87, 21–22. Resident physician compensation is a hot topic, and hopefully this article will provide readers with a deeper understanding of the complex mechanisms behind compensation, without promoting unfounded claims of exploitation. How did we get here? Resident physicians make roughly $60,000 per year, which – despite […]
Read MoreASA Monitor October 2023, Vol. 87, 15. ASA’s Perioperative Resuscitation and Life Support Certificate, or PeRLS, offers advanced cardiac life support training designed specifically for anesthesiologists. Adapted from the American Heart Association’s Advanced Life Support curricula, PeRLS offers a more anesthesia-centric solution to address perioperative crisis training. But because health care continues to evolve, the program […]
Read MoreASA Monitor October 2023, Vol. 87, e1. Seventeen years ago, Anesthesiology News featured my opinion piece titled “Short-Term Oxygen: Not Enough of a Good Thing?” which emphasized the benefits of what I called “continual preoxygenation” (asamonitor.pub/3KAC6bt)(login may be required). It was interesting to see the similarly titled “Deliberate Oxygen Therapy – How Much Is Too […]
Read MoreAuthor: Roger A. Johns, MD, PhD ASA Monitor October 2023, Vol. 87, 1–6. This isn’t FAER’s first time discussing the importance of advocacy in anesthesiology research. To help shed more light on this topic, it’s my pleasure to share a recent conversation between ASA Chief Advocacy Officer (CAO) Manuel Bonilla, FAER President James C. Eisenach, MD, […]
Read MoreAuthors: Ashish Agrawal, MD et al ASA Monitor October 2023, Vol. 87, 35. Delirium is likely the most well-known perioperative cognitive disorder. Delirium, an acute and fluctuating alteration in the level of consciousness and attention, has significant consequences for patients, families, and the health care system. The incidence of delirium is associated with increased mortality, cognitive […]
Read MoreAuthors: Chelsea Casey, MD et al ASA Monitor October 2023, Vol. 87, 20–22. Optiflow™ multi-use nasal high flow system. Reproduced with permission from Fisher and Paykel Healthcare. High-flow nasal oxygen (HFNO) is a promising new oxygenation technique for anesthesiologists, as its use in recent years has expanded out of intensive care units and into the perioperative […]
Read MoreASA Monitor October 2023, Vol. 87, 12–13. New synthetic antibiotic compound Gram-negative bacteria such as Salmonella and E. coli are responsible for many harmful infections such as UTIs, pneumonia, and bloodstream infections. Unfortunately, gram-negative bacteria are resistant to most available antibiotic drugs and continue to grow increasingly resistant to available treatments. A decades-long project at Duke University is combatting gram-negative […]
Read MoreASA Monitor October 2023, Vol. 87, 11. Your next patient will receive a dural puncture epidural for labor. According to a recent study, which of the following is MOST likely to be lower in this patient, compared with a similar patient receiving lumbar epidural anesthesia without dural puncture? □ (A) Risk of postdural puncture headache □ (B) Need […]
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