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Authors: Michael P. Eaton, MD, FASA et al ASA Monitor September 2023, Vol. 87, 22–23. Anesthesia staffing is driven by the complex interactions between regulations, insurances, reimbursements, local history, and, increasingly, the availability (or, more commonly, lack) of providers. The Centers for Medicare & Medicaid Services (CMS) regulation of hospital “conditions of participation” and professional billing […]
Read MoreAuthors: Jamel Ortoleva, M.D. et al Anesthesiology November 2023. Shortly after the patient’s trachea was extubated after a thyroidectomy, a rare but serious complication occurred. A rapidly expanding hematoma formed, leading to airway compromise and inadequate ventilation (fig. 1). Immediate action, including reintubation and evacuation of the hematoma, was required to address the situation (fig.2; […]
Read MoreASA Monitor November 2023, Vol. 87, 36. ASA members tackle important health care issues on KevinMD.com In June, Elizabeth Mahanna-Gabrielli, MD, a member of ASA’s Committee on Geriatric Anesthesia, shared advice for hospitalists caring for patients with post-anesthesia care unit (PACU) delirium and for counseling the patient and their family. Dr. Mahanna-Gabrielli said hospitalists should tell […]
Read MoreThis is for our anesthesia readers that treat patients with pain. Author: D. M. Pollock MedicalNewsToday Colon cancer can sometimes cause back pain. Changes to bowel movements that occur with back pain may indicate late-stage colon cancer. The main symptoms are changes to a person’s bowel movements or routine. However, a person may not notice […]
Read MoreAuthors: Anoushka M. Afonso, M.D. et al Anesthesiology November 2023. Background Anesthesiologists are experiencing unprecedented levels of workplace stress and staffing shortages. This analysis aims to assess how U.S. attending anesthesiologist burnout changed since the onset of the COVID-19 pandemic and target well-being efforts. Methods The authors surveyed the American Society of Anesthesiologists’ U.S. attending […]
Read MoreAuthors: Martin Soehle, M.D., Ph.D., MHBA et al Anesthesiology November 2023. Background Near-infrared spectroscopy (NIRS) has been utilized widely in anesthesia and intensive care to monitor regional cerebral oxygen saturation (rScO2). A normal oxygenation of extracerebral tissues may overlay and thereby mask cerebral desaturations, a phenomenon known as extracerebral contamination. We investigated the effect of […]
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: 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 MoreASA Monitor November 2023, Vol. 87, 36. Media highlights updated ASA, APSF recommendations for elective surgery after COVID-19 In June, Becker’s and OR Manager reported on guidance from ASA and the Anesthesia Patient Safety Foundation (APSF) on the timing of elective surgery and anesthesia after COVID-19 infection. In July, an Outpatient Surgery Magazine article featured ASA […]
Read MoreAuthor: Pamela Schumacher, MSC, CCMP ASA Monitor November 2023, Vol. 87, 31. In 2023, more refugees and asylees arrived in the United States in the first nine months than any year since 2017 (asamonitor.pub/48hDgD8). Along with those fleeing war, crime, and persecution came numerous health needs and problems, including issues with providing dental anesthesia to refugee […]
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