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ASA Monitor November 2023, Vol. 87, 32. Variable response to sugammadex (June 2023) The sugammadex doses recommended for reversal of neuromuscular block are based on the train-of-four response to nerve stimulation. However, the efficacy varies with such fixed doses. In a prospective study of 97 surgical patients who received rocuronium for paralysis, 13% had residual neuromuscular […]
Read MoreAuthor: Madeline Talbot ASA Monitor November 2023, Vol. 87, 30. There’s a reason why medical dramas have dominated the television sphere for decades: the hospital presents the perfect setting for considerable clashes between individuals, with high consequences. Determining whether an individual’s behavior is disruptive or just unfavorable can be challenging, but there are resources and guidelines […]
Read MoreAuthors: Gordon Morewood, MD, MBA, FASA et al ASA Monitor November 2023, Vol. 87, 1–9. The ASA Committee on Economics is pleased to present the results of the 2023 commercial conversion factor (CF) survey. Each spring, ASA members are solicited to submit the CFs from their group practice’s five largest commercial contracts. This year, both the […]
Read MoreAuthor: Jim Fehr, MD, FAAP ASA Monitor November 2023, Vol. 87, 33. We miss one of the most exciting moments of our lives – our birth. From that first day on, humans learn and accumulate experiences and dream about great things to come. It is a pediatric anesthesiologist’s honor and pleasure to be present with families […]
Read MoreASA Monitor November 2023, Vol. 87, 15–17. Case presentation A 63-year-old male, a left-handed woodworking craftsman with diabetes and a BMI of 37, presented for an outpatient surgery arthroscopic repair of a left shoulder labral tear sustained after a fall that did not respond to conservative treatment. The patient and his daughter stated that he was […]
Read MoreAUTHORS: Illescas, Alex MPH et al Anesthesia & Analgesia 136(6):p 1182-1188, June 2023. BACKGROUND: Surgical patients with preexisting neurological diseases create greater challenges to perioperative management, and choice of anesthetic is often complicated. We investigated neuraxial anesthesia use in total knee and hip arthroplasty (TKA/THA) recipients with multiple sclerosis or myasthenia gravis compared to the general […]
Read MoreAuthor: Mary Dale Peterson, MD, MSHCA, FACHE, FASA ASA Monitor November 2023, Vol. 87, 32. I know I’m preaching to the choir when I say we all are feeling the effects of workforce challenges. This includes witnessing or even experiencing health care professional burnout, staff shortages, a backlog of elective surgeries and procedures, reduced OR capacity, […]
Read MoreASA Monitor November 2023, Vol. 87, 14. Case presentation: A 10-year-old boy with a complex past medical history notable for neonatal stroke resulting in cortical blindness, tracheoesophageal fistula repaired in infancy, and ASD/VSD repair requiring subsequent pacemaker placement and pacemaker dependence presented for iliac bone graft for correction of an alveolar maxillary cleft defect. During the […]
Read MoreASA Monitor November 2023, Vol. 87, 13. The Labor and Delivery Quality and Safety Committee at your institution has been evaluating strategies to decrease their higher-than-desired rate of postpartum hemorrhage (PPH). They have initiated the administration of prophylactic intramuscular (IM) methylergonovine in women undergoing cesarean delivery while in labor, provided they have no contraindication to the […]
Read MoreAuthors: Dibash Kumar Das, PhD; Steven Shafer, MD, FASA ASA Monitor November 2023, Vol. 87, 1–5. Anesthesiologists are often at the forefront of new challenges in patient care. Anesthesiologists will be leaders in adapting health care delivery and hospital infrastructure to the escalating impacts of climate change. Climate change has led to more frequent and severe extreme […]
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