Author: Dr Clemens

Uncategorized Published - 5 January, 2023    By - Dr Clemens
Vendor Hack Tied to 20 Anesthesiology Practice Breaches

A hacking incident at a New York-based administrative services firm has resulted in a growing list of anesthesiology practices reporting breaches that so far have affected the personal information of about 430,000 people. Somnia Inc., in Harrison, New York, is a physician-owned anesthesia management services firm that also appears to have corporate or leadership ties […]

Read More
Uncategorized Published - 5 January, 2023    By - Dr Clemens
Global Anesthesiology and Intraoperative Neuromonitoring: Report from a Sustainable Collaboration

Authors: Julio C. Montejano, MD et al  ASA Monitor January 2023, Vol. 87, 32–33. Mr. Teguo educates the anesthesia team and the future IONM technologist on proper electrode placement. The stated mission of the ASA Committee on Global Health is to enhance, support, educate, represent and collaborate for safe anesthesia practice worldwide. As an ASA Committee […]

Read More
Uncategorized Published - 4 January, 2023    By - Dr Clemens
Anesthesiologists Face Increasing, More Routine, Equipment Shortages

Auythors: David M. Feinstein, MD, MSBME; Matthew Popovich, PhD ASA Monitor January 2023, Vol. 87, 18–19. In July and August 2022, an increasing number of anesthesiologists began to notice potential and actual shortages of their preferred epidural kits. Although most anesthesiologists did not have to find substitutes for their kits, a significant number of anesthesiologists nonetheless sounded […]

Read More
Uncategorized Published - 4 January, 2023    By - Dr Clemens
APSF Patient Safety Priorities Advisory Group – Infectious Diseases

Authors: Jonathan E. Charnin, MD, FASA; Randy W. Loftus, MD ASA Monitor January 2023, Vol. 87, 36–37. There are always opportunities to improve perioperative patient safety, but some might escape notice because the agent of harm is invisible. The Anesthesia Patient Safety Foundation (APSF) Committee on Infection Prevention is a multidisciplinary, multiprofessional group of experts who convene […]

Read More
Uncategorized Published - 4 January, 2023    By - Dr Clemens
SEE Question

ASA Monitor January 2023, Vol. 87, 16. The American Heart Association, the American College of Cardiology, and the Heart Failure Society of America updated their guideline for the management of heart failure in 2022. Which of the following statements is an important takeaway from this new guideline? □ (A) Patients with prior heart failure but now with […]

Read More
Uncategorized Published - 4 January, 2023    By - Dr Clemens
UpToDate®

ASA Monitor January 2023, Vol. 87, 19. Prothrombin complex concentrate versus plasma for coagulopathy and bleeding after cardiopulmonary bypass (September 2022) Unactivated prothrombin complex concentrate (PCC) is used to rapidly correct warfarin anticoagulation. Observational studies have described off-label use of PCC to treat surgical coagulopathic bleeding, but supporting data are limited. One randomized trial compared administration […]

Read More
Uncategorized Published - 4 January, 2023    By - Dr Clemens
ASRA Pain Medicine Has so Much to Celebrate!

Authors: Samer Narouze, MD, PhD; Angie Stengel, CAE ASA Monitor January 2023, Vol. 87, 34. A year has passed since we announced our rebranding from the American Society of Regional Anesthesia and Pain Medicine to ASRA Pain Medicine, supporting health care professionals who care for patients across the pain continuum from acute to chronic and everything in […]

Read More
Uncategorized Published - 3 January, 2023    By - Dr Clemens
Case 2023-1: Anesthesia Management of Postpartum Hemorrhage

ASA Monitor January 2023, Vol. 87, 13. Case presentation A 24-year-old woman, G1P0 at 41 weeks gestation, had an uneventful vaginal delivery facilitated by epidural analgesia at a medium-sized community hospital with an expanding labor and delivery service. Postpartum vaginal bleeding persisted despite administration of Pitocin and methergine. Attempts to place a Bakri uterine balloon for […]

Read More
Uncategorized Published - 3 January, 2023    By - Dr Clemens
Create Your Value Proposition Before You Need It

Authors: Phillip J. Richardson, MD, MBA, FASA, CPE, FAACD, FACHE ; Shena J. Scott, MBA, FACMPE ASA Monitor January 2023, Vol. 87, 31. The ASA Committee on Practice Management has compiled a compendium of resources to help groups understand the process of developing a value proposition and, if necessary, respond to a request for proposal (RFP). RFP […]

Read More
Uncategorized Published - 3 January, 2023    By - Dr Clemens
Mitigating Endoscope-Associated Infections: Revised ANSI/AAMI Standards and New Duodenoscope Surveillance Antimicrobial Sampling and Culturing Protocols

Author: Uday Jain, BSEE, MD, PhD, FASA ASA Monitor January 2023, Vol. 87, 29. Abstract Anesthesiologists provide anesthesia for numerous endoscopy procedures. They also perform bronchoscopy and other endoscopies. There are recent developments in mitigating endoscopy-associated infections. Carbapenem-resistant Enterobacteriaceae (CRE) infections, which are resistant to multiple antibiotics, have been traced to duodenal endoscopy, cystoscopy, and ureteroscopy […]

Read More