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Author: Kelly Wolfgang ASA Monitor November 2022, Vol. 86, 30. According to Amr Abouleish, MD, Vice Chair of Faculty Development and Professor of Anesthesiology at University of Texas Medical Branch School of Medicine, productivity measurements are imperative for quantifying the quality and value of anesthesia work being performed. “Leaders want to see an objective measurement of […]
Read MoreAuthors: Min‑Hsin Huang, M.D., M.S. et al Anesthesiology December 2022, Vol. 137, 704–715. Background Improper endotracheal tube (ETT) positioning is frequently observed and potentially hazardous in the intensive care unit. The authors developed a deep learning–based automatic detection algorithm detecting the ETT tip and carina on portable supine chest radiographs to measure the ETT–carina distance. This […]
Read MoreASA Monitor September 2022, Vol. 86, 13. Which of the following complications is MOST likely to be associated with vasa previa? □ (A) Maternal hemorrhage □ (B) Placental abruption □ (C) Fetal hemorrhage Vasa previa (Figure) is a velamentous insertion of the fetal vessels overlying the cervical os ahead of the fetal presenting part. This leaves the fetal vessels […]
Read MoreAuthors: Bush DA, Barbero E. Pract Pain Manag. 2022 September/October;22(5). About Opioid Induced Adrenal Insufficiency Opioid induced adrenal insufficiency (OIAI) is a complication of opioid use that is less well known than other known complications of opioid use such as constipation, respiratory depression, and addiction. OIAI however has been shown to be a consequence of […]
Read MoreAuthors: Weston G, Sweeney M, Zeltzer L. Pract Pain Manag. 2022 November/December;22(6). When children come to your office due to persistent or chronic pain, odds are that you are not going to be their first experience with the medical field. They have, most likely, already filled out questionnaires, participated in assessments, undergone a variety of […]
Read MoreAuthors: Matthew T. Popovich, PhD; Claire Ostarello, CPHQ ASA Monitor November 2022, Vol. 86, 39–40. Although health disparities have long existed, the COVID-19 pandemic in 2020 focused the general public, health care leaders, and patient advocates on identifying pathways to reduce disparities and improve health equity. For anesthesiologists and their groups, reducing disparities and contributing to greater […]
Read MoreAuthor: Holshouser B et al Pract Pain Manag. 2022 September/October;22(5). For children and adolescents, the prevalence of migraine by age 15 is 8% to 23%, and around 38.8% of Americans age 12 and older should be offered or considered for preventive migraine treatment.¹˒² Due to the debilitating nature of migraine disorder, it is important to […]
Read MoreAuthors: Julia Plakhotnik, B.Sc. et al Anesthesiology December 2022, Vol. 137, 687–703. Background Long-lasting local anesthetic use for perioperative pain control is limited by possible cardiotoxicity (e.g., arrhythmias and contractile depression), potentially leading to cardiac arrest. Off-target cardiac sodium channel blockade is considered the canonical mechanism behind cardiotoxicity; however, it does not fully explain the observed […]
Read MoreAuthors: Andrew Bowdle, M.D., Ph.D., F.A.S.E.; Srdjan Jelacic, M.D., F.A.S.E.; Kelly Michaelsen, M.D., Ph.D Anesthesiology November 2022. To the Editor: We strongly support the implementation of quantitative twitch monitoring to guide neuromuscular blocker administration and to ensure that patients have recovered adequately before extubation, and we applaud the efforts of Weigel et al. and others to do so. Weigel et al. used […]
Read MoreAuthors: Wade A. Weigel, M.D.; Wyndam M. Strodtbeck, M.D. Anesthesiology November 2022. In Reply: We thank Dr. Bowdle et al. for their interest in our article showing how quantitative monitoring can be incorporated into clinical practice. We fear they may have missed the major lesson of this work, however, which was modifying clinician behavior so that the vast majority […]
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