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ASA Monitor April 2023, Vol. 87, 14–15. A complex, high-risk, nonemergent surgical procedure (revision thoracic-sacral spinal fusion, estimated duration 5 hours) was completed on a weekday during late night hours by surgery and anesthesiology physicians who were otherwise on a daytime work schedule in a tertiary academic hospital. The patient entered the OR at 6:15 p.m. […]
Read MoreAuthor: Jane S. Moon, MD International Anesthesia Research Society The Daily Dose April 2023 There is a pressing need to recruit, retain, and promote a diverse physician anesthesiologist workforce to encourage equity in healthcare delivery, as well as innovation and inclusivity in the workplace. This topic was the focus of “Diversity in Academic Anesthesiology: Enhancing […]
Read MoreASA Monitor April 2023, Vol. 87, 9. There is growing literature studying the role of perioperative handoffs. This has included efforts to understand the extent to which the occurrence of an intraoperative handoff itself is helpful or harmful, interventions to improve handoffs when they occur, and protocols for the transition of a patient to a different […]
Read MoreAuthor: George A. Mashour, MD, PhD ASA Monitor April 2023, Vol. 87, 34. In July 2022, the Association of American Medical Colleges (AAMC) published the report “Understanding and Addressing Sexual Harassment in Academic Medicine” (asamonitor.pub/3wUbuv0). The focus was academic physicians, and the data were based on the AAMC StandPoint™ Faculty Engagement Survey, administered from 2019-2021. There […]
Read MoreAuthor: Scott D. Augustine, MD ASA Monitor April 2023, Vol. 87, e5. I applaud Dr. Tewfik and Mr. Paschall for their recent ASA Monitor article “Supply Chain Concerns and the Effect on Health Care Systems: Essential Considerations for Anesthesia Providers” (ASA Monitor 2022;86:1-8). However, noticeably absent from their “Strategies to mitigate supply chain vulnerabilities” was any mention of […]
Read MoreASA Monitor April 2023, Vol. 87, 13. You are administering spinal anesthesia during an urgent cesarean delivery for a nonreassuring fetal heart rate. According to a recent study, which of the following outcomes is MOST likely in this parturient if you administer norepinephrine for maternal hypotension, compared to a similar parturient receiving phenylephrine? □ (A) Lower risk […]
Read MoreAuthor: Christian S. Guay, MD International Anesthesia Reserach Society The Daily Dose April 2023 With the release of ChatGPT in November 2022, artificial intelligence (AI) has quickly become one of the most popular topics for mainstream headlines and social media. This transformative technology is quickly spreading through multiple industries, including healthcare, where AI has been […]
Read MoreAuthors: John C. Klick, MD, FCCP, FASE, FCCM; Linda W. Young, MD, MS ASA Monitor April 2023, Vol. 87, 30. Lessons learned from the ICU translate directly into anesthetic care of critically ill patients in the OR and NORA locations. Critically ill patients presenting to the OR are at high risk and present with issues that require […]
Read MoreAuthor: Helen Olkaba, MS ASA Monitor April 2023, Vol. 87, 31. Effective March 12, 2023, Cigna will reduce payment on services reported with modifier QZ by 15%. Modifier QZ identifies services provided by CRNAs without medical direction of a physician. According to Cigna, this was done to align payment with other advanced practice providers (e.g., nurse […]
Read MoreAuthor: Gundappa Neelakanta, MBBS ASA Monitor April 2023, Vol. 87, e4. “Here comes your margarita!” I hear the familiar words through the thin walls of the cubicle in the preoperative area as I talk to my patient on the other side of the cubicle. Their conversation then turned to, “It’s never too early for a drink” […]
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