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Authors: Nil Ural, MD et al ASA Monitor August 2022, Vol. 86, 20–21. Surgical site infections (SSIs) occur in 2%-5% of patients and are a costly nosocomial occurrence. The rate varies and is dependent upon the type of wound. Risk factors for SSI include immunodeficiency, chronic steroid use, diabetes mellitus, extremes of age, and inpatient status […]
Read MoreAuthors: Dustin R. Long, MD et al ASA Monitor August 2022, Vol. 86, 19–20. Infection prevention and control (IPC) are critical elements of perioperative quality and safety. Healthcare-associated infection is the leading cause of postoperative complications and hospital readmissions (asamonitor.pub/3tk4yG9). Perioperative teams and pre-anesthesia clinics are uniquely positioned to implement interventions that reduce postoperative infection […]
Read MoreAuthors: Kumar G. Belani, MBBS, MS, FACA, FAAP, SAMBA-F ASA Monitor August 2022, Vol. 86, 18. To minimize catheter-related bloodstream infection, one must observe maximal sterile barrier precautions, including the use of a cap, mask, sterile gown, sterile gloves, and a sterile full body drape as shown in the photo taken approximately three decades ago […]
Read MoreAuthor: Brooke Trainer, MD, FASA ASA Monitor August 2022, Vol. 86, 39–40. Communicating in Specific Contexts is the third of a four-part series that provides more information about ASA’s Enhancing Patient Communications Program. Although most physicians feel confident that they treat patients equally, preconceived notions bias our interactions, and we may not even be aware of them. […]
Read MoreAuthors: Gregory J. Booth, MD et al ASA Monitor August 2022, Vol. 86, 32–33. Figure 1: ASA Twitter word cloud, including tweets sent by @ASALifeline between October 2011 and September 2021. Twitter is a powerful tool for ASA (@ASALifeline) and has the power to drive substantial change in our field, such as improving engagement in conferences […]
Read MoreAuthor: Michael E. Harned, MD, FASA ASA Monitor August 2022, Vol. 86, 29. The opioid crisis continues to spiral. Today, Americans are more likely to die from an accidental opioid overdose (1 in 96 odds) than a car crash (1 in 103 odds) (asamonitor.pub/3xncIyB). Crafting solutions calibrated to truly meet the severity of the crisis isn’t […]
Read MoreASA Monitor August 2022, Vol. 86, 16. A patient presents to the emergency department with newly diagnosed type A aortic dissection. You prepare to take the patient to the OR emergently. The patient is hypertensive in the emergency department with a blood pressure of 180/90 mm Hg and a heart rate of 90 beats/min. Which of […]
Read MoreASA Monitor August 2022, Vol. 86, 27–28. Media coverage of ASA’s fight against 0% increase in Medicare payment continues In March, Becker’s ASC Review covered ASA’s urging Congress not to accept the Medicare Payment Advisory Commission Recommendation of no (0%) annual payment update for physician payments in 2023 and quoted ASA President Randall M. Clark, MD, […]
Read MoreAuthor: Gordon Glantz ASA Monitor August 2022, Vol. 86, 17. Joseph Szokol, MD, ASA’s Chief Health Policy Officer, would love nothing more than to say that he has not been directly affected by substance use disorders (SUDs), but that is sadly not the case. “Unfortunately, I have had to do interventions on several residents and […]
Read MoreASA Monitor August 2022, Vol. 86, 12. Your next patient is a 75-year-old woman who fell while walking across her living room and sustained a right hip fracture. You plan to place a spinal anesthetic for the hip fracture repair surgery. According to a recent study, which of the following outcomes is MOST likely improved 60 […]
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