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Authors: 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 (Anesthesiology […]
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 during […]
Read MoreAuthors: Pervez Sultan, M.B.Ch.B. et al Anesthesiology August 2022, Vol. 137, 201–211. Background Heterogeneity among reported outcomes from enhanced recovery after cesarean delivery impact studies is high. This study aimed to develop a standardized enhanced recovery core outcome set for use in future enhanced recovery after cesarean delivery studies. Methods An international consensus study involving physicians, […]
Read MoreAuthor: Philip J. Peyton, M.D., Ph.D., M.B.B.S., F.A.N.Z.C.A. Anesthesiology August 2022, Vol. 137, 176–186. Background Inefficiency of lung gas exchange during general anesthesia is reflected in alveolar (end-tidal) to arterial (end-tidal–arterial) partial pressure gradients for inhaled gases, resulting in an increase in alveolar deadspace. Ventilation–perfusion mismatch is the main contributor to this, but it is unclear […]
Read MoreAuthors: Romein W. G. Dujardin, M.D. et al Anesthesiology August 2022, Vol. 137, 232–242. Background Viscoelastic hemostatic assays such as rotational thromboelastometry (ROTEM) are used to guide treatment of trauma induced coagulopathy. The authors hypothesized that ROTEM derangements reflect specific coagulation factor deficiencies after trauma. Methods This was a secondary analysis of a prospective cohort study […]
Read MoreAuthors: Jacqueline M. Leung, MD, MPH et al ASA Monitor March 2021, Vol. 85, 1–12. Postoperative delirium is a geriatric syndrome associated with prolonged hospital length of stay and worsened functional and cognitive status after hospital discharge. Despite its prevalence, its pathophysiology is incompletely understood. Delirium is a complex interplay between patient vulnerability and precipitating factors. […]
Read MoreRadius Anesthesia blog Data from the Bureau of Labor and Statistics reveal that hospital prices have increased over 2% annually in the past decade, placing in hospital spending and costs in the U.S. today at an all-time high 1. This has ushered in – slowly – a new era of aggressive policy strategies aimed to limit hospital-associated healthcare […]
Read MoreAuthor: Richard Novak, MD The Anesthesia Consultant How do anesthesiologists monitor the degree to which a patient’s muscles are pharmaceutically paralyzed during an anesthetic? A recent publication in our specialty’s most prestigious journal urges the use of a QUANTITATIVE neuromuscular monitoring machine to do this when general anesthetics include a paralytic drug. The article was not a prospective […]
Read MoreAuthor: Jacqueline M. Leung, MD, PhD ASA Monitor October 2021, Vol. 85, 15–17. The number of individuals aged 65 years or older in the United States has grown rapidly since 2010. In particular, the 65-and-older population grew by over a third during the past decade. With the graying of the nation’s population, the number of older […]
Read MoreAuthors: Jacqueline M. Leung, MD, MPH, Daniel J. Cole, MD, FASA ASA Monitor March 2021, Vol. 85, 1–12. Postoperative delirium is a geriatric syndrome associated with prolonged hospital length of stay and worsened functional and cognitive status after hospital discharge. Despite its prevalence, its pathophysiology is incompletely understood. Delirium is a complex interplay between patient vulnerability […]
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