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AUTHORS: Taha, Bushra MD et al Anesthesia & Analgesia: August 2022 – Volume 135 – Issue 2 – p 268-276 BACKGROUND: Utilization of extracorporeal membrane oxygenation (ECMO) for adult critically ill patients is increasing, but data in obstetric cohorts are scant. This study analyzed ECMO utilization and maternal outcomes in obstetric patients in the United States. […]
Read MoreASA Monitor July 2022, Vol. 86, 15. In December 2021, an infusion pump manufacturer sent out a letter to its customers, many of which are anesthesiology departments, warning that its pumps posed a safety risk. After an upstream occlusion alarm, the user can clear the alarm state without clearing the upstream occlusion; in this case, the […]
Read MoreAuthor: Jamie Eske MedicalNewsToday The kidneys remove waste products and excess fluid from the bloodstream. These two organs sit on either side of the body just below the rib cage. The kidneys rest against the back muscles, which can make it difficult to tell the difference between kidney pain and back pain. When trying to […]
Read MoreAuthor: Karen S. Sibert, MD, FASA ASA Monitor July 2022, Vol. 86, 1–11. Today’s noteworthy definitions, not new but often ignored: Unintended consequences: The principle stating that an intervention in a complex system tends to create unanticipated and often undesirable outcomes. Good intentions: The paving stones of the road to hell. In anesthesiology, these precepts should […]
Read MoreAuthors: Dusan Hanidziar, MD, PhD et al ASA Monitor July 2022, Vol. 86, 11–12. With the beginning of the COVID-19 pandemic, ICUs in the United States and around the world quickly reverted to practices that were common over two decades ago – the administration of deep sedation in mechanically ventilated patients, lack of daily spontaneous awakening […]
Read MoreASA Monitor July 2022, Vol. 86, 20. Trends FDA grants EUA for COVID breath test The U.S. Food and Drug Administration (FDA) has granted emergency use authorization (EUA) to the InspectIR COVID-19 Breathalyzer, the first COVID test that can detect compounds associated with SARS-CoV-2 infection in breath samples. It is intended for health care settings such […]
Read MoreAuthors: Zachary Deutch, MD, FASA; Alyssa M. Burgart, MD, MA, FAAP ASA Monitor July 2022, Vol. 86, 18–19. Hello everyone – I hope you are all enjoying summertime! Our last column touched peripherally on the concept of ethics in medicine, when we explored the question of what obligation the developed world has to assist the emerging world. […]
Read MoreASA Monitor July 2022, Vol. 86, 6. An 80-year-old man with carotid stenosis undergoes carotid endarterectomy. He is hypertensive postoperatively and receives a sodium nitroprusside infusion at 4 μg/kg/min. About 24 hours later, he becomes confused, remains hypertensive, and develops metabolic acidosis. Which of the following interventions is MOST appropriate for this patient? □ (A) Increasing […]
Read MoreAuthors: Lalitha Sundararaman, MD et al ASA Monitor June 2022, Vol. 86, 1–8. Diabetes mellitus is one of the top 10 causes of mortality and morbidity worldwide. Additionally, annual worldwide health care expenditure due to diabetes is $726 billion or more (Diabetes Res Clin Pract 2019;157:107843). Advancements in technologies that support diabetes management have greatly increased […]
Read MoreAuthors: Kristin M. Corey, M.D. et al Anesthesiology July 2022, Vol. 137, 67–78. Background COVID-19 causes hypercoagulability, but the association between coagulopathy and hypoxemia in critically ill patients has not been thoroughly explored. This study hypothesized that severity of coagulopathy would be associated with acute respiratory distress syndrome severity, major thrombotic events, and mortality in patients […]
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