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Authors: Miguel Armengol de la Hoz, M.S. et al Anesthesiology June 2022, Vol. 136, 927–939. Background In cardiac surgery, the association between hypotension during specific intraoperative phases or vasopressor-inotropes with adverse outcomes remains unclear. This study’s hypothesis was that intraoperative hypotension duration throughout the surgery or when separated into hypotension during and outside cardiopulmonary bypass may […]
Read MoreASA Monitor May 2022, Vol. 86, 16. Due to national drug shortages, your facility is unable to obtain bupivacaine. You are planning a peripheral nerve block, and the only preservative-free local anesthetic available is 1.5% mepivacaine. What would be the MOST likely result of using mepivacaine in comparison to bupivacaine? □ (A) Greater risk for toxicity □ (B) […]
Read MoreAuthor: Victor Davila, MD, FASA ASA Monitor May 2022, Vol. 86, 15. Establishing the Physician-Patient Relationship is the first of a four-part series that provides more information and insight about ASA’s Enhancing Patient Communications Program. It is easy to forget how stressful the overall surgical experience can be. Even though it may be unfamiliar for the patient, […]
Read MoreAuthor: Matt Vera BSN RN Starting an IV to a pediatric patient is extra challenging as their veins are smaller and are sometimes distressed when they see a needle. Hopefully, these IV tips for pediatric patients can help you: Keep calm and calm the child. When starting an IV on an infant, try soothing them beforehand […]
Read MoreASA Monitor May 2022, Vol. 86, 18–19. Case 1 A trauma patient from the emergency department showed up as a “surprise” to the operating room. No known history, shot multiple times in the head, chest, and abdomen; emergency thoracotomy in ED after arrest. In the OR, his end-tidal CO2 was 9 mmHg and he had no […]
Read MoreAuthors: Ellile Sultan, MD, BMedSci, FRCA, MSc, CRA, T. Kyle Harrison, MD ASA Monitor May 2022, Vol. 86, 44–45. Only minutes after lifting off from LaGuardia Airport, two senior pilots were rapidly thrust into an emergency that threatened not only their lives but their passengers’ lives and unknown numbers of ground casualties (asamonitor.pub/35PIt9e). Following take […]
Read MoreASA Monitor May 2022, Vol. 86, 12. A 25-year-old man presents for laparoscopic cholecystectomy. He suffers from chronic low back pain and is using oxycodone, diazepam, and cannabis for pain management. According to a recent study, which of the following six-month outcomes is MOST likely in this patient compared with a similar patient who does not […]
Read MoreAuthor: Thomas R. Miller, PhD, MBA ASA Monitor May 2022, Vol. 86, 1–11. I wrote this column in February, that exciting time of the year when most publicly traded companies submit Form 10-K to the U.S. Securities and Exchange Commission. The 10-K is a comprehensive report filed each year to inform potential investors about a firm’s […]
Read MoreASA Monitor May 2022, Vol. 86, 34–35. In December, USA Today reported on the American Medical Association’s and American Hospital Association’s lawsuit against the U.S. Departments of Health and Human Services, Labor, and Treasury over flawed regulations in implementing the No Surprises Act, noting that ASA is in agreement. “The rules are a powerful mechanism for […]
Read MoreAuthors: Kunal Karamchandani, M.D., FCCP et al ASA Monitor February 2020, Vol. 84, 30–32. Opioids impact intensivists in multiple ways. While opioids form the cornerstone of managing pain and sedation in the intensive care unit (ICU), the significant increases in opioid use-related admissions in the wake of the opioid epidemic are concerning. Pain is ubiquitous in the […]
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