Author: Dr Clemens

Uncategorized Published - 19 July, 2021    By - Dr Clemens
Postpartum Peripheral Nerve Injuries—What is Anesthesia’s Role?

Authors: Emery H. McCrory, MD; Jennifer M. Banayan, MD; Paloma Toledo, MD, MPH Anesthesia Patient Safety Foudation Postpartum peripheral nerve injuries occur in approximately 0.3–2% of all deliveries. The majority of nerve injuries are attributed to intrinsic obstetric palsies secondary to compression or stretch of the nerve during delivery; however, the possibility that neuraxial anesthesia/analgesia […]

Read More
Uncategorized Published - 19 July, 2021    By - Dr Clemens
The APSF Revisits Its Top 10 Patient Safety Priorities

Author: Steven Greenberg, MD, FCCP, FCCM Anesthesia Patient Safety Foundation In 2018 the APSF Board of Directors (BOD) voted on its top perioperative patient safety priorities. This list was generated from a combination of a review of the most current literature, submissions to the APSF Newsletter, and expert opinions from the multiprofessional representatives of the BOD. Since […]

Read More
Uncategorized Published - 19 July, 2021    By - Dr Clemens
Important Medication Errors and Hazards Reported to the ISMP National Medication Errors Reporting Program During 2020

Authors: Ronald S. Litman, DO, ML, Medical Director, ISMP Anesthesia Patieint Safety Foundation The Institute for Safe Medication Practices (ISMP.org) receives thousands of medication error reports through their voluntary practitioner online reporting system. By this mechanism, ISMP compiled a list of important medication errors and hazards during 2020, most of which are of interest to […]

Read More
Uncategorized Published - 19 July, 2021    By - Dr Clemens
Establishing a Difficult Airway Response Team for a Regional Hospital: A Case Study in the Adoption and Diffusion of Innovations

Authors: Sarah K. Pierce, CRNA; Gary E. Machlis, PhD Anesthesia Patient Safety Foundation SUMMARY:Difficult airway events are common and can have significant consequences for patient safety. A difficult airway response program developed at Johns Hopkins Hospital was adapted to the resources and needs of a small regional hospital in Coeur d’Alene, Idaho. The adoption and […]

Read More
Uncategorized Published - 19 July, 2021    By - Dr Clemens
APSF Statement on Pulse Oximetry and Skin Tone

Authors: Jeffrey Feldman, MD; Meghan Lane-Fall, MD, MSHP Anesthesia Patient Safety Foundation Pulse Oximeters are Important for Keeping all Patients Safe On December 17, 2020, Sjoding et al. published a retrospective analysis of pulse oximetry (SpO2) data from two patient cohorts indicating that in some patients, occult hypoxemia was not detected when compared to paired oxyhemoglobin […]

Read More
Uncategorized Published - 16 July, 2021    By - Dr Clemens
Association of Delirium during Critical Illness With Mortality

AUTHORS: Hughes, Christopher G. MD, MS et al Anesthesia & Analgesia: April 30, 2021 BACKGROUND: The temporal association of delirium during critical illness with mortality is unclear, along with the associations of hypoactive and hyperactive motoric subtypes of delirium with mortality. We aimed to evaluate the relationship of delirium during critical illness, including hypoactive and hyperactive […]

Read More
Uncategorized Published - 16 July, 2021    By - Dr Clemens
The Evaluation of a Noninvasive Respiratory Volume Monitor in Mechanically Ventilated Neonates and Infants

AUTHORS: Atkinson, Douglas B. MD et al Anesthesia & Analgesia: April 30, 2021 BACKGROUND: The respiratory volume monitor (RVM) (ExSpiron, Respiratory Motion Inc, Watertown, MA) uses thoracic impedance technology to noninvasively and continuously measure tidal volume (TV), respiratory rate (RR), and minute ventilation (MV). We aimed to validate the accuracy of the RVM to assess ventilation […]

Read More
Uncategorized Published - 16 July, 2021    By - Dr Clemens
Predictive Performance of Oximetry to Detect Sleep Apnea in Patients Taking Opioids

AUTHORS: Waseem, Rida MA et al Anesthesia & Analgesia: May 5, 2021 BACKGROUND: Long-term use of opioids for treatment of chronic pain is associated with significant risks including worsening unrecognized or untreated sleep apnea that may increase morbidity and mortality. Overnight oximetry has been validated for predicting sleep apnea in surgical and sleep clinic patients. The […]

Read More
Uncategorized Published - 16 July, 2021    By - Dr Clemens
The Association Between Race and Adverse Postoperative Outcomes in Children With Congenital Heart Disease Undergoing Noncardiac Surgery

AUTHORS: Nasr, Viviane G. MD et al Anesthesia & Analgesia: May 13, 2021 BACKGROUND: The association between race and perioperative outcomes has been evaluated in adult cardiac surgical and in healthy pediatric patients but has not been evaluated in children with congenital heart disease (CHD) presenting for noncardiac procedures. This study compares the incidence of the […]

Read More
Uncategorized Published - 16 July, 2021    By - Dr Clemens
Maternal Intensive Care Unit Admission as an Indicator of Severe Acute Maternal Morbidity

AUTHORS: Godeberge, Charlotte MD et al Anesthesia & Analgesia: May 14, 2021 BACKGROUND: Severe acute maternal morbidity (SAMM) accounts for any life-threatening complication during pregnancy or after delivery. Measuring and monitoring SAMM seem critical to assessing the quality of maternal health care. The objectives were to explore the validity of intensive care unit (ICU) admission as […]

Read More