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AUTHORS: Chaki, Tomohiro MD, PhD et al Anesthesia & Analgesia: September 1, 2020 BACKGROUND: Second-generation supraglottic airway (SGA) devices are useful for airway management during positive pressure ventilation in general anesthesia and emergency medicine. In some clinical settings, such as the anesthetic management of awake craniotomy, SGAs are used in the head-rotated position, which is […]
Read MoreAUTHORS: Raupach, Annika PhD et al Anesthesia & Analgesia: September 1, 2020 BACKGROUND: Cardioprotective interventions—such as pharmacological postconditioning—are a promising strategy to reduce deleterious consequences of ischemia and reperfusion injury (I/RI) in the heart, especially as timing and onset of myocardial infarction are unpredictable. Pharmacological postconditioning by treatment with dexmedetomidine (Dex), an α2-adrenoreceptor agonist, during […]
Read MoreAuthors: Kuvadia, Mausam MD; Wall, Russell MD; Pehar, Andjela MD; Nishida, Kevin MD; Darling, Nellie MS Anesthesia Pateint Safety Foundation SUMMARY:Intraoperative bacterial and viral contamination of the anesthesia work environment (AWE) has been directly linked to 30-day postoperative infections. At MedStar Georgetown University Hospital, we have implemented a multi-step program to educate providers on infection […]
Read MoreCardiac Anesthesiologists blog Noncardiovascular Disorders, special Features: Gallbladder disease: Right upper quadrant abdominal pain and tenderness. Peptic ulcer: Epigastric pain worse 3 hours after eating. Gastroesophageal reflux disease (GERD): Acid reflux; relief with antacids. Costochondritis: Pain exacerbated with inspiration; reproduced with chest wall palpitation. Hiatal hernia: Reflux of food; relief with antacids. Pulmonary embolus-infarction: Tachypnea, dyspnea, […]
Read MoreAuthors: Mojca Remskar Konia, MD, PhD; Asish Abraham, MD; Janet Hume, MD, PhD; Gwen Fisher, MD Anesthesia Patient Safety Foundation Figure 1. Glo Germ particles inside of the elbow connector of the anesthesia circuit are shown (red arrows). Glo Germ (Flo Germ, Moab, UT) is a commercially available fluorescent marker. It consists of 5 mm […]
Read MoreDG Alerts Findings from an epidemiological and cohort study published in Brain do not support any significant causal link between coronavirus disease 2019 (COVID-19) and Guillain-Barré syndrome (GBS). “To date we know of no homology between severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) surface epitopes and peripheral nerve tissue. Reports of varied anti-ganglioside antibodies in association with […]
Read MoreAuthors: Cynthia Wong, BMBS; Angelique Nicolai, MD; Andrew Iskander, MD Anesthesia Patient Safety Foundation SUMMARY:Letter to the editor regarding pre-filled syringes, which can look similar, particularly when the label side is facedown. We suggest utilizing different colored caps in order to quickly identify the appropriate medication. Disclaimer: Viewers of this material should review the information contained […]
Read MoreAuthors: Charles E. Cowles, Jr., MD, MBA, FASA Anesthesia Patient Safety Foundation Has the APSF come up with definitive recommendations regarding negative pressure operating rooms for patient who are known or suspected to have SARS-COV-2 infection? Thank you and kind regards Marshal B. Kaplan, M.D. Clinical Professor Director of Airway Management Co-Chair Performance Improvement Committee […]
Read MoreCardiac Anesthesiologist blog Myocardial infarction: severe pain, usually more than 20 min in duration. Dissecting aortic aneurysm: pain is sharp, tearing, often occurs in back. Mitral valve prolapse: transient pain, midsystolic click murmur, and young female with no risk factors. Myocarditis: pain is usually vague and mild if present. Pericarditis: pain is sharper, […]
Read MoreBy Kelly Young Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD NEJM Journal Watch Peripheral neuropathy is associated with increased mortality risk, regardless of patients’ diabetes status, according to a study in the Annals of Internal Medicine. Some 7100 U.S. adults aged 40 and older underwent monofilament testing. Roughly 27% of those with diabetes […]
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