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Authors: Jaime B. Hyman, MD; Jinlei Li, MD, PhD ASA Monitor June 2022, Vol. 86, 33–34. With sicker patients undergoing ever-more complex surgical procedures, the post-discharge period deserves increased attention. Recovery has shifted from the hospital to the home, and caregiving has shifted from health care workers to non-medical family or friends. Optimized post-discharge analgesia and nausea […]
Read MoreAuthor: Uday Jain, BSEE, MD, PhD, FASA ASA Monitor June 2022, Vol. 86, 31–32. Nausea, pain, and pruritus have a high degree of prevalence and severity after discharge following ambulatory surgery, for which they may be inadequately treated. Nausea and vomiting Incidence In a multicenter study of over 2,000 U.S. adults, the overall incidence of post-discharge […]
Read MoreAuthors: Sarah G. Bodin, MD, FASA ASA Monitor June 2022, Vol. 86, 30. Today I reviewed another “low-risk clearance” checkbox note from an advanced practice registered nurse, for a topical cataract case, under monitored anesthesia care. Prior to the patient’s topical cataract extraction, my healthy 64-year-old patient had visited her primary care physician to be cleared […]
Read MoreAuthor: Niraja Rajan, MBBS, FAAP, SAMBA-F, FASA ASA Monitor June 2022, Vol. 86, 28–29. Many pediatric surgeries are performed on an outpatient basis either in a hospital or a freestanding ambulatory surgery center (ASC) with tonsillectomy and/or adenoidectomy, myringotomy, appendectomy, urological procedures, and other operating room therapeutic procedures on nose, mouth, and pharynx accounting for the […]
Read MoreASA Monitor June 2022, Vol. 86, 11. Three minutes after administering a standard intubating dose of rocuronium (0.6 mg/kg) to a patient with cirrhosis, you discover the vocal cords are closed during laryngoscopy and the patient is moving. An alteration in which of the following MOST likely explains this finding? □ (A) Hepatic clearance □ (B) The neuromuscular […]
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