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Author: Kelly Wolfgang Jong ASA Monitor February 2022, Vol. 86, 19. Recent studies have shown a link between intraoperative hypotension (IOH) and injury to the patient, from acute kidney injury (AKI) and adverse cardiac events to inadequate organ perfusion. Though the data suggest that a link exists, there is not yet clear evidence of a causal […]
Read MoreASA Monitor February 2022, Vol. 86, 15. A patient undergoing major thoracic surgery has a urine output of 0.2 mL/kg/h. According to a recent study defining oliguria as a urine output less than 0.3 mL/kg/h, which of the following statements BEST describes the impact of urine output on the risk of postoperative acute kidney injury […]
Read MoreAuthors: Matthew B. Allen, MD and Nicholas Sadovnikoff, MD, FCCM, HEC-C ASA Monitor February 2022, Vol. 86, 23–24. ASA guidelines for perioperative management of do-not-resuscitate (DNR) orders recommend that we revisit existing DNR orders prior to surgery and modify them as needed to align with patient preferences and clinical circumstances (asamonitor.pub/3lq2jgi). This “revisit and revise” or […]
Read MoreAUTHORS: Todd Novak, MD; Chelsea Zur, MD Anesthesia Patient Safety Foundation Volume 37, No. 01 February 2022 INTRODUCTION Rapid advancements in the fields of electrophysiology (EP) and interventional cardiology have increased the demand for anesthesia services.1,2 These procedures have grown in complexity and often involve the care of acutely sick patients with multiple comorbidities including advanced […]
Read MoreAuthors: Rachel Hadler, MD and Shahla Siddiqui, MD, MS, D.ABA, FCCM ASA Monitor February 2022, Vol. 86, 27–28. Case: A 65-year-old man with a previous medical history of hypertension, hyperlipidemia, and obesity is diagnosed with renal cell carcinoma with associated inferior vena cava (IVC) thrombus and concern for pulmonary metastases. He presents to the OR for nephrectomy […]
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