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Authors: Alexander J. Rodriguez, MD and Christian O’Donnell, MD ASA Monitor February 2022, Vol. 86, 41. In anesthesia, the patient relationship typically ends once the operation is over. In internal medicine, it often begins well before or after a patient begins their surgical journey. Combined training in internal medicine and anesthesiology prepares one to tackle essentially […]
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: 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 […]
Read MoreAuthors: Krishnan S. Ramanujan, MD et al ASA Monitor February 2022, Vol. 86, 26. Medical professionalism is an evolving concept that reflects the myriad changes occurring in our health care system. In 2002, the American Board of Internal Medicine Foundation defined this concept in its physician charter, stating that medical professionalism “supports physicians’ efforts to […]
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 […]
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