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Authors: MiHye Park, M.D. et al Anesthesiology 3 2019, Vol.130, 385-393. What We Already Know about This Topic: Driving pressure (plateau minus end-expiratory airway pressure) is a target in patients with acute respiratory distress syndrome, and is proposed as a target during general anesthesia for patients with normal lungs. It has not been reported for […]
Read MoreAUTHORS: Hershner, Shelley, MD et al Anesthesia & Analgesia: December 2018 A Survey of the Perioperative Experience of Patients With Narcolepsy BACKGROUND: Patients with narcolepsy may be at increased perioperative risk due to the interactions among anesthesia, narcolepsy, and narcolepsy medications. This study sought to determine the perioperative experience of narcoleptic patients undergoing anesthesia or sedation, the […]
Read MoreASA Monitor 2 2019, Vol.83, 52. Review of unusual patient care experiences is a cornerstone of medical education. Each month, the AQI-AIRS Steering Committee abstracts a patient history submitted to the Anesthesia Incident Reporting System (AIRS) and authors a discussion of the safety and human factors challenges involved. Real-life case histories often include multiple clinical decisions, […]
Read MoreASA Monitor 2 2019, Vol.83, 44-45. What is the most significant type of heat loss encountered by the exposed surgical patient prior to surgery? (A) Conductive (B) Radiative (C) Convective (D) Evaporative Mechanisms of heat transfer (Figure 1) should be considered when trying to prevent or reverse heat loss. Figure 1:Mechanisms of heat transfer. © 2017 […]
Read MoreAuthors: Harriet W. Hopf, M.D., F.A.S.A. et al Anesthesiology 5 2019, Vol.130, 677-679. “[E]ffective [fluid] volume may be more important than type of fluid.” Appropriate fluid management is a cornerstone of anesthetic practice.1 Unfortunately, there is disagreement as to how to translate that goal into practice. Anesthesiologists know that too much fluid may lead to complications […]
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