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Authors: Laurent Brochard, M.D. et al Anesthesiology October 2018. “How can we determine when mechanical ventilation is harming the lung…?” VENTILATOR-INDUCED lung injury is a multifaceted problem that has progressively become a preoccupation for intensivists and anesthesiologists. It has taken many years to realize that mechanical ventilation, a life-saving technique, could also induce harm. The first […]
Read MoreASA Monitor 11 2018, Vol.82, 52-55. A 48-year-old man with a history of severe depression, former heroin use and chronic low back pain presents for elective minor scar revision surgery. He is taking 8 mg of buprenorphine sublingually daily, and a recent urine screen was negative for illicit substances. Which of the following is the best course of […]
Read MoreASA Monitor 11 2018, Vol.82, 50-51. 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 11 2018, Vol.82, 44. Which of the following characteristics is most likely in a neonate with a gastroschisis rather than an omphalocele? (A) Congenital heart disease (B) Inborn errors of metabolism (C) Absence of coverage with a membranous sac (D) Urologic abnormalities Omphalocele (Figure 1) and gastroschisis (Figure 2) represent two of the more common neonatal […]
Read MoreAuthors: Stephen H. Jackson, M.D. ASA Monitor 11 2018, Vol.82, 24-27. Ethical Principles and Informed Consent1-3 The ethical implications of routine (“screening,” non-con-sented) preoperative pregnancy testing often are obscured by scientific and legal misinformation that creates unfounded uncertainty. The process of informed consent honors what the patient wants through respecting the ethical principle of patient autonomy (self-determination). Ethically, a woman has the right to be offered pregnancy […]
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