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Author: Arnaldo Valedon, M.D. ASA Monitor 02 2018, Vol.82, 16-17. Total joint replacement surgery has undergone significant evolution in the last 20 years. In the year 2000, the average hospital length of stay for these procedures was four to five days with a transition to skilled nursing facility or rehabilitation floor ranging from five days to three […]
Read MoreAuthor: Daniele Parise, M.D. ASA Monitor 02 2018, Vol.82, 72-73. “Epidural in room 19,” my attending told me. As I went through the patient’s history, she informed me that she had a history of opioid dependence and was being maintained on Suboxone® (buprenorphine and naloxone) during her pregnancy. I explained the risks of epidural anesthesia along with the […]
Read MoreAuthors: Uduak U. Williams, M.D.; Elizabeth Rebello, M.D., FASA ASA Monitor 02 2018, Vol.82, 14-15. The number of outpatient surgical procedures in the United States has more than doubled from 12 to 26 million over the past few decades.1 The anesthetic plan should be tailored to allow rapid recovery; however, the combination of sedatives with analgesics such […]
Read MoreAnesthesia Patient Safety Foundation March 2018 Letter to the Editor: Carbon Dioxide Used as Insufflating Gas May Raise ETCO2 During GI Endoscopy To the Editor: A recent change in practice amongst our gastroenterology colleagues prompts me to note this observation: gastrointestinal (GI) endoscopy is increasingly being performed with carbon dioxide (CO2) as the insufflating gas. The […]
Read MoreAuthors: Steven Young, M.D et al ASA Monitor 02 2018, Vol.82, 10-13. Over the past 20 years, office-based surgery has shown an exponential increase in both the number and complexitys of patients and types of procedures.Fortunately, serious O.R. crises are rare in the office-based surgical (OBS) setting, but when they do occur, both anesthesia and non-anesthesia […]
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