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ASA Monitor 11 2016, Vol.80, 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 MoreAuthors: Joseph P. Cravero, M.D., FAAP et al ASA Monitor 11 2016, Vol.80, 28-30. Opioids represent one of the time-honored tools for pediatric anesthesiologists in treating the most significant pain and suffering that confront our patients. While we continue to seek adequate pain treatment and avoid the consequences of inadequately treated pain, the reality of the ongoing […]
Read MoreAuthors: Caleb H. Ing, M.D., M.S. et al ASA Monitor 11 2016, Vol.80, 16-18. The possibility of anesthetic neurotoxicity was first suggested more than 15 years ago with findings of apoptosis in the brains of rodents after ethanol exposure during critical periods of neurodevelopment. A similar neuroapoptotic effect was soon identified in anesthetic agents and linked to […]
Read MoreAuthor: John Pfitzner, M.B.B.S., F.R.C.A. Anesthesiology 12 2016, Vol.125, 1254-1255. Blank et al confirm that one-lung ventilation (OLV) is not without risk, but I have grave doubts about whether it is reasonable to conclude that “advances in our understanding of protective ventilation during OLV are likely to derive from well-designed randomized trials controlling for variables of inherent pathophysiologic […]
Read MoreAuthor: Hans-Joachim Priebe, M.D. Anesthesiology 12 2016, Vol.125, 1246-1247. I read with great interest the publication by Ramsingh et al. which elegantly shows that point-of-care ultrasound examination is considerably more accurate than chest auscultation in discriminating between endotracheal and endobronchial intubation. However, several factors limit the practicality of this technique in routine clinical practice. It requires unrestricted access […]
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