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Author: David Polaner, MD, FAAP, on behalf of the AIRS Committee. ASA Monitor December 2024, Vol. 88, 1–8. A 3-month-old infant with an unspecified mitochondrial/metabolic disorder underwent general anesthesia for cardiac catheterization for VSD. The anesthetic administered was 200 mcg/kg/min of propofol for three hours. The child subsequently developed severe metabolic acidosis, circulatory collapse, myoglobinuria, and […]
Read MoreMolecular mechanism of ligand gating and opening of NMDA receptor. Nature 2024; 632:209–17. PMID: 39085540. Author: Ru-Rong Ji, Ph.D. I Anesthesiology December 2024, Vol. 141, A13–A15. Glutamate-induced excitatory synaptic transmission, vital for brain function, is partly mediated by N-methyl-d-aspartate receptors (NMDARs), which are critical in synaptic plasticity and learning and memory. NMDARs are ligand-gated ion channels composed […]
Read MoreAuthor: Christopher D. Kent on behalf of the Closed Claims Oversight Committee ASA Monitor December 2024, Vol. 88, 27. Case presentation 1 An ASA 3 patient with a BMI 45 received general anesthesia (GA) for a cranioplasty. The antecubital I.V. was placed with ultrasound by a provider who was not part of the anesthesia team. There […]
Read MoreASA Monitor December 2024, Vol. 88, 23. What is the MOST likely complication associated with the placement of a radial artery catheter in an adult? (A) Hematoma (B) Transient arterial occlusion (C) Local infection By some estimates, about 8 million arterial catheters are placed annually in the United States, with the radial artery being the most […]
Read MoreAuthor: Allen N. Gustin, Jr., MD, FCCP, FASA, FCCM ASA Monitor December 2024, Vol. 88, 18. Each health care professional reacts and copes differently to stress, especially when their patients don’t do well clinically. Everyone must find a method to manage their emotions when stressful events occur, whether in one’s personal life or professional life. I […]
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