Authors: Peter Santer, M.D., D.Phil. et al Anesthesiology July 2022, Vol. 137, 41–54. Background Mechanical power during ventilation estimates the energy delivered to the respiratory system through integrating inspiratory pressures, tidal volume, and respiratory rate into a single value. It has been linked to lung injury and mortality in the acute respiratory distress syndrome, but little […]
Read MoreAuthors: Mike Charlesworth and Andrew Klein #theanesthesiablog Major airway complications are rare and the best evidence on which we base current practice comes from NAP4, which was published in 2011. This new contribution from Cumberworth et al. used similar methods within six hospitals to see what has changed and highlight key areas for further training and development. […]
Read MoreAuthors: Emily Methangkool, MD, MPH; Richard D. Urman, MD, MBA ASA Monitor June 2022, Vol. 86, 25–26. Figure: Opportunities for quality improvement in non-operating room anesthetizing locations. NORA=non-operating room anesthesia; M&M=mortality and morbidity. Communication failures contribute to adverse events, morbidity, and mortality and may be complicated by both interprofessional and interdisciplinary dynamics within the procedural setting (J […]
Read MoreAuthor: Sarah G. Bodin, MD, FASA ASA Monitor June 2022, Vol. 86, 30. Today I reviewed another “low-risk clearance” checkbox note from an advanced practice registered nurse, for a topical cataract case, under monitored anesthesia care. Prior to the patient’s topical cataract extraction, my healthy 64-year-old patient had visited her primary care physician to be cleared […]
Read MoreСаrdiac Anesthesiologist June 03, 2022 Adjunctive Therapy Warming Bleeding patients with core or intermediate zone temperatures less than 35°C will benefit from warming efforts, both passive (warm ambient temperature, adequate body coverings, low-ventilator fresh gas flows, airway heat and humidity exchangers) and active (heated humidifiers, warmed intravenous fluids, forced-air convective warming blankets). All too often, […]
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