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ASA Monitor 5 2018, Vol.82, 46-47. 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: Nagappa, Mahesh, MD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 2030–2037 BACKGROUND: Obstructive sleep apnea (OSA) is a common comorbidity in patients undergoing cardiac surgery and may predispose patients to postoperative complications. The purpose of this meta-analysis is to determine the evidence of postoperative complications associated with OSA […]
Read MoreBy Bernie Monegain Health executives know about Amazon, Apple, Google, IBM and Microsoft making moves into the healthcare industry but there are far more Fortune 50 companies that already have a foot in the space. Translation: Healthcare is even more ripe for disruption than it presently appears. And that means it’s time to act fast or face irrelevancy. […]
Read MoreAuthors: Dennis M. Fisher, M.D. et al Anesthesiology 5 2018, Vol.128, 943-952. Background: Desirable product attributes for treatment of moderate-to-severe acute pain in many medically supervised settings are rapid onset and a route of administration not requiring intravenous access. The pharmacokinetic characteristics of sublingually administered tablets containing 15 or 30 µg of sufentanil are described.Methods: Blood was sampled […]
Read MoreAuthors: Weisbord SD et al. N Engl J Med 2017 Nov 12. Saline hydration alone is sufficient. Urinary alkalinization and acetylcysteine have been proposed as possible ways to minimize contrast-induced nephropathy (CIN) in patients who receive intra-arterial injections of iodinated contrast. In this multicenter study, researchers randomized about 5000 patients scheduled for angiography (primarily coronary) to […]
Read MoreThe type of needle used during a lumbar puncture makes a significant difference in the subsequent occurrence of headache, nerve irritation, and hearing disturbance in patients, according to a study published in The Lancet. They study also found that the pencil-point atraumatic needle with the better tip design, which has been available for about 70 […]
Read MoreThe FDA approved the first once-monthly injectable buprenorphine product (Sublocade, Indivior), for the treatment of moderate to severe opioid use disorder (OUD) in adult patients who have started treatment with a transmucosal buprenorphine-containing product. It is indicated for patients who have been on a stable dose of buprenorphine treatment for a minimum of seven days. […]
Read MoreA virtual reality simulator (ORSIM, Airway Simulation Ltd.) may be more effective than conventional teaching methods in improving performance of fiber-optic bronchoscopy (FOB)-guided intubation in patients under general anesthesia. According to a recent study, post-training performance of FOB-guided intubation, as measured by intubation time and Global Rating Scale, improved in operators who received 60 minutes […]
Read MoreThe FDA expanded its warnings against using opioids and benzodiazepines concomitantly. This action is based on new information on three specific opioids—buprenorphine, buprenorphine-naloxone and methadone, which are typically prescribed for the treatment of opioid use disorder—and the risk for respiratory depression when these drugs are used with benzodiazepines or other central nervous system (CNS) depressants. […]
Read MoreI thought this was interesting so I wanted to share it with our readers By Parija Kavilanz There’s an acute nursing shortage in the United States, but schools are turning away thousands of qualified applicants as they struggle to expand class size and hire more teachers for nursing programs. In America, experienced nurses are retiring […]
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