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ASA Monitor 03 2018, Vol.82, 40-41. 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 MoreAuthor: RICHARD HARRIS Rosemary Grant is a registered nurse and helps coordinate sepsis care at Harborview Medical Center in Seattle. The center’s goal, she says, is to get a patient who might be developing sepsis antibiotics within three hours. A quarter of a million Americans die every year from sepsis, which is the body’s reaction […]
Read MoreAuthors: Stavros G. Memtsoudis, M.D., Ph.D., F.C.C.P. et al Anesthesiology March 2018. Background: Multimodal analgesia is increasingly considered routine practice in joint arthroplasties, but supportive large-scale data are scarce. The authors aimed to determine how the number and type of analgesic modes is associated with reduced opioid prescription, complications, and resource utilization. Methods: Total hip/knee arthroplasties (N = […]
Read MoreAuthors: Mark van den Boogaard, PhD et al JAMA. 2018;319(7):680-690. Key Points Question What is the effect of prophylactic haloperidol on survival among critically ill adults? Findings In this multicenter randomized trial involving 1789 critically ill patients at high risk of delirium, the median number of days patients survived in 28 days was 28 days in the 2-mg haloperidol group […]
Read MoreAuthors:Atul Gupta, M.D. et al Anesthesiology February, 2018. Background: Although opioids remain the standard therapy for the treatment of postoperative pain, the prevalence of opioid misuse is rising. The extent to which opioid abuse or dependence affects readmission rates and healthcare utilization is not fully understood. It was hypothesized that surgical patients with a history of opioid […]
Read MoreAuthors: Jagtar Singh Heir, D.O.; Javier Lasala, M.D. ASA Monitor 03 2018, Vol.82, 28-29. Jagtar Singh Heir, D.O., is Associate Professor of Anesthesiology and Perioperative Medicine, University of Texas M.D. Anderson Cancer Center, Houston. Javier Lasala, M.D., is Assistant Professor of Anesthesiology and Perioperative Medicine, University of Texas M.D. Anderson Cancer Center, Houston. It is suggested that […]
Read MoreSurgical incisions for cesarean delivery vary in length: from nine to 23 cm, with a median of 15 cm, according to a recent study. Shorter incisions were associated with increased acute pain, and longer ones with acute and chronic pain. Severe pain was less likely to occur at medium lengths. “To our knowledge, this Goldilocks […]
Read MoreInteresting article By Matt Kuhrt | The ECRI Institute’s list of top patient safety priorities for 2018 highlights diagnostic errors and opioid safety. Healthcare facilities looking to prioritize their patient safety efforts should start by focusing on diagnostic errors and opioid safety, according to the ECRI Institute. Those measures led the organization’s list of the top 10 patient […]
Read MoreAuthors: Mohammad A. Helwani, M.D., M.S.P.H. et al Anesthesiology February, 2018. Background: The objective of this investigation was to determine the etiology of perioperative acute coronary syndrome with a particular emphasis on thrombosis versus demand ischemia. Methods: In this retrospective cohort study, adult patients were identified who underwent coronary angiography for acute coronary syndrome within 30 days of noncardiac surgery […]
Read MoreAuthors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology published February 2018. Background: Polypharmacy is increasingly prevalent in older patients and is associated with adverse events among medical patients. The impact of polypharmacy on outcomes after elective surgery is poorly described. The authors’ objective was to measure the association of polypharmacy with survival, complications, and resource […]
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