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Anesthesia Patient Safety Foundation March 2018 Author: Steven Greenberg, MD, FCCP, FCCM A substantial number of preventable deaths and other adverse events are associated with opioid-induced ventilatory impairment (OIVI).1 In fact, opioids are the most common category of drugs prescribed in U.S. hospitals today and the second most common category (hormone and synthetic substitutes being the […]
Read MoreAnesthesia Patient Safety Foundation March 2018 By Paige Minemyer | Costs related to the opioid epidemic have skyrocketed since 2001. The opioid epidemic has cost more than $1 trillion since 2001—an amount that is expected to continue to grow over the next several years. Altarum, a nonprofit health research and consulting institute, analyzed the cost of the opioid crisis in additional […]
Read MoreBritish Journal of Anesthesia March 20018 Volume 120, Issue 3, Pages 469–474 Authors: P. Frykholm et al Abstract The current guidelines for preoperative fasting recommend intervals of 6, 4, and 2 h (6–4–2) of fasting for solids, breast milk, and clear fluids, respectively. The objective is to minimize the risk of pulmonary aspiration of gastric contents, but […]
Read MoreAuthors: Lorri A. Lee, MD; Karen L. Posner, PhD; and Karen B. Domino, MD, MPH Postoperative opioid-induced ventilatory impairment (OIVI) is a preventable cause of high severity injuries to patients and many organizations have focused efforts on this patient safety issue over the last two decades. Progress has been slow in this arena because […]
Read MoreJournal of Clinical Anesthesia February 2018 Volume 44 Pages 50-56 Authors: Denis Snegovskikh, M.D. et al Highlights Postpartum Hemorrhage (PPH) is a major cause of maternal morbidity and mortality. 6,708 cesarean deliveries and 13,641 vaginal births analyzed. Point-of-care viscoelastic testing (PCVT) was utilized in patients with PPH. The PCVT produced substantial improvement in both patient […]
Read MoreThis is from Harvard Business Review “Bring me solutions, not problems.” Many well-meaning managers have said it, intending to keep employees from simply complaining about work issues. But employees can take it to mean they should cover up an issue if they don’t have a way to fix it. So it’s better to tell your […]
Read MoreAUTHORS: Kim Yet al Regional Anesthesia and Pain Medicine (Jan 2018) BACKGROUND AND OBJECTIVES Lidocaine infusion therapy (LIT) is an effective treatment for relieving neuropathic pain (NeP). However, it remains unclear whether pain relief can be sustained through repeated lidocaine infusions. This study aimed to determine whether repeated intravenous administration of low-dose lidocaine could provide prolonged […]
Read MoreAUTHORS: Chang, Jee-Eun MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1240–1245 BACKGROUND: Although minor, a sore throat after endotracheal intubation can adversely affect patient satisfaction and postoperative function. We compared the effects of 2 endotracheal tube cuff shapes on postoperative sore throat. METHODS: One hundred ninety-one adult patients were […]
Read MoreI thought this was interesting especially for our readers who treat trauma and/or pain patients. FDA has authorized marketing of the Brain Trauma Indicator, the first blood test to evaluate mild traumatic brain injury (TBI; concussion) in adults. Why this matters TBI is common and can be associated with substantial morbidity and mortality. Majority of […]
Read MoreInsurance commissioners are reacting to news that a former medical director did not review patient medical records when deciding whether to pay for treatment. He looked at the information the nurse provided and not the actual medical record. He stated that Aetna trained him to make pr-authorization decisions this way. In Santa Ana, CA Superior […]
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