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Author: Daniele Parise, M.D. ASA Monitor 02 2018, Vol.82, 72-73. “Epidural in room 19,” my attending told me. As I went through the patient’s history, she informed me that she had a history of opioid dependence and was being maintained on Suboxone® (buprenorphine and naloxone) during her pregnancy. I explained the risks of epidural anesthesia along with the […]
Read MoreAuthors: Uduak U. Williams, M.D.; Elizabeth Rebello, M.D., FASA ASA Monitor 02 2018, Vol.82, 14-15. The number of outpatient surgical procedures in the United States has more than doubled from 12 to 26 million over the past few decades.1 The anesthetic plan should be tailored to allow rapid recovery; however, the combination of sedatives with analgesics such […]
Read MoreAnesthesia Patient Safety Foundation March 2018 Letter to the Editor: Carbon Dioxide Used as Insufflating Gas May Raise ETCO2 During GI Endoscopy To the Editor: A recent change in practice amongst our gastroenterology colleagues prompts me to note this observation: gastrointestinal (GI) endoscopy is increasingly being performed with carbon dioxide (CO2) as the insufflating gas. The […]
Read MoreAuthors: Steven Young, M.D et al ASA Monitor 02 2018, Vol.82, 10-13. Over the past 20 years, office-based surgery has shown an exponential increase in both the number and complexitys of patients and types of procedures.Fortunately, serious O.R. crises are rare in the office-based surgical (OBS) setting, but when they do occur, both anesthesia and non-anesthesia […]
Read MoreAuthors: Andrew P. Loehrer, MD, MPH et al JAMA Surg. published January 24, 2018. Key Points Question How was Medicaid expansion under the Patient Protection and Affordable Care Act associated with patient presentation with and management of common surgical conditions? Findings In this study of patients with 1 of 5 common surgical conditions, Medicaid expansion was associated with a […]
Read MoreThis is important because as anesthesia providers we have an obligation to get smokers to quit. Author: MENAKA WILHELM Smoking is the No. 1 cause of death among people with severe mental illness. Advertising campaigns, tobacco taxes and public bans have lowered rates of smoking significantly in the U.S. since the 1960s. And for people […]
Read MoreAuthor: Leopoldo Rodriguez, M.D., FAAP, FASA ASA Monitor 02 2018, Vol.82, 8-9. Fresh off a restful beach vacation, you arrive at Advanced Surgery and Endoscopy Center, a freestanding multispecialty site newly staffed by your group. While enjoying your breakfast, you are emergently called to the GI suite to attend to George, an elderly gentleman having a difficult […]
Read MoreAuthor: N. Martin Giesecke, M.D. ASA Monitor 02 2018, Vol.82, 4-5. Out-of-the-operating room (NORA, non-operating room anesthesia) anesthesia care is certainly one of […]
Read MoreWomen with breast cancer face increased risk for cardiovascular disease due, in part, to cardiotoxic effects of some breast cancer treatments, according to a new scientific statement from the American Heart Association. Also at play are overlapping risk factors for both breast cancer and CVD, including smoking, obesity, and a Western diet. The statement, published […]
Read MoreAuthors: Rebecca Y. Klinger, M.D., M.S. et al Anesthesiology published on January 31, 2018. Background: Amyloid deposition is a potential contributor to postoperative cognitive dysfunction. The authors hypothesized that 6-week global cortical amyloid burden, determined by 18F-florbetapir positron emission tomography, would be greater in those patients manifesting cognitive dysfunction at 6 weeks postoperatively. Methods: Amyloid deposition was evaluated in […]
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