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ASA Monitor 01 2018, Vol.82, 34. A patient with a history of anaphylaxis to penicillin is most likely to have an increased risk for cross-reactivity to which of the following generations of cephalosporin antibiotics? (A) First-generation, such as cefazolin (Ancef, Kefzol) (B) Second-generation, such as cefuroxime (Ceftin) (C) Third-generation, such as ceftriaxone (Rocephin) (D) Fourth-generation, such as cefepime […]
Read MoreAuthors: Jonathan D. Katz, M.D.; Amanda Burden, M.D. ASA Monitor 01 2018, Vol.82, 26-28. The United States is facing a projected physician shortage. According to a report released by the Association of American Medical Colleges (AAMC), there could be a shortfall of between 40,800 and 104,900 physicians by the year 2030.1 A recent analysis projects a shortage of more […]
Read MoreAuthors: David G. Silverman, M.D.; Trevor Banack, M.D. ASA Monitor 01 2018, Vol.82, 18-19. Research to improve the monitoring of patient temperature perioperativelyhas led to the realization that a patient’s core temperature does not match brain temperature and that monitoring brain temperature could help protect against hypothermic or hyperthermic brain damage and dysfunction, especially during surgery. The […]
Read MoreArchieves of Physical Medicine and Rehabilitation August 2017 Volume 98, Issue 8, Pages 1499–1507.e2 Author: Janna L. Friedly MD Objective To determine the overall long-term effectiveness of treatment with epidural corticosteroid injections for lumbar central spinal stenosis and the effect of repeat injections, including crossover injections, on outcomes through 12 months. Design Multicenter, double-blind, randomized controlled […]
Read MorePresented at the American College of Surgeons 101st Annual Clinical Congress, Scientific Forum, Chicago, IL, October 2015. It was the recipient of a Dedication and Excellence in Research Award. Authors: Mark H. Hanna, MD et al Background The effectiveness of thoracic epidural analgesia (EA) vs conventional IV analgesia (IA) after minimally invasive surgery is still […]
Read MoreIncreased need for anesthetics in children undergoing MRI scans is raising costs and could cause an accountable care organization (ACO) cost containment problem, according to researchers at Nationwide Children’s Hospital, in Columbus, Ohio, who set out to study trends in anesthesia use in children receiving these tests. Researchers obtained insurance claims data from the hospital’s […]
Read MoreAccording to a retrospective analysis of national claims data, use of IV acetaminophen is associated with modestly reduced perioperative opioid utilization and its related adverse effects in patients undergoing open colectomy. Patients given more than one dose of IV acetaminophen on the day of surgery had an 8% reduction in opioid utilization as well as […]
Read MoreA consultation service to plan management of pediatric patients with difficult airways before problems arise is an effective use of resources, according to a recent study. The study described findings from the Pediatric Difficult Airway Program, implemented in two stages in the Department of Anesthesiology and Critical Care Medicine at the Johns Hopkins University School […]
Read MoreA new, team-based, primary care model is decreasing prescription opioid use among patients with chronic pain by 40%, according to a study published online by JAMA Internal Medicine. According to American Academy of Pain Medicine (AAPM) guidelines, physicians should monitor patient’s opioid use through urine drug testing at least once a year and have patients […]
Read MoreThe use of supraglottic airway (SGA) devices in pediatric patients with neck masses “almost always” has an effect on the appearance of the masses on MRI scans, according to a 10-year review at a single institution. Results from analyzing the MRI scans from databases at the Children’s Hospital of Philadelphia (CHOP) support avoidance of SGA […]
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