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Concurrent surgeries in which a surgeon runs two operations at once increase the risk of surgical complications for patients undergoing hip surgery, according to a study published in JAMA Internal Medicine. Members of the healthcare community have argued over the safety of overlapping surgeries ever since The Boston Globe‘s Spotlight Team issued a controversial report about Boston-based Massachusetts General […]
Read MoreAuthor: Christopher A. Troianos, M.D., FASE ASA Monitor 12 2017, Vol.81, 44-45. Christopher A. Troianos, M.D., FASE, is President, Society of Cardiovascular Anesthesiologists, and Professor and Chair of the Anesthesiology Institute, Cleveland Clinic, Lerner College of Medicine of Case Western Reserve University. Adult cardiothoracic anesthesiology (ACTA) is now firmly established as a subspecialty within anesthesiology as it […]
Read MoreAuthors: Dorothea S. Rosenberger, M.D., Ph.D. et al ASA Monitor 12 2017, Vol.81, 38-40. The Brain Trauma Foundation published its updated guidelines for the management of severe traumatic brain injury (sTBI) in fall 2016 on its website braintrauma.org, followed by an executive summary published in Neurosurgery in January 2017. The fourth edition of guidelines of sTBI is based on systematic […]
Read MoreASA Monitor 12 2017, Vol.81, 32. According to a recent single-center study reporting on neuraxial anesthesia in parturients with platelet counts less than 100,000/mm3, which of the following is most likely true? (A) Preeclampsia was the most common etiology of a platelet count below 100,000/mm3. (B) Ten percent of parturients had a platelet count below 100,000/mm3. (C) Approximately […]
Read MoreASA Monitor 12 2017, Vol.81, 30-31. 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: Jonathan D. Katz, M.D. ASA Monitor 12 2017, Vol.81, 18-20. Jonathan D. Katz, M.D., is Clinical Professor of Anesthesiology, Yale University School of Medicine; Professor of Anesthesiology, Frank Netter School of Medicine; Attending Anesthesiologist, St. Vincent’s Medical Center, Bridgeport, Connecticut. “Physicians are useless after age 60 and as such should retire to a college for […]
Read MoreBronchoscopist-directed infusion with propofol can be administered in procedures that require moderate sedation such as endobronchial ultrasound (EBUS), according to results of a retrospective analysis presented at the 2017 Annual Meeting of the American College of CHEST Physicians. “We have demonstrated the safety of propofol infusion,” explained presenting author Ara A. Chrissian MD, FCCP, Loma […]
Read MoreBy Palavi Vaidya, Roya Vahdatinia , Victoria A. Troncoso, DO and Leonard B. Goldstein, DDS, PhD In this case study, the authors review hyperlordosis as a cause of back pain during pregnancy and discuss best practices for pain management before, during, and after pregnancy. Case Overview A 26-year-old female, who was 34 weeks pregnant with her first child, presented with lower […]
Read MoreAuthors: Nasir Hussain, M.Sc., M.D. et al Anesthesiology 12 2017, Vol.127, 998-1013. Background: Interscalene block provides optimal shoulder surgery analgesia, but concerns over its associated risks have prompted the search for alternatives. Suprascapular block was recently proposed as an interscalene block alternative, but evidence of its comparative analgesic effect is conflicting. This meta-analysis compares the analgesic effect […]
Read MoreNIH-funded scientists may have revealed brain functions in pre-clinical research that widen the safety margin for opioid pain relief without overdose. Opioid pain relievers can be extremely effective in relieving pain, but can carry a high risk of addiction and ultimately overdose when breathing is suppressed and stops. Scientists have discovered a way to separate […]
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