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Authors: Min Cai, M.D., Ph.D. et al Anesthesiology published on January 5, 2017 Background: The authors have reported that antioxidative effects play a crucial role in the volatile anesthetic-induced neuroprotection. Accumulated evidence shows that endogenous antioxidation could be up-regulated by nuclear factor-E2–related factor 2 through multiple pathways. However, whether nuclear factor-E2–related factor 2 activation is modulated […]
Read MoreEmily Richardson, M.D. ASA Monitor 01 2017, Vol.81, 34-36. Collection of data is all well and good, but improvement in patient outcomes requires the ability to turn information into action. The AQI Practice Quality Improvement Committee (PQIC) will collect and present examples of this principle so that all of us can learn from those who are […]
Read MoreASA Monitor 01 2017, Vol.81, 28-29. 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 MoreJason Hansen, M.S., J.D. ASA Monitor 01 2017, Vol.81, 54-55. On October 13, then-ASA President-Elect Jeffrey Plagenhoef, M.D., spoke at the Brookings Institution forum, “Protecting Patients from Surprise Medical Bills.” The think tank briefing was timed with the release of a Brookings policy paper on this topic and featured two panels: stakeholder and policymaker perspectives. During the […]
Read MoreEditor’s Memo December 2016 By Forest Tennant, MD, DrPH Last December, I wrote about 2 scientific clinical advances relevant to pain management: the recognition that circulating catecholamines control descending pain, and centralization of pain and neuroinflammation as the fundamental causes of persistent or intractable pain. This year’s Practical Clinical Advances of 2016 recognition goes to the […]
Read MoreAsk the Expert December 2016 By Kelly Korza and McKenzie C Ferguson, PharmD, BCPS First, we must consider the different neuropathic pain types. Neuropathic pain can be diverse in nature, encompassing a wide range of pain types, including post-herpetic neuralgia (PHN), painful diabetic peripheral neuropathy (DPN), and painful cancer-related neuropathies. Gabapentin has been shown to be beneficial in […]
Read MoreBy Karen at A Penned Point Six-year-old Caleb Sears: His death was preventable I’m not a pediatric anesthesiologist. Most of us in anesthesiology – even those who take care of children in the operating room or the ICU every day – probably will never give anesthesia to a child in a dentist’s or oral surgeon’s office. […]
Read MoreResults of a Predefined Secondary Analysis of the VISION Study Authors: T. E. F. Abbott et al Br J Anaesth. 2016;117(2):172-181. Background: Increased baseline heart rate is associated with cardiovascular risk and all-cause mortality in the general population. We hypothesized that elevated preoperative heart rate increases the risk of myocardial injury after non-cardiac surgery (MINS). […]
Read MoreAuthors: Anthony Plunkett MD et al Journal of American Academy of Pain Medicine 29 December 2016 Objective.The management of postoperative pain is a major health care issue. While the cost of intravenous acetaminophen (IVA) is significantly greater than its oral acetaminophen (OA) counterpart, less is known regarding comparative effectiveness of these routes. The purpose of this study […]
Read MoreThe Centers for Medicare & Medicaid Services (CMS), accreditation agencies and other reimbursement platforms will be requiring non–operating room anesthesia (NORA) practices to be written, recorded and measured for quality assurance purposes. Anesthesia providers should be more aware of the policies used to dictate standards and practice measures, according to a session on NORA policies […]
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