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ASA Monitor December 2024, Vol. 88, 25. Medical malpractice statistics are sobering. One in three providers will be sued over the course of their career (StatPearls. 2024). The annual overall rate of paid malpractice claims among all specialties is 14.1 per 1,000 physician-years (JAMA Intern Med 2017;177:710-8). Anesthesiologists experience an annual rate of paid malpractice claims of […]
Read MoreAuthor: Kim Sumrak ASA Monitor December 2024, Vol. 88, e9. Infertility affects one in eight couples in the general population and one in four female physicians. Many are unaware of these statistics, even in the medical community. When faced with infertility, there is an enormous emotional, physical, and even financial toll. While there is not a […]
Read MoreAuthors: Sachin “Sunny” Jha, MD, MS, FASA; Robert Carter, III, Colonel (U.S. Army), PhD ASA Monitor December 2024, Vol. 88, e4–e7. In an era marked by evolving biothreats and emerging infectious diseases, the U.S. biodefense apparatus has become a critical component of national security. As key players in the health care system, anesthesiologists have a pivotal role […]
Read MoreASA Monitor December 2024, Vol. 88, 26. A 20-year-old man presents to the emergency department with a severe headache. Upon evaluation, he is found to have a large intracranial mass and is scheduled to undergo craniotomy for resection. According to a recent meta-analysis comparing scalp nerve blocks, scalp infiltration, and placebo, which of the following statements […]
Read MoreAuthor: Melina Davis ASA Monitor December 2024, Vol. 88, 24. In the high-stress world of medicine, physicians’ mental health and well-being are often overlooked. Physician/provider health programs (PHPs) were established by physician and health care worker regulatory boards and were introduced with the noble intention of providing support to struggling doctors. They also serve as […]
Read MoreAuthor: David Polaner, MD, FAAP, on behalf of the AIRS Committee. ASA Monitor December 2024, Vol. 88, 1–8. A 3-month-old infant with an unspecified mitochondrial/metabolic disorder underwent general anesthesia for cardiac catheterization for VSD. The anesthetic administered was 200 mcg/kg/min of propofol for three hours. The child subsequently developed severe metabolic acidosis, circulatory collapse, myoglobinuria, and […]
Read MoreMolecular mechanism of ligand gating and opening of NMDA receptor. Nature 2024; 632:209–17. PMID: 39085540. Author: Ru-Rong Ji, Ph.D. I Anesthesiology December 2024, Vol. 141, A13–A15. Glutamate-induced excitatory synaptic transmission, vital for brain function, is partly mediated by N-methyl-d-aspartate receptors (NMDARs), which are critical in synaptic plasticity and learning and memory. NMDARs are ligand-gated ion channels composed […]
Read MoreAuthor: Christopher D. Kent on behalf of the Closed Claims Oversight Committee ASA Monitor December 2024, Vol. 88, 27. Case presentation 1 An ASA 3 patient with a BMI 45 received general anesthesia (GA) for a cranioplasty. The antecubital I.V. was placed with ultrasound by a provider who was not part of the anesthesia team. There […]
Read MoreASA Monitor December 2024, Vol. 88, 23. What is the MOST likely complication associated with the placement of a radial artery catheter in an adult? (A) Hematoma (B) Transient arterial occlusion (C) Local infection By some estimates, about 8 million arterial catheters are placed annually in the United States, with the radial artery being the most […]
Read MoreAuthor: Allen N. Gustin, Jr., MD, FCCP, FASA, FCCM ASA Monitor December 2024, Vol. 88, 18. Each health care professional reacts and copes differently to stress, especially when their patients don’t do well clinically. Everyone must find a method to manage their emotions when stressful events occur, whether in one’s personal life or professional life. I […]
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