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Authors: Gregory A. Chinn, MD, PhD et al Anesthesia Patient Safety Foundation Volume 39, No. 1 • February 2024 INTRODUCTION Quantitative neuromuscular blockade monitoring (QNMT) is strongly recommended by the ASA1 and APSF2 and can be accomplished with several commercially available devices. The basic principle is that a low voltage stimulus to the ulnar nerve, delivered by paired […]
Read MoreAuthors: Victor M. Neira, M.D., M.A.Ed. et al Anesthesiology March 2024. To the Editor: Hypotensive states commonly require intravenous infusions of inopressors such as epinephrine, norepinephrine, and phenylephrine. Traditionally, these high-alert medications were prepared in plastic bags at “standard” concentrations and administered using high-volume infusion pumps. Several studies have documented the stability of these medications […]
Read MoreAuthors: Mathias Maleczek, MD; et al Anesthesiology March 2024. Background Research on electronic health record physiological data is common, invariably including artifacts. Traditionally, these artifacts have been handled using simple filter techniques. The authors hypothesized different artifact detection algorithms, including machine learning, may be necessary to provide optimal performance for various vital signs and clinical […]
Read MoreAuthor: Patsy Newitt Becker’s ASC Review Four anesthesiologists joined Becker’s to discuss why the anesthesia reimbursement model needs to be changed. Editor’s note: These responses were edited lightly for brevity and clarity. Thomas Durick, MD. Anesthesiologist at the Ohio State University Wexner Medical Center (Columbus): Anesthesia reimbursements continue to be misunderstood by CMS, insurers and even our own […]
Read MoreAuthors: Anshul Jain et al Cureus 16(2): e54622. doi:10.7759/cureus.54622 Abstract Background: Lower limb trauma in emergency settings often leads to pain management challenges. Traditional methods, primarily non-steroidal anti-inflammatory drugs (NSAIDs) and opioids, have limitations. This study explores the efficacy of epidural analgesia in emergency for lower limb trauma patients (ELETRA) as an alternative for managing […]
Read MoreAuthor: John H. Eichhorn, MD Anesthesia Patient Safety Foundation Volume 39, No. 1 • February 2024 APSF’s annual Pierce Memorial lecture this year, titled “Integrating Behavior and Technology for Anesthesia Patient Safety,” was delivered October 14, 2023, during the ASA Annual Meeting in San Francisco. Ellison C. “Jeep” Pierce, Jr., MD, the inspirational founding President of […]
Read MoreAuthors: Côme Bureau, M.D., Ph.D. et al Anesthesiology March 2024. Background. Data on assessment and management of dyspnea in patients on veno-arterial extracorporeal membrane oxygenation (VA-ECMO) for cardiogenic shock are lacking. We hypothesized that increasing sweep gas flow through the VA-ECMO oxygenator may decrease dyspnea in non-intubated VA-ECMO patients exhibiting clinically significant dyspnea, with a […]
Read MoreAuthors: Mats Enlund, M.D., Ph.D. et al Anesthesiology March 2024. Background Prospective interventional trials and retrospective observational analyses provide conflicting evidence regarding the relationship between propofol versus inhaled volatile general anesthesia and long-term survival after cancer surgery. In specific, bladder cancer surgery lacks prospective clinical trial evidence. Methods Data on bladder cancer surgery performed under […]
Read MoreAuthor: Heidi Splete MedCentral Older adults categorized as short sleepers with higher variability in sleep patterns were significantly more likely to show impaired cognitive performance, based on data from more than 800 individuals. While previous research has associated short sleep duration (less than 7 hours) with cognitive impairment in healthy aging adults, most studies have […]
Read MoreAuthors: Kenichi Takechi et al Cureus 16(2): e53611. doi:10.7759/cureus.53611 Abstract Although rare, rhabdomyolysis is a serious complication of cardiothoracic surgery. Daptomycin is a polypeptide antimicrobial agent used to treat methicillin-resistant Staphylococcus aureus (MRSA) infections of the soft tissues. Daptomycin is associated with elevations in serum creatine kinase (CK). A 50-year-old man with acute Stanford A-type aortic dissection […]
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