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Authors: Ashish Agrawal, MD et al ASA Monitor October 2023, Vol. 87, 35. Delirium is likely the most well-known perioperative cognitive disorder. Delirium, an acute and fluctuating alteration in the level of consciousness and attention, has significant consequences for patients, families, and the health care system. The incidence of delirium is associated with increased mortality, cognitive […]
Read MoreAuthors: Chelsea Casey, MD et al ASA Monitor October 2023, Vol. 87, 20–22. Optiflow™ multi-use nasal high flow system. Reproduced with permission from Fisher and Paykel Healthcare. High-flow nasal oxygen (HFNO) is a promising new oxygenation technique for anesthesiologists, as its use in recent years has expanded out of intensive care units and into the perioperative […]
Read MoreASA Monitor October 2023, Vol. 87, 12–13. New synthetic antibiotic compound Gram-negative bacteria such as Salmonella and E. coli are responsible for many harmful infections such as UTIs, pneumonia, and bloodstream infections. Unfortunately, gram-negative bacteria are resistant to most available antibiotic drugs and continue to grow increasingly resistant to available treatments. A decades-long project at Duke University is combatting gram-negative […]
Read MoreASA Monitor October 2023, Vol. 87, 11. Your next patient will receive a dural puncture epidural for labor. According to a recent study, which of the following is MOST likely to be lower in this patient, compared with a similar patient receiving lumbar epidural anesthesia without dural puncture? □ (A) Risk of postdural puncture headache □ (B) Need […]
Read MoreAuthors: Dibash Kumar Das, PhD; Steven L. Shafer, MD, FASA ASA Monitor October 2023, Vol. 87, 1–4. Migraine is a highly prevalent and debilitating condition affecting approximately 10%-15% of the population (Rev Neurol Aug 2023; Lancet 2012;380:2163-96). A migraine is a severe headache lasting up to 72 hours, accompanied by symptoms including nausea, vomiting, and hypersensitivity to light and sound. […]
Read MoreAuthors: Fredrik Granholm, M.D. et al Anesthesiology November 2023, Vol. 139, 563–567. During the last few decades, the increasing use of asymmetric and multimodal tactics by terrorists has led anesthesiologists worldwide to analyze and discuss their role in mass casualty scenarios in more depth. Now anesthesiologists must address the new situation of hybrid threats and […]
Read MoreAuthor: Richard Novak, MD The Anesthesia Consultant The Stanford Emergency Manual has become an essential reference for anesthesiologists. The manual lists diagnostic and therapeutic steps to follow in 26 different emergency scenarios. When a Code Blue or a dire change in vital signs occurs in an operating room, the Manual directs the resuscitation team to […]
Read MoreAuthors: George Tewfik, MD, MBA, FASA, CPE, MSBA et al ASA Monitor October 2023, Vol. 87, e2–e3. Picture two starkly different scenarios… In Hospital A, the regional anesthesia team mandates and directs the perioperative analgesic plan. When the acute pain attending for the day and the resident identify a patient on the OR schedule who may […]
Read MoreASA Monitor October 2023, Vol. 87, 1–5. A 3-year-old male presented for an elective circumcision. He was an ex-32-week preemie with reactive airways and a recent URI requiring nebulized albuterol. The URI resolved 3 weeks ago, and he took a course of antibiotics. PO midazolam was given in pre-op holding area for anxiolysis, and he was […]
Read MoreASA Monitor October 2023, Vol. 87, 7. Which of the following train-of-four (TOF) patterns shown on the right is MOST consistent with partial recovery from a phase II block following neuromuscular blockade using a succinylcholine infusion? Succinylcholine is among the oldest anesthesia medications still in common use. An intubating dose of succinylcholine produces complete neuromuscular blockade […]
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