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Authors: Yongchen Cui, M.D. et al Anesthesiology September 2023. Background Continuous nerve block with ropivacaine is commonly performed after repair surgery for traumatic peripheral nerve injuries. After peripheral nerve injury, tetrodotoxin-resistant voltage-gated sodium channel Nav1.8 is upregulated and contributes to macrophage inflammation. We investigated whether ropivacaine promotes peripheral nerve regeneration through Nav1.8-mediated macrophage signaling. Methods […]
Read MoreAuthors: Hyundeok Joo, MD, MAS et al ASA Monitor September 2023, Vol. 87, 1–7. Durable, functionally impactful, and subjectively evident cognitive decline is a feared outcome of anesthesia and surgery, particularly for older adults (Br J Anaesth 2017;118:486-8). We need to look no further than Dr. Daniel Cole, a coauthor of this article and the editor […]
Read MoreAuthor: Avery Hurt Practical Pain Management July 2023 According to the National Council on Aging, older adults make up only 12% of the US population, yet 18% of suicides,1 with chronic pain being a known risk factor for suicide and suicidal behaviors.2 Black older adults (65-plus) are disproportionately affected by the limitations of chronic pain,3 and in addition […]
Read MoreAuthor: John D. Mitchell, MD ASA Monitor September 2023, Vol. 87, 35. As SEA President, I am grateful for the opportunity to share some of our efforts at SEA with the wider ASA community. This post-lockdown period has been one of tremendous growth for our society, fueled by the passion of our members to facilitate excellence […]
Read MoreAuthors: Matthew C. Miller, MD, FACS et al ASA Monitor September 2023, Vol. 87, 24. Smaller hospitals often fear that “market share” will be devoured by larger organizations. Rural communities frequently fear that they will lose their local hospital altogether, which is often their largest employer. In reality, by fostering both higher volume and higher-acuity care […]
Read MoreAuthor: Mary Dale Peterson, MD, MHA, FACHE, FASA ASA Monitor September 2023, Vol. 87, 11. As a health care executive (HCE), I know first-hand the challenges nearly every hospital and health system faces in today’s constrained environment. While some of the issues may vary regionally, many institutions are having to do more with less due to […]
Read MoreAuthor: Heidi Splete Practical Pain Management July 2023 Adults with cirrhosis who reported pain, including widespread pain, were significantly more likely to also experience mood and cognitive disturbances, fatigue, poor sleep, and impaired physical and social function, based on data from more than 200 individuals.1 Chronic pain is common in cirrhosis, however, the classifications of […]
Read MoreAuthor: Kelly Wolfgang ASA Monitor September 2023, Vol. 87, 31. The ASA guidelines make it clear: Physician anesthesiologist, certified registered nurse anesthetist, and certified anesthesiologist assistant participation in all deep sedation procedures provides the safest patient care overall. Yet, throughout the country, deep sedation is being provided by qualified nonanesthesia professionals, backed by Medicare regulations that […]
Read MoreASA Monitor September 2023, Vol. 87, 10. This month’s AIRS case reports both deal with communication. As we’ve done before, we presented the cases this time in a format that we’ve borrowed from NASA’s CALLBACK publication, which discusses events that have been entered into the Aviation Safety Reporting System. We’ll let you “interact” with the information […]
Read MoreRadius Anesthesia Medicare, the federal health insurance program that provides coverage for Americans aged 65 and older, has been a cornerstone of the nation’s healthcare system for decades. As healthcare costs have continued to rise, the need for fiscal responsibility and sustainability has become increasingly critical (1). In response to economic challenges, Medicare implemented several […]
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