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ASA Monitor September 2023, Vol. 87, 15–32. Men die from overdose at greater rates than women A new study, analyzing data from 2020–21, found that men are two to three times more likely to die from overdose in the United States than women. It has long been known that men abuse drugs at higher rates […]
Read MoreAuthors: Vincent Bargnes, III, MD et al ASA Monitor August 2023, Vol. 87, 24–26. Modifying the FAA’s “sterile cockpit” rule to anesthesia. Icons made by Flat Icon Design and Freepic from Flaticon.com. Long before the advent of cellular phones were the early days of powered flight, when fatal accidents were unfortunately routine. Improvement in air safety […]
Read MoreAuthors: Michael P. Eaton, MD, FASA; William A. Roberts, CRNA, MD, PhD ASA Monitor September 2023, Vol. 87, 22–23. Anesthesia staffing is driven by the complex interactions between regulations, insurances, reimbursements, local history, and, increasingly, the availability (or, more commonly, lack) of providers. The Centers for Medicare & Medicaid Services (CMS) regulation of hospital “conditions of participation” […]
Read MoreAUTHORS: Cooter Wright, Mary MS et al Anesthesia & Analgesia 134(1):p 149-158, January 2022. BACKGROUND: Some older adults show exaggerated responses to drugs that act on the brain. The brain’s response to anesthetic drugs is often measured clinically by processed electroencephalogram (EEG) indices. Thus, we developed a processed EEG–based measure of the brain’s resistance to volatile […]
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 MoreAUTHORS: Susano, Maria J. MD Anesthesia & Analgesia 132(3):p 846-855, March 2021. BACKGROUND: Postoperative delirium is common among older patients and preoperative identification of high-risk patients is widely recommended. The aim of this study was to assess whether preoperative cognitive performance using brief screening tools or regional cerebral oxygen saturation (Scto2) was associated with the development […]
Read MoreAuthors: Suzanne Karan, MD, FASA et al ASA Monitor September 2023, Vol. 87, 25–26. Anesthesiologist shortages contribute care delivery challenges in the United States (Anesth Analg 2019;129:294-300). Addressing the crisis of access to anesthetic care in our underserved populations requires the incorporation of specific education and training enhancements within our current residency programs about the lifestyle […]
Read MoreAuthor: Courtney Kominek, PharmD, BCPS, CPE Practical Pain Management Volume 23 Issue 4 SNRIs are established, guideline-approved treatment options for both psychiatric and chronic pain diagnoses. When to use them, when to avoid them. Two for the price of one. Buy one, get one free. Everyone loves a good deal, right? Chronic pain and mental […]
Read MoreAUTHORS: Whitlock, Elizabeth L. MD, MSc et al Anesthesia & Analgesia 131(6):p 1901-1910, December 2020. BACKGROUND: Postoperative delirium is an important problem for surgical inpatients and was the target of a multidisciplinary quality improvement project at our institution. We developed and tested a semiautomated delirium risk stratification instrument, Age, WORLD backwards, Orientation, iLlness severity, Surgery-specific risk […]
Read MoreAuthor: James Mesrobian, MD, MBA, FASA, FACHE ASA Monitor September 2023, Vol. 87, 6–7. As anesthesiologists, we sometimes are reminded that much of the public and key stakeholders (executives, colleagues, legislators) are not aware that anesthesiologists are physicians. Consider the following three true stories. While riding to the annual meeting in New Orleans last fall, an […]
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