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Author: Jack Israel MD, Jeff Gudin Pract Pain Manag. 2023 May/June;23(3). Clinical Challenge Test your clinical knowledge on persistent post-operative opioid use with these 4 questions. Hit submit to see the answers. 1. Persistent post-operative opioid use (PPOU) is commonly defined as filling any opioid prescription between __ and 365 days after surgery. a. 30 b. […]
Read MoreAuthors: Nikhil Kumar, M.D. et al Anesthesiology June 2023, Vol. 138, 656. The accompanying images demonstrate the presence of the distal end of a chest tube in the tracheal lumen just above the carina. These images are from a patient who developed coughing and massive air leak after chest tube placement. Inadvertent tracheal injury during chest […]
Read MoreAuthors: Ling-Sha Ju, M.S. et al Anesthesiology June 2023, Vol. 138, 658–661. To the Editor: Human twin studies have compared neurocognitive outcomes in twins in which one, both, or neither have undergone procedures involving exposure to general anesthetics. By finding that both exposed and unexposed members of a twin pair have equally poor neurocognitive outcomes, these […]
Read MoreAuthors: Christoph Boesing, M.D. et al Anesthesiology May 2023. Background Superobesity and laparoscopic surgery promote negative end-expiratory transpulmonary pressure, which causes atelectasis formation and impaired respiratory mechanics. We hypothesized that end-expiratory transpulmonary pressure differs between fixed and individualized PEEP strategies, and mediates their effects on respiratory mechanics, end-expiratory lung volume, gas-exchange, and hemodynamic parameters in […]
Read MoreASA Monitor June 2023, Vol. 87, 12. Which of the following combinations of free thyroxine (FT4) level and thyroid-stimulating hormone (TSH) level is MOST likely in a patient with subclinical hypothyroidism? □ (A) Low FT4, low TSH □ (B) Normal FT4, high TSH □ (C) High FT4, low TSH About 5% of patients older than 65 years have hypothyroidism. Primary […]
Read MoreAuthors: Jean Guglielminotti, MD, PhD et al Anesthesiology May 2023. Background Providing continuous health insurance coverage during the perinatal period may increase access to and utilization of labor neuraxial analgesia. This study tested the hypothesis that implementation of the 2010 Dependent Coverage Provision of the Patient Protection and Affordable Care Act, requiring private health insurers to […]
Read MoreASA Monitor June 2023, Vol. 87, 16–17. Technology New system improves visualization in transforaminal lumbar interbody fusion procedures DePuy Synthes Research & Development has developed the TELIGEN™ System for advanced visualization experience and user-centric procedural control in minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) procedures. Lower back pain is the leading cause of years lived with […]
Read MoreAuthors: Jeffrey M. Carness, MD, FASA; Catherine M. Kuza, MD, FASA, FCCM ASA Monitor June 2023, Vol. 87, 33. Oxygen is one of the most common and overused interventions in hospitals. It is a crucial component of atmospheric air, comprising approximately 21%, and is vital to numerous bodily functions and processes. While once reserved to treat and […]
Read MoreMichael J. Norton, MD, MBA, FASA; Kayla M. Knuf, MD ASA Monitor June 2023, Vol. 87, 32. In recent years, people around the world have experienced difficulty obtaining the medications they need to manage their acute and chronic health concerns. Adderall, amoxicillin, and Tamiflu have recently made news for being in short supply, but they’re just the […]
Read MoreAuthors: Craig S. Jabaley, MD, FCCM et al ASA Monitor June 2023, Vol. 87, 30–31. Intubation being performed in the ICU (Artwork by: Catherine M. Kuza, MD). As a discipline, anesthesiology has served to meaningfully advance patient safety. In this context, airway management in dedicated procedural settings has benefited from algorithmic guidance, novel pharmaceuticals, and technological […]
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