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Authors: Johnathan Pregler, MD, FASA et al ASA Monitor June 2023, Vol. 87, 1–6. What are the implications of a single-payer health system in which private insurance would be eliminated and practice finances would be solely based on Medicare as it exists today. This paradigm would be a unique and especially problematic issue for anesthesiologists. Presently, […]
Read MoreASA Monitor June 2023, Vol. 87, 16–17. Trends Artificial pancreas improves blood glucose control in young children by 12% In the NIH-funded Pediatric Artificial Pancreas (PEDAP) Trial, artificial pancreas technology improved blood glucose control in young children between ages 2 and 5 with type 1 diabetes. The study was a 13-week randomized, controlled trial that enrolled […]
Read MoreAuthor Yaras R, Bettinger J. Pract Pain Manage. 2023 MayJune:23(2). How to apply the updated CDC Clinical Practice Guideline for Prescribing Opioids for Pain in patients already on opioid therapy for chronic pain. The following hypothetical case is intended to reflect the changes in the CDC opioid prescribing guidelines (see full background).¹ Below is a step-by-step guide through […]
Read MoreASA Monitor June 2023, Vol. 87, 11–12. The Anesthesia Incident Reporting System (AIRS) was launched in 2011, turning 12 this year. We have thousands of reports letting us know when an anesthetic was associated with a complication. In reviewing the cases in AIRS, one theme we have noted is the persistence of distraction from electronic devices […]
Read MoreASA Monitor June 2023, Vol. 87, 10. A 35-year-old man is admitted to the intensive care unit (ICU) in septic shock after surgery for a perforated appendix. According to a recent study comparing fluid administration strategies in ICU patients in septic shock, which of the following outcomes is MOST likely if this patient is administered a […]
Read MoreAuthors: Jane Ahn, MD et al ASA Monitor June 2023, Vol. 87, 24. Volatile hydrofluorocarbon anesthetics (sevoflurane, isoflurane, and desflurane) and nitrous oxide are ubiquitous in perioperative anesthetic practice and are estimated to contribute between 0.01% to 0.1% of total global greenhouse gas (GHG) emissions (BMJ 2022 8;377:o1301; asamonitor.pub/40kSYby). When used in clinical practice, volatile anesthetics undergo […]
Read MoreAuthors: Demyan A, Cosio D. Pract Pain Manag. 2023 MayJune;23(3). A person’s attachment style, whether secure or insecure, not only impacts how they experience pain but also their expectations of treatment and clinicians. Identifying these styles early on can improve pain management outcomes. Attachment theory aims to explain differences in individuals’ perceptions of belonging, security, […]
Read MoreAuthors: George Tewfik, MD, MBA, FASA et al ASA Monitor June 2023, Vol. 87, 25–26. Humans have a tendency to take things for granted until they experience a shortage or interruption in supply. Who thinks about the electrical grid until their lights won’t turn on? Or about the water flowing from the faucet until it comes […]
Read MoreAuthors: Korina Katsaliaki, PhD et al ASA Monitor June 2023, Vol. 87, 21–23. During the last few years, there have been reports of shortages of anesthesiology supplies and drugs. These shortages have been caused by a combination of factors, including increased demand, manufacturing issues, and disruptions in the supply chain. For example, the use of propofol, […]
Read MoreAuthors: Ming-Chun Hsieh, Ph.D. et al Anesthesiology June 2023, Vol. 138, 634–655. Background Nonsense-mediated messenger RNA (mRNA) decay increases targeted mRNA degradation and has been implicated in the regulation of gene expression in neurons. The authors hypothesized that nonsense-mediated μ-opioid receptor mRNA decay in the spinal cord is involved in the development of neuropathic allodynia–like behavior […]
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