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Authors: Schnetz, Michael P. MD, PhD*; Danks, David J. PhD†; Mahajan, Aman MD, PhD, MBA Anesthesia & Analgesia 136(2):p 194-203, February 2023. BACKGROUND: Intraoperative hypotension (IOH) is strongly linked to organ system injuries and postoperative death. Blood pressure itself is a powerful predictor of IOH; however, it is unclear which pressures carry the lowest risk and […]
Read MoreAuthors: Girish P. Joshi, M.B.B.S., M.D. et al Anesthesiology February 2023, Vol. 138, 132–151. These practice guidelines are a modular update of the “Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: Application to healthy patients undergoing elective procedures.” The guidance focuses on topics not addressed in […]
Read MoreAuthors: Hyun-Jung Shin, M.D., Ph.D. et al Anesthesiology February 2023, Vol. 138, 164–171. Background Delirium is a critical postoperative complication in older patients. Based on the hypothesis that intraoperative dexmedetomidine sedation would lower postoperative delirium than propofol sedation would, the authors compared the incidence of postoperative delirium in older adults, using the mentioned sedatives. Methods This […]
Read MoreAUTHORS: George Tewfik, MD, MBA, FASA, CPE, MSBA et al Anesthesia Patient Safety Foundation Volume 37, No. 3 • October 2022 SUMMARY: The use of the post anesthesia care unit (PACU) as an intensive care unit (ICU) is a decision that can be made to accommodate overflow patients that require critical care. There are numerous risks and […]
Read MoreAuthor: Avery Hurt Practical Pain Management Jan 23 Complex regional pain syndrome not only has complex pain pathways but can also be difficult to treat. New NIH grant research on […]
Read MoreASA Monitor February 2023, Vol. 87, 12. As discourse around diversity, equity, and inclusion (DEI) reaches everyday clinical practice, anesthesiologists must consider the meaning of DEI and its relevance to patient care. People want to work in a culture where they are appreciated for their contributions and feel supported. Not only does this improve work productivity […]
Read MoreASA Monitor February 2023, Vol. 87, 29. UpToDate® and ASA Monitor are collaborating to present select content abstracts on “What’s New in Anesthesiology.” UpToDate is an evidence-based, clinical support resource used worldwide by healthcare practitioners to make decisions at the point of care. For complete, current “What’s New” content, or to become a subscriber for full content access, go […]
Read MoreAuthors: Kara Segna, MD; Lalitha Sundararaman, MBBS, MD ASA Monitor February 2023, Vol. 87, 19–20. Trans individuals often face stigma and discrimination in their daily lives. Ideally, the health care setting should be a safe haven wherein they can be who they are – but is it always so? Unfortunately, the answer is still not a clear […]
Read MoreASA Monitor February 2023, Vol. 87, e1–e2. Anesthesiologists comment on opioid-related pain management and research In September, Healio.com quoted Kevin Zacharoff, MD, in an article on how forced tapering may harm patients with chronic pain who are taking opioids. At PAINWeek 2022, he discussed how we live in an environment of increased opioid pharmacovigilance, which can cause […]
Read MoreAuthor: Dawn Schell, MD ASA Monitor February 2023, Vol. 87, 31. Currently, nearly 70% of all surgeries in the United States are performed as outpatient procedures, with almost 23 million of these performed annually in ambulatory surgery centers (ASCs) alone (Natl Health Stat Report 2017;102:1-15). And the numbers continue to grow. Over 6,000 Medicare-certified ASCs now […]
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