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Uncategorized Published - 17 November, 2022    By - Dr Clemens
Systems Anesthesiology: A New Conceptual Framework

Author: Kain, Zeev N. MD, MBA*,†,‡,§ Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 – p 671-672 In a 1951 Electrical Engineering journal, R. G. Bickford suggested that brain electrical activity may be used to create a closed-loop system that controls the amount of anesthetic administrated to a patient in the operating room.1 It […]

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Uncategorized Published - 16 November, 2022    By - Dr Clemens
Early-Career Anesthesiologists Get Real About Transitioning to Practice … and How ASA Can Help

Authors: Cesar Padilla, MD; Ciera Ward, MD ASA Monitor November 2022, Vol. 86, 29. The first few years in practice bring a mix of emotions, a host of new opportunities and experiences, evolving personal and professional demands, and recalibrated expectations for what professional support should look like. As young anesthesiologists ourselves – one year and four years […]

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Uncategorized Published - 16 November, 2022    By - Dr Clemens
Pro-Con Debate: Monitored Anesthesia Care Versus General Endotracheal Anesthesia for Endoscopic Retrograde Cholangiopancreatography

Authors: Luke S. Janik, MD et al  Reprinted from Anesthesia & Analgesia, June 2022 • Volume 134 • Number 6, pages 1192–1200, with permission from International Anesthesia Research Society. Professional titles and nomenclature were standardized and modified within the text consistent with APSF policy. In this Pro-Con commentary article, the authors have been asked to refute or […]

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Uncategorized Published - 16 November, 2022    By - Dr Clemens
“That Which Is Old Is New Again”: APSF Newsletter “In the Literature” Synopsis Summaries Reappear

Author: John H. Eichhorn, MD Anesthesia Patient Safety Foundation Oct 2022 When the APSF Newsletter Editorial Board recently considered the proposal to publish a column compiling summaries of current relevant literature regarding perioperative patient safety, I, the founding editor, who has been referred to as the “institutional memory” of the APSF, immediately supported the idea enthusiastically, noting […]

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Uncategorized Published - 16 November, 2022    By - Dr Clemens
Transportation of Pediatric Patients With Hyperinflation System

Authors: James Xie, MD et al  Anesthesia Patient Safety Foundation Oct 2022 Dear Rapid Response: Transporting patients is a high-risk process, accounting for up to 5% of pediatric anesthesia adverse events.1 Studies have identified respiratory and airway adverse events as some of the most common complications, along with the role of transport equipment in reducing risk.2 The […]

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Uncategorized Published - 16 November, 2022    By - Dr Clemens
Recognition and Management of Amniotic Fluid Embolism: A Critical Role for Anesthesia Professionals on Labor and Delivery

Author: David E Arnolds, MD, PhD Anesthesia Patient Safety Foundation  Oct 2022 Amniotic fluid embolism (AFE) is a catastrophic complication unique to the obstetric patient characterized by acute cardiovascular collapse and a profound coagulopathy.1 While AFE is rare, with an incidence of 1–2/100,000 pregnancies, it is associated with a mortality or permanent neurologic injury rate of […]

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Uncategorized Published - 15 November, 2022    By - Dr Clemens
Risks and Benefits of the Use of the Postanesthesia Care Unit as an Intensive Care Unit and Special Considerations for Anesthesia Professionals

Authors: George Tewfik, MD, MBA, FASA, CPE, MSBA et al  Anesthesia Patient Safety Foundation Oct 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 benefits to this alternate […]

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Uncategorized Published - 15 November, 2022    By - Dr Clemens
Can Nudges Mitigate Deadly User Errors?

Authors: Molly Kraus, MD; Karl Poterack, MD Anesthesia Patient Safety Foundation Oct 2022 In May of 2022, a former Vanderbilt nurse was convicted of gross neglect of an impaired adult and criminally negligent homicide for the death of her patient in 2017. While she had intended to give her patient midazolam (Versed) for sedation during […]

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Uncategorized Published - 15 November, 2022    By - Dr Clemens
As Colleagues Head for the Exit, Remaining Staff Feel the Heat

Authors: Chelsea Altinger Casey, MD; Christopher J. Malgieri, MD ASA Monitor November 2022, Vol. 86, 36. We’ve all heard the parable of the boiling frog. If you put a frog into boiling water, it will jump out. But if you place it in tepid water and slowly raise the temperature, you get a boiled frog. The frog […]

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Uncategorized Published - 15 November, 2022    By - Dr Clemens
Editorial: APSF’s Statement About Criminalization of Medical Error and Call to Action Against Preventable Adverse Events

Authors: Jeffrey Cooper, PhD; Brian Thomas, JD; Elizabeth Rebello, Rph, MD, FASA, CPPS, CMQ; Paul Lefebvre, JD; Karen Feinstein PhD, MSW; Lynn Reede, DNP, MBA, CRNA, FNAP; Seema Kumbhat, MD; Steven Greenberg, MD, FCCP, FCCM Anesthesia Patient Safety Foundation October 2022 Almost five years ago, Charlene Murphey, a patient at Vanderbilt Medical Center, died from […]

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