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Author: Lindsey Rutland, MD ASA Monitor June 2022, Vol. 86, 35. Let’s be honest – most young physicians starting out in private practice have a tough time navigating their new environment and all its responsibilities. Residency prepares us for the clinical challenges of practice, but for practice management, medical supervision, and the business side of private […]
Read MoreAuthor: Roseanne Fischoff, MPP ASA Monitor June 2022, Vol. 86, 15. The Perioperative Surgical Home (PSH) is a patient-centered, physician-led, coordinated model of care designed to improve patient and provider satisfaction and population health while reducing the costs of care. It’s adaptable for teams of all sizes, settings, and service lines, and it’s applicable to every […]
Read MoreAuthor: Asha Padmanabhan, MD, FASA ASA Monitor June 2022, Vol. 86, 13–14. Communicating Information to the Patient Clearly and at the Correct Times Throughout the Perioperative Journey is the second of a four-part series that provides more information and insight about ASA’s Enhancing Patient Communications Program. When first meeting with patients who are about to have surgery, […]
Read MoreASA Monitor June 2022, Vol. 86, 9. The Anesthesia Incident Reporting System (AIRS) has been in operation for 10 years, with thousands of detailed reports and tens of thousands of reports letting us know that an anesthetic was associated with a complication. AIRS uniquely serves as a “canary in the coal mine,” giving our specialty […]
Read MoreASA Monitor June 2022, Vol. 86, 12. According to a recent population-based study, which of the following MOST likely describes the associated risk of autism spectrum disorder in offspring when epidural labor analgesia is used? □ (A) Increased □ (B) Decreased □ (C) No association Autism spectrum disorder is a developmental condition that is present in […]
Read MoreAuthors: Richard Simoneaux; Steven L. Shafer, MD, FASA ASA Monitor June 2022, Vol. 86, 1–5. Shortly after SARS-CoV-2 began spreading worldwide in early 2020, clinicians noted that some seemingly recovered patients had prolonged neurological, cardiovascular, and metabolic sequelae. The syndrome was given various names, including “long-haul COVID,” “long COVID,” and “post-acute COVID-19.” Over the past two […]
Read MoreAuthors: Jaime B. Hyman, MD; Jinlei Li, MD, PhD ASA Monitor June 2022, Vol. 86, 33–34. With sicker patients undergoing ever-more complex surgical procedures, the post-discharge period deserves increased attention. Recovery has shifted from the hospital to the home, and caregiving has shifted from health care workers to non-medical family or friends. Optimized post-discharge analgesia and nausea […]
Read MoreAuthor: Uday Jain, BSEE, MD, PhD, FASA ASA Monitor June 2022, Vol. 86, 31–32. Nausea, pain, and pruritus have a high degree of prevalence and severity after discharge following ambulatory surgery, for which they may be inadequately treated. Nausea and vomiting Incidence In a multicenter study of over 2,000 U.S. adults, the overall incidence of post-discharge […]
Read MoreAuthors: Sarah G. Bodin, MD, FASA ASA Monitor June 2022, Vol. 86, 30. Today I reviewed another “low-risk clearance” checkbox note from an advanced practice registered nurse, for a topical cataract case, under monitored anesthesia care. Prior to the patient’s topical cataract extraction, my healthy 64-year-old patient had visited her primary care physician to be cleared […]
Read MoreAuthor: Niraja Rajan, MBBS, FAAP, SAMBA-F, FASA ASA Monitor June 2022, Vol. 86, 28–29. Many pediatric surgeries are performed on an outpatient basis either in a hospital or a freestanding ambulatory surgery center (ASC) with tonsillectomy and/or adenoidectomy, myringotomy, appendectomy, urological procedures, and other operating room therapeutic procedures on nose, mouth, and pharynx accounting for the […]
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