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Authors Mikita Fuchita, M.D.; Kyle J. Ridgeway, P.T., D.P.T.; Ana Fernandez-Bustamante, M.D., Ph.D. Anesthesiology May 2022. To the Editor: We read with great interest the article by Rivas et al., which found that pain scores, but not opioid consumption, were inversely related to postoperative mobilization. We applaud the use of accelerometers to provide measurable mobilization data over the routine […]
Read MoreAuthors: Wade A. Weigel, M.D. et al Anesthesiology June 2022, Vol. 136, 901–915. Background Residual neuromuscular blockade can be avoided with quantitative neuromuscular monitoring. The authors embarked on a professional practice initiative to attain documented train-of-four ratios greater than or equal to 0.90 in all patients for improved patient outcomes through reducing residual paralysis. Methods The […]
Read MoreAuthors: Miguel Armengol de la Hoz, M.S. et al Anesthesiology June 2022, Vol. 136, 927–939. Background In cardiac surgery, the association between hypotension during specific intraoperative phases or vasopressor-inotropes with adverse outcomes remains unclear. This study’s hypothesis was that intraoperative hypotension duration throughout the surgery or when separated into hypotension during and outside cardiopulmonary bypass may […]
Read MoreASA Monitor May 2022, Vol. 86, 16. Due to national drug shortages, your facility is unable to obtain bupivacaine. You are planning a peripheral nerve block, and the only preservative-free local anesthetic available is 1.5% mepivacaine. What would be the MOST likely result of using mepivacaine in comparison to bupivacaine? □ (A) Greater risk for toxicity □ (B) […]
Read MoreAuthor: Victor Davila, MD, FASA ASA Monitor May 2022, Vol. 86, 15. Establishing the Physician-Patient Relationship is the first of a four-part series that provides more information and insight about ASA’s Enhancing Patient Communications Program. It is easy to forget how stressful the overall surgical experience can be. Even though it may be unfamiliar for the patient, […]
Read MoreAuthor: Matt Vera BSN RN Starting an IV to a pediatric patient is extra challenging as their veins are smaller and are sometimes distressed when they see a needle. Hopefully, these IV tips for pediatric patients can help you: Keep calm and calm the child. When starting an IV on an infant, try soothing them beforehand […]
Read MoreASA Monitor May 2022, Vol. 86, 18–19. Case 1 A trauma patient from the emergency department showed up as a “surprise” to the operating room. No known history, shot multiple times in the head, chest, and abdomen; emergency thoracotomy in ED after arrest. In the OR, his end-tidal CO2 was 9 mmHg and he had no […]
Read MoreAuthors: Ellile Sultan, MD, BMedSci, FRCA, MSc, CRA, T. Kyle Harrison, MD ASA Monitor May 2022, Vol. 86, 44–45. Only minutes after lifting off from LaGuardia Airport, two senior pilots were rapidly thrust into an emergency that threatened not only their lives but their passengers’ lives and unknown numbers of ground casualties (asamonitor.pub/35PIt9e). Following take […]
Read MoreASA Monitor May 2022, Vol. 86, 12. A 25-year-old man presents for laparoscopic cholecystectomy. He suffers from chronic low back pain and is using oxycodone, diazepam, and cannabis for pain management. According to a recent study, which of the following six-month outcomes is MOST likely in this patient compared with a similar patient who does not […]
Read MoreAuthor: Thomas R. Miller, PhD, MBA ASA Monitor May 2022, Vol. 86, 1–11. I wrote this column in February, that exciting time of the year when most publicly traded companies submit Form 10-K to the U.S. Securities and Exchange Commission. The 10-K is a comprehensive report filed each year to inform potential investors about a firm’s […]
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