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Posted by u/LoopyBullet r/anesthesiology I was reading an article in propofol pain in injection, and I’m having trouble understanding a paragraph on the bottom right portion of the first page, starting with, “It is not clear how…” I don’t understand the author’s rationale from an acid-base standpoint, and was hoping someone could please help me […]
Read MoreAuthors: Mike Charlesworth and Andrew Klein #TheAnesthesiaBlog Major airway complications are rare and the best evidence on which we base current practice comes from NAP4, which was published in 2011. This new contribution from Cumberworth et al. used similar methods within six hospitals to see what has changed and highlight key areas for further training and […]
Read MoreAuthors: Eva Rivas, M.D. et al Anesthesiology May 2022 In Reply: We sincerely thank Fuchita et al. for their interests and excellent comments on our article. We conducted a subanalysis of 673 patients enrolled in two trials who were recovering from abdominal surgery. Posture and movement were continuously monitored from postanesthesia care unit admission until 48 […]
Read MoreAuthors 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 […]
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