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ASA Monitor December 2021, Vol. 85, 15. You are caring for a parturient at 38 weeks gestation who is undergoing an urgent cesarean delivery with spinal anesthesia due to labor with a breech presentation and fetal macrosomia. Her medical history includes pulmonary hypertension, for which she is currently taking sildenafil three times daily. The obstetricians […]
Read MoreAuthors: Natalya S. Hasan-Hill, MD; Jody Cimbalo Leng, MD, MS; Anita Honkanen, MD, MS, FAAP ASA Monitor December 2021, Vol. 85, 29–30. Copyright © 2016 Board of Trustees of the Leland Stanford Junior University. All rights reserved. The COVID-19 pandemic has imposed significant challenges to the professional lives and working environments of health care providers. Even if the […]
Read MoreAuthors: Christopher A. Troianos, MD, FASE, FASA and Andrew D. Shaw, MB, FRCA, FRCPC, FFICM ASA Monitor December 2021, Vol. 85, 39. The Society of Cardiovascular Anesthesiologists (SCA) was established in 1978 to provide education and to support research and mentorship to anesthesiologists caring for patients with cardiac disease undergoing cardiac and non-cardiac surgery. The Accreditation Council […]
Read MoreASA Monitor December 2021, Vol. 85, 10. Case 2021-12: Avoiding the Blame Game This event occurred in an outpatient setting. The muscular, red-headed patient reported high anesthetic requirements and that he had woken up during every procedure he had. I told my resident to have extra propofol ready for LMA insertion. Resident pushed 200 of […]
Read MoreAuthors: Amy E. Vinson, MD, FAAP and Jina L. Sinskey, MD, FASA ASA Monitor December 2021, Vol. 85, 28–29. Recently, ASA approved a formal standing Committee on Physician Well-Being (COPWB) to address the growing needs of the membership and, ultimately, the patients we serve. For years there existed within ASA a community of anesthesiologists committed to […]
Read MoreASA Monitor December 2021, Vol. 85, 14–15. A 2-year-old child presents for endoscopic removal of a button battery lodged in the esophagus. The patient was transported from a location two hours away and received 60 mL of honey en route. The battery ingestion occurred approximately one hour prior to transport. According to a recent review […]
Read MoreAuthor: Josh Lumbley, MD, MBOE, FASA ASA Monitor December 2021, Vol. 85, 27. The past 18 months have placed seemingly unending physical and emotional strain upon physician anesthesiologists, CRNAs, and allied health care workers. As clinicians, we’ve seen care protocols for COVID patients evolve. We have repeatedly adapted our practice to the latest surge. In a […]
Read MoreAuthor: Richard Novak, MD THE ANESTHESIA CONSULTANT The American Society of Anesthesiologists (ASA) just published a 2022 update on their ASA Difficult Airway Algorithm Guidelines. The 2022 document is a revision of the 2013 publication “Practice guidelines for management of the difficult airway: A report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway.” […]
Read MoreAuthors: Janet Adegboye, M.D. et al Anesthesiology November 2021. Background Erythrocyte transfusions are independently associated with acute kidney injury. Kidney injury may be consequent to the progressive hematologic changes that develop during storage. This study therefore tested the hypothesis that prolonged erythrocyte storage increases posttransfusion acute kidney injury. Methods The Informing Fresh versus Old Red Cell Management […]
Read MoreAuthors: Xu Zhao, M.D. et al Anesthesiology December 2021, Vol. 135, 1076–1090. Background Mortality in critically ill COVID-19 patients remains high. Although randomized controlled trials must continue to definitively evaluate treatments, further hypothesis-generating efforts to identify candidate treatments are required. This study’s hypothesis was that certain treatments are associated with lower COVID-19 mortality. Methods This […]
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