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AUTHORS: Hsieh, Vincent C. MD et al Anesthesia & Analgesia: October 2021 – Volume 133 – Issue 4 – p 924-932 BACKGROUND: Children with mitochondrial disease undergo anesthesia for a wide array of surgical procedures. However, multiple medications used for their perioperative care can affect mitochondrial function. Defects in function of the mitochondrial electron transport chain […]
Read MoreAUTHORS: Wongtangman, Karuna MD et al Anesthesia & Analgesia: October 2021 – Volume 133 – Issue 4 – p 1000-1008 BACKGROUND: Intraoperative cerebral blood flow is mainly determined by cerebral perfusion pressure and cerebral autoregulation of vasomotor tone. About 1% of patients undergoing noncardiac surgery develop ischemic stroke. We hypothesized that intraoperative hypotension within a range […]
Read MoreAuthors: Shauna Schwartz, DO; Yong G. Peng, MD, PhD, FASE, FASA Anesthesia Patient Safety Foundation Vol 36 No 3 Oct 2021 SUMMARY:The article discusses the advancements of the laryngeal mask airway (LMA) and its routine and non-routine uses. It analyzes the risk of aspiration with the LMA compared with the endotracheal tube. It also reviews […]
Read MoreAuthors: J. Ross Renew, MD, FASA, FASE Anesthesia Patient Safety Foundation Vol 36 No 3 Oct 2021 SUMMARY:Quantitative neuromuscular monitoring is the only reliable means of confirming adequate recovery from neuromuscular blockade and avoiding postoperative residual weakness. Anesthesiologists must familiarize themselves with new monitoring technologies in an effort to reduce complications related suboptimal neuromuscular blockade […]
Read MoreAuthors: Candace Chang, MD, MPH; Ryan Dudley, MD Anesthesia Patient Safety Foundation Vol 36 No 3 Oct 2021 Introduction Time-out checklists reduce morbidity and mortality from surgical procedures.1 While these checklists are now ubiquitous in operating rooms, their adoption in other procedural areas is inconsistent, but no less important. The challenges of nonoperating room anesthesia (NORA) […]
Read MoreAUTHORS: Hertzberg, Linda B. MD et al Anesthesia & Analgesia: October 2021 – Volume 133 – Issue 4 – p 1009-1018 BACKGROUND: A gender-based compensation gap among physicians is well documented. Even after adjusting for age, experience, work hours, productivity, and academic rank, the gender gap remained and widened over the course of a physician’s career. […]
Read MoreAuthors: Michael T. Kuntz, MD; Alfonso Casta, MD Anesthesia Patient Safety Foundation Vol 36 No 3 Oct 2021 Introduction Central venous access is often necessary during cardiac anesthesia to administer intravenous fluids and inotropic agents during resuscitation. We identified an instance in which the connection between a central venous catheter and an intravenous line extension […]
Read MoreAuthors: Jack M. Peace, MD; Jennifer M. Banayan, MD Anesthesia Patient Safety Foundation Vol 36 No 3 Oct 2021 Introduction Anemia is a frequently encountered condition on the labor floor. Coupled with the potential for massive blood loss in the peripartum period, management of maternal anemia is critical to keeping mothers and their babies safe. […]
Read MoreAuthors: Andres Macias, MD, FASA; Fred E. Shapiro, DO, FASA Anesthesia Patient Safety Foundation Vol 36 No 3 Oct 2021 Past and Present Ophthalmic anesthesia dates to 1884 when ophthalmologist Karl Koller1 first introduced the use of cocaine as a local anesthetic for ophthalmic surgery. The retrobulbar blockade was first described by Herman Knapp in 1884, […]
Read MoreAUTHORS: Dwan, Robyn L. DO et al Anesthesia & Analgesia: October 2021 – Volume 133 – Issue 4 – p 958-966 BACKGROUND: Sugammadex binds progesterone with high affinity and may interfere with hormonal contraceptive effectiveness. The clinical, economical, and ethical implications of unintended pregnancy should prompt anesthesiologists to actively consider and manage this pharmacologic interaction. We […]
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