AUTHOURS: Sadhasivam, Senthilkumar MD, MPH, MBA, FASA et al Anesthesia & Analgesia: August 2021 – Volume 133 – Issue 2 – p 327-337 BACKGROUND: Intraoperative methadone, a long-acting opioid, is increasingly used for postoperative analgesia, although the optimal methadone dosing strategy in children is still unknown. The use of a single large dose of intraoperative […]
Read MoreAuthors: Jennifer Krogh, MSN, CRNA; Jennifer Lanzillotta-Rangeley, PhD, CRNA; Elizabeth Paratz, MD; Lynn Reede, DNP, CRNA; Linda Stone, DNP, CRNA; Joseph Szokol, MD; Laura Andrews, PhD; Joan Kearney, PhD, APRN, FAAN Anesthesia Patient Safety Foundation SUMMARY:Methamphetamine Substance Use Disorders (SUD) have been on the rise in the United States. Patients who present with this particular […]
Read MoreAUTHORS: Guglielminotti, Jean MD, PhD et al Anesthesia & Analgesia: August 2021 – Volume 133 – Issue 2 – p 340-348 BACKGROUND: Medicaid expansions under the Affordable Care Act have increased insurance coverage and prenatal care utilization in low-income women. However, it is not clear whether they are associated with any measurable improvement in maternal health […]
Read MoreAnesthesia Patient Safety Foundatjion Letter to the editor regarding how multiple brands of rapid infusers will continue to infuse at the same rapid rate when unplugged, but unheated. We recommend the introduction of safety mechanisms to prevent dangerous amounts of cold fluid from being infused inadvertently. Dear Rapid Response: Figure 1: Device plugged in, “HEAT […]
Read MoreAuthors: Emery H. McCrory, MD; Jennifer M. Banayan, MD; Paloma Toledo, MD, MPH Anesthesia Patient Safety Foudation Postpartum peripheral nerve injuries occur in approximately 0.3–2% of all deliveries. The majority of nerve injuries are attributed to intrinsic obstetric palsies secondary to compression or stretch of the nerve during delivery; however, the possibility that neuraxial anesthesia/analgesia […]
Read MoreAuthor: Steven Greenberg, MD, FCCP, FCCM Anesthesia Patient Safety Foundation In 2018 the APSF Board of Directors (BOD) voted on its top perioperative patient safety priorities. This list was generated from a combination of a review of the most current literature, submissions to the APSF Newsletter, and expert opinions from the multiprofessional representatives of the BOD. Since […]
Read MoreAuthors: Ronald S. Litman, DO, ML, Medical Director, ISMP Anesthesia Patieint Safety Foundation The Institute for Safe Medication Practices (ISMP.org) receives thousands of medication error reports through their voluntary practitioner online reporting system. By this mechanism, ISMP compiled a list of important medication errors and hazards during 2020, most of which are of interest to […]
Read MoreAuthors: Sarah K. Pierce, CRNA; Gary E. Machlis, PhD Anesthesia Patient Safety Foundation SUMMARY:Difficult airway events are common and can have significant consequences for patient safety. A difficult airway response program developed at Johns Hopkins Hospital was adapted to the resources and needs of a small regional hospital in Coeur d’Alene, Idaho. The adoption and […]
Read MoreAuthors: Jeffrey Feldman, MD; Meghan Lane-Fall, MD, MSHP Anesthesia Patient Safety Foundation Pulse Oximeters are Important for Keeping all Patients Safe On December 17, 2020, Sjoding et al. published a retrospective analysis of pulse oximetry (SpO2) data from two patient cohorts indicating that in some patients, occult hypoxemia was not detected when compared to paired oxyhemoglobin […]
Read MoreAUTHORS: Hughes, Christopher G. MD, MS et al Anesthesia & Analgesia: April 30, 2021 BACKGROUND: The temporal association of delirium during critical illness with mortality is unclear, along with the associations of hypoactive and hyperactive motoric subtypes of delirium with mortality. We aimed to evaluate the relationship of delirium during critical illness, including hypoactive and hyperactive […]
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