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Uncategorized Published - 20 July, 2021    By - Dr Clemens
A Novel Perioperative Multidose Methadone-Based Multimodal Analgesic Strategy in Children Achieved Safe and Low Analgesic Blood Methadone Levels Enabling Opioid-Sparing Sustained Analgesia With Minimal Adverse Effects

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 […]

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Uncategorized Published - 20 July, 2021    By - Dr Clemens
Practice Considerations for the Anesthesia Professional for Methamphetamine Substance Use Disorder Patients

Authors: 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 […]

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Uncategorized Published - 20 July, 2021    By - Dr Clemens
The 2014 New York State Medicaid Expansion and Severe Maternal Morbidity During Delivery Hospitalizations

AUTHORS: 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 […]

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Uncategorized Published - 20 July, 2021    By - Dr Clemens
Inadvertent Unplugging of Rapid Infuser Causing a Large Volume of Cold Fluid to be Infused with Subsequent Cardiac Arrest

Anesthesia 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 […]

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Uncategorized Published - 19 July, 2021    By - Dr Clemens
Postpartum Peripheral Nerve Injuries—What is Anesthesia’s Role?

Authors: 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 […]

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Uncategorized Published - 19 July, 2021    By - Dr Clemens
The APSF Revisits Its Top 10 Patient Safety Priorities

Author: 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 […]

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Uncategorized Published - 19 July, 2021    By - Dr Clemens
Important Medication Errors and Hazards Reported to the ISMP National Medication Errors Reporting Program During 2020

Authors: 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 […]

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Uncategorized Published - 19 July, 2021    By - Dr Clemens
Establishing a Difficult Airway Response Team for a Regional Hospital: A Case Study in the Adoption and Diffusion of Innovations

Authors: 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 […]

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Uncategorized Published - 19 July, 2021    By - Dr Clemens
APSF Statement on Pulse Oximetry and Skin Tone

Authors: 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 […]

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Uncategorized Published - 16 July, 2021    By - Dr Clemens
Association of Delirium during Critical Illness With Mortality

AUTHORS: 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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