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Authors: Eric S. Schwenk, M.D. et al Anesthesiology October 2020, Vol. 133, 801–811. Background Early ambulation after total hip arthroplasty predicts early discharge. Spinal anesthesia is preferred by many practices but can delay ambulation, especially with bupivacaine. Mepivacaine, an intermediate-acting local anesthetic, could enable earlier ambulation than bupivacaine. This study was designed to test the hypothesis […]
Read MoreAUTHORS: Evered, Lis A. PhD et al Anesthesia & Analgesia: May 27, 2020 BACKGROUND: Frailty is a reduced capacity to recover from a physiologically stressful event. It is well established that preoperative frailty is associated with poor postoperative outcomes, but it is unclear if this includes cognitive decline following anesthesia and surgery. This retrospective observational […]
Read MoreAuthor: Philip J. Peyton, M.D., Ph.D., M.B.B.S., F.A.N.Z.C.A. et al Anesthesiology September 2020, Vol. 133, 534–547. Background According to the “three-compartment” model of ventilation-perfusion () inequality, increased scatter in the lung under general anesthesia is reflected in increased alveolar deadspace fraction (Vda/Va) customarily measured using end-tidal to arterial (a-a) partial pressure gradients for carbon dioxide. a-a gradients for […]
Read MoreAnesthesiology Today Annual Meeting Edition Anesthesiologists can play a critical role in assessing and reducing the risk of perioperative and acute ischemic stroke in non-cardiac surgery patients through careful screening, managing antithrombotic therapy, and even scheduling optimal timing for elective surgery. Those considerations as well as keeping the anesthesiologist safe during the pandemic were the […]
Read MoreAuthor: Theresa Pablos AuntMinnie A pocket-sized ultrasound scanner powered by a smartphone performed comparably to a cart-based scanner for lung imaging at the point of care in patients with COVID-19, according to a study published on September 21 in Ultrasound in Medicine and Biology. In the head-to-head study, a team of Italian authors compared a conventional, […]
Read MoreAnesthesiology Today Annual Meeting Edition Before 2005, there wasn’t a lot of data related to chronic pain medication management. However, with an increasing focus on ASA Closed Claims Analysis, anesthesiologists can see inherent risks and take steps to avoid liability. During Saturday’s “Best Practices in Regional Anesthesia and Interventional Pain Medicine,” James Rathmell, MD, of […]
Read MoreWe recently learned about three cases of accidental spinal injection of tranexamic acid instead of a local anesthetic intended or regional (spinal) anesthesia. Container mix-ups were involved in each case. In one case, a patient scheduled for knee surgery received tranexamic acid instead of bupivacaine. The anesthesiologist immediately realized the error, but by then, the […]
Read MoreASA On Thursday, President Donald Trump issued the “Executive Order on An America-First Healthcare Plan.” The order articulates the Administration’s views on a number of health care quality, affordability and access issues. Of particular interest to ASA, the order includes provisions related to surprise medical bills. The order seeks to encourage Congress to reach a […]
Read MoreF1rst News HHS announced Phase 3 Provider Relief Funding. The application period will be from October 5th through November 6th. At the time of this of press release there are not enough details in what will be needed to complete the application. Once those details have been clarified, ABC will assist clients by providing information […]
Read MoreAuthor: Paige Hopkins Charlotte Agenda Still, more than a year after the conflict began, there’s no resolution. The short run-down: UnitedHealthcare, which insures more than 1.4 million North Carolinians, and Providence Anesthesiology Associates, which has an exclusive contract to provide anesthesiology services for Novant Health’s Charlotte market, can’t come to an agreement on what PAA should […]
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