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Authors: Jeroen C. van Egmond et al Canadian Journal of Anesthesia September 2018, Volume 65, Issue 9, pp 1004–1011 Purpose Early mobilization is an important aspect of fast-track protocols and intrathecal bupivacaine is often used in primary total knee arthroplasty (TKA). Although the optimal dose is not known, conventional doses leave patients unable to mobilize for two to four hours. The dose of an […]
Read MoreAgency for Healthcare Research and Quality HCUP Statistical Brief number 243, September 2018. An increasing proportion of U.S. women are experiencing serious and potentially life-threatening complications while giving birth, government researchers report. Between 2006 and 2015, rates of severe complications rose by 45 percent overall, according to a report released by the Agency for Healthcare […]
Read MoreAuthors: Sheila R. Barnett, M.D., FASA et al ASA Monitor 9 2018, Vol.82, 60-63. Just over two years ago, U.S. physicians, including physician anesthesiologists, started participating in the Merit-based Incentive Payment System (MIPS) in accordance with the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MIPS replaced previous quality programs to consolidate quality and incentive programs […]
Read MoreASA Monitor 9 2018, Vol.82, 48. Review of unusual patient care experiences is a cornerstone of medical education. Each month, the AQI-AIRS Steering Committee abstracts a patient history submitted to the Anesthesia Incident Reporting System (AIRS) and authors a discussion of the safety and human factors challenges involved. Real-life case histories often include multiple clinical decisions, […]
Read MoreWomen with nausea and vomiting in early pregnancy are more likely to use marijuana, a JAMA Internal Medicine research letter finds. Researchers studied 220,000 pregnancies in California during which women had urine tests for marijuana and also self-reported marijuana use in the first trimester. Marijuana use was more common in pregnancies with severe nausea and vomiting (11%) […]
Read MoreExposure to which of the following is most likely to deactivate the color indicator in soda lime absorbent? (A) Fluorescent lights (B) Compound A (C) Water (D) Heat Ethyl violet is a pH-activated color indicator that is added to the soda lime used in the carbon dioxide (CO2) absorbent canister in the anesthesia circuit. It causes the […]
Read MoreGiving opioids to animals to quell pain after surgery prolongs pain for more than three weeks and primes specialized immune cells in the spinal cord to be more reactive to pain, according to a new study by CU Boulder. The authors say the paradoxical findings, if replicated in humans, could have far-reaching implications for patient […]
Read MoreAuthors: Jessica Lovich-Sapola, M.D., M.B.A., FASA et al ASA Monitor 9 2018, Vol.82, 22-24. ASA has developed practice guidelines for preoperative fasting, most recently updated in 2017, with the goal of reducing the risk of pulmonary aspiration for healthy patients undergoing elective procedures. These current ASA “Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents […]
Read MoreBabies have long been offered a bit of sugar water or breast milk to comfort them during needle sticks, and a new study suggests these methods of pain relief may work even better when babies are also nestled in their mothers’ arms. Researchers randomly assigned 80 healthy three-day-old infants getting a needle stick in their […]
Read MorePatients undergoing major cancer surgery might reduce their risk of complications by seeing a dentist beforehand, a study from Japan suggests. Patients who visited a dentist were slightly less likely to have post-surgery pneumonia or die within 30 days of surgery, the study authors found. “Oral care is one option for preventing postoperative pneumonia as […]
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