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Pages: e2 - e3 Abstract: Picture two starkly different scenarios... In Hospital A, the regional anesthesia team mandates and directs the perioperative analgesic plan. When the acute pain attending for the day and the resident identify a patient on the OR schedule who may benefit from a regional anesthetic block, it is up to them to obtain consent and to coordinate patient care. Preoperative blocks are performed either in the admission room, or preoperative holding area, or sometimes in the OR. Postoperative blocks are done as soon as the patient arrives in the postanesthesia care unit. Determination of block type, single shot versus catheter, and duration of treatment are left to the acute pain team, with little feedback from the surgeons. PubDate: Sun, 01 Oct 2023 00:00:00 GMT DOI: 10.1097/01.ASM.0000989956.30431.a0 Issue No:Vol. 87, No. 10 (2023)
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Pages: e1 - e1 Abstract: Seventeen years ago, Anesthesiology News featured my opinion piece titled “Short-Term Oxygen: Not Enough of a Good Thing'” which emphasized the benefits of what I called “continual preoxygenation” (asamonitor.pub/3KAC6bt)(login may be required). It was interesting to see the similarly titled “Deliberate Oxygen Therapy – How Much Is Too Much of a Good Thing'” by Drs. Carness and Kuza in the June 2023 ASA Monitor (ASA Monitor 2023; 87:33). Without offering new evidence to the contrary, they suggest that we walk a theoretical fine line between barely enough and too much oxygen during the brief peri-anesthetic period. They state, “Our patients seemingly tolerate the administration of supratherapeutic oxygen levels.” As emphasized in my column, “Would it not be prudent to provide the patient with continual preoxygenation before the sudden onset of airway loss, a low perfusion state or undiagnosed end-organ hypoperfusion'” Until such time as definitive evidence exists of an adverse consequence of short-term hyperoxia, it remains acceptable practice to keep patients ready to tolerate a prolonged unanticipated period of inadequate oxygenation. PubDate: Sun, 01 Oct 2023 00:00:00 GMT DOI: 10.1097/01.ASM.0000989952.71539.a7 Issue No:Vol. 87, No. 10 (2023)
Please help us test our new pre-print finding feature by giving the pre-print link a rating. A 5 star rating indicates the linked pre-print has the exact same content as the published article.
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Please help us test our new pre-print finding feature by giving the pre-print link a rating. A 5 star rating indicates the linked pre-print has the exact same content as the published article.
Please help us test our new pre-print finding feature by giving the pre-print link a rating. A 5 star rating indicates the linked pre-print has the exact same content as the published article.
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Pages: 7 - 7 Abstract: Which of the following train-of-four (TOF) patterns shown on the right is MOST consistent with partial recovery from a phase II block following neuromuscular blockade using a succinylcholine infusion' PubDate: Sun, 01 Oct 2023 00:00:00 GMT DOI: 10.1097/01.ASM.0000989856.17004.ac Issue No:Vol. 87, No. 10 (2023)
Please help us test our new pre-print finding feature by giving the pre-print link a rating. A 5 star rating indicates the linked pre-print has the exact same content as the published article.
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Pages: 11 - 11 Abstract: Your next patient will receive a dural puncture epidural for labor. According to a recent study, which of the following is MOST likely to be lower in this patient, compared with a similar patient receiving lumbar epidural anesthesia without dural puncture' PubDate: Sun, 01 Oct 2023 00:00:00 GMT DOI: 10.1097/01.ASM.0000989868.11134.36 Issue No:Vol. 87, No. 10 (2023)
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Pages: 14 - 14 Abstract: ASA's vital collaborations with corporate sponsors are most clearly articulated through the sights, sounds, and people working together to advance the specialty at the annual meeting Exhibit Hall. The relationships we foster throughout the year will benefit members in the form of diverse and robust educational, social, and networking opportunities. Innovations that illuminate where the specialty is headed are highlighted, along with new products and services. Industry experts are on hand to answer your questions and listen to your advice. Hands-on learning experiences are around every corner, with opportunities to try out the latest airway devices, ultrasound techniques, and more. We bring thought leaders from the anesthesiology community together to speak to the issues members care about most. We have corporate sponsors to thank for the Exhibit Hall's depth and vibrant atmosphere. PubDate: Sun, 01 Oct 2023 00:00:00 GMT DOI: 10.1097/01.ASM.0000989876.28924.60 Issue No:Vol. 87, No. 10 (2023)
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Pages: 16 - 16 Abstract: Editor's Note: This article is the first in a three-part series featuring the female leadership that has shaped the American Society of Anesthesiologists. PubDate: Sun, 01 Oct 2023 00:00:00 GMT DOI: 10.1097/01.ASM.0000989884.31336.c9 Issue No:Vol. 87, No. 10 (2023)
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Pages: 17 - 17 Abstract: UpToDate® and ASA Monitor are collaborating to present select content abstracts on “What's New in Anesthesiology.” UpToDate is an evidence-based, clinical support resource used worldwide by health care practitioners to make decisions at the point of care. For complete, current “What's New” content, or to become a subscriber for full content access, go to www.uptodate.com. “What's New” abstract information is free for all medical professionals. PubDate: Sun, 01 Oct 2023 00:00:00 GMT DOI: 10.1097/01.ASM.0000989888.19743.fc Issue No:Vol. 87, No. 10 (2023)
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Pages: 20 - 22 Abstract: Optiflow™ multi-use nasal high flow system. Reproduced with permission from Fisher and Paykel Healthcare. PubDate: Sun, 01 Oct 2023 00:00:00 GMT DOI: 10.1097/01.ASM.0000989900.92100.6c Issue No:Vol. 87, No. 10 (2023)
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Pages: 23 - 23 Abstract: Members of the Georgia Society of Anesthesiologists prepare to spend a day on the Hill. PubDate: Sun, 01 Oct 2023 00:00:00 GMT DOI: 10.1097/01.ASM.0000989908.94610.1a Issue No:Vol. 87, No. 10 (2023)
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Pages: 24 - 25 Abstract: This past May, over 500 ASA members traveled to Washington, D.C., to attend one of ASA's signature meetings and its most impactful advocacy event, the ASA LEGISLATIVE CONFERENCE. From preserving physician-led care to advocating for Medicare payment reform, there are a number of ongoing policy challenges that directly impact physician anesthesiologists and demonstrate the dire need to engage with legislators and regulators across the board. LEGISLATIVE CONFERENCE gives members the opportunity to learn about the issues impacting the specialty and acquire effective strategies for influencing legislative and regulatory efforts. The conference also provides members with a platform to meet with their elected officials to discuss priority ASA issues. PubDate: Sun, 01 Oct 2023 00:00:00 GMT DOI: 10.1097/01.ASM.0000989912.36548.30 Issue No:Vol. 87, No. 10 (2023)
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Pages: 28 - 30 Abstract: Todd Primack, DO, FASA, Mark Thoma, MD, California Assemblymember Jasmeet Bains, MD (D-AD35), Brian Wagner, MD, Abigail Smith, MD, and Jacqueline Chen, MD. PubDate: Sun, 01 Oct 2023 00:00:00 GMT DOI: 10.1097/01.ASM.0000989920.42122.82 Issue No:Vol. 87, No. 10 (2023)
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Pages: 29 - 30 Abstract: Alexander S. Choi, MD, MPH, FASA, serves on the Zionsville Town Council as At-Large Representative (R) and chair of the ASA Committee on Governmental Affairs Task Force on Mentoring Physician Candidates for Public Office. He recently ran in a competitive race for Indiana state Senate. PubDate: Sun, 01 Oct 2023 00:00:00 GMT DOI: 10.1097/01.ASM.0000989924.27078.82 Issue No:Vol. 87, No. 10 (2023)
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Pages: 32 - 32 Abstract: MPOG's perioperative patient registry consists of more than 22 million anesthetic cases integrated across more than 65 hospitals and health systems. Photo courtesy of MPOG. PubDate: Sun, 01 Oct 2023 00:00:00 GMT DOI: 10.1097/01.ASM.0000989932.85413.e2 Issue No:Vol. 87, No. 10 (2023)
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Pages: 33 - 34 Abstract: Photo courtesy of Yale University School of Medicine. PubDate: Sun, 01 Oct 2023 00:00:00 GMT DOI: 10.1097/01.ASM.0000989936.30947.7d Issue No:Vol. 87, No. 10 (2023)
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Pages: 34 - 34 Abstract: The concept of psychological safety has been recently popularized by Amy Edmondson's best-selling book “The Fearless Organization,” although its origins trace back to the work of Warren Bennis and Edgar Schein involving organizational change in the 1960s (The Fearless Organization. 2018; Personal and Organizational Change Through Group Methods: The Laboratory Approach. 1965). In Edmondson's experiments investigating the effects of teamwork on medical error rates, she stumbled onto a surprising finding: better teams reported statistically more errors. Further investigation revealed that the higher-functioning teams didn't actually make more errors, they had a climate of openness that allowed errors to be reported more easily (J Appl Behav Sci 2004;40:66-90). Being able to report errors is one of the foundational steps in creating a culture of safety (Int J Inj Contr Saf Promot 2000;7:3-14). PubDate: Sun, 01 Oct 2023 00:00:00 GMT DOI: 10.1097/01.ASM.0000989940.60134.4a Issue No:Vol. 87, No. 10 (2023)
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