Blog

June 17, 2024

Postoperative Pain After OBGYN Surgery

Postoperative pain following obstetric and gynecologic (OBGYN) surgery is a significant concern for patients and healthcare providers alike. Effective pain ...
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May 20, 2024

Unintended Systemic Absorption of Local Anesthesia

Local anesthetics (LAs) are commonly administered by a variety of medical professionals, including anesthesia clinicians, surgeons, emergency department providers, dentists, ...
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April 22, 2024

Baseline Blood Pressure and Implications for Anesthesia

Abnormalities in a patient’s baseline blood pressure, particularly in cases of high blood pressure, can have profound implications for anesthesia ...
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March 25, 2024

Indications for Preoperative IV Fluids 

Administering preoperative intravenous (IV) fluids is vital for optimal patient outcomes. The goal of perioperative fluid management is to maintain ...
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procedural sedation
February 25, 2024

An Overview of Procedural Sedation

Procedural sedation and analgesia is a clinical practice that uses pharmacologic agents to achieve a measurable level of sedation during ...
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Patient comfort
January 29, 2024

Patient Comfort Under Anesthesia

Patient comfort under anesthesia is of utmost importance. Not only does patient comfort promote subjective measures of satisfaction, but research ...
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December 28, 2023

Efforts to Make ORs More Environmentally Friendly

Reducing and reversing climate change is arguably the largest problem of modern times. Efforts to gain support and make changes ...
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November 27, 2023

Why Are Mornings Better for Surgery?

Postoperative sleep disturbance (POSD) is a recognized complication following surgery, with several studies identifying general anesthesia as an independent risk ...
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October 27, 2023

Elevated Risk of Nausea & Vomiting in Pregnant Surgical Patients 

50-80% of pregnant people experience nausea and vomiting during pregnancy (“Management of Nausea and Vomiting in Pregnancy”, 2021). These symptoms ...
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September 14, 2023

“Pump and Dump” After Surgery 

Breastfeeding is a significant public health issue that affects the health of newborn babies and birthing parents (3). Breastfed babies ...
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August 8, 2023

Intravenous and Inhalational Anesthetics on the Immune System 

General anesthesia is administered during surgery for analgesic purposes; these can be delivered using inhalational anesthetics, intravenous medications, or a ...
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June 21, 2023

FDA Approval for an RSV Vaccine 

Respiratory syncytial virus (RSV) is a highly contagious virus that infects the lungs and breathing passages of individuals of all ages. ...
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May 18, 2023

Ultrasound Guidance for IV Cannulation 

IV cannulation is a procedure used to introduce a catheter into an artery or vein. This can be completed in ...
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April 21, 2023

Safety of Outpatient OBGYN Surgery 

Recent years have seen a significant and ongoing shift towards more outpatient surgery and less inpatient surgery. There are many ...
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March 24, 2023

Considerations for Surgery Patients with Muscle Tremor 

Tremor is a neurological disorder causing shaking movements in one or more parts of the body. Most often affecting the hands, ...
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February 20, 2023

Virtual Pre-Anesthesia Evaluations 

A preoperative assessment is a standard evaluation, traditionally carried out in person, for patients who will undergo a procedure involving ...
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January 17, 2023

Efficacy of the Bivalent COVID-19 Booster 

Amidst a surge of Omicron variant COVID infections in August 2022, the FDA gave emergency use authorization to a bivalent ...
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December 7, 2022

Adverse Effects of Blood Transfusions in Surgery 

A blood transfusion, which replaces blood lost due to surgery or injury, is a potentially life-saving procedure. Blood transfusions are ...
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October 17, 2022

IV Placement for Administrating Anesthesia

Though anesthesia can be delivered in non-invasive forms (i.e. orally, or through inhalation), intravenous (IV) administration allows for continuous dispensation ...
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September 19, 2022

Accreditation for Surgical Facilities 

The accreditation of surgical facilities allows these facilities to demonstrate that they are able to meet official regulatory requirements and ...
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August 16, 2022

Characteristics of the Current Covid Wave 

The Network for Genomic Surveillance in South Africa was the first to identify the novel Omicron (BA.5) variant of SARS-CoV-2 ...
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Pharmacologic prevention strategies have shown potential for the prevention of postoperative delirium.
July 18, 2022

Multimodal Prevention of Postoperative Delirium

Postoperative delirium is a concerning and urgent complication in all surgical patients but especially in older patients. The reported incidence ...
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The first recall of Philips mechanical ventilators was caused by the finding that patients could swallow or inhale debris while using them
June 20, 2022

Recall for Philips Mechanical Ventilators 

In June 2021, the Dutch electronics corporation, Philips, issued a recall of thousands of its ventilators [1]. The recalled devices ...
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May 16, 2022

Fast-Track Anesthesia in Cardiac Surgery  

Fast-track surgery and anesthesia is designed to get patients who have undergone elective procedures back home as soon as possible, ...
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April 18, 2022

Global Status of COVID-19 

More than two years into the pandemic, COVID-19 continues to have a massive impact worldwide. On April 7, 2022, the ...
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March 22, 2022

Emergence Agitation after General Anesthesia

Emergence agitation is characterized by agitation, confusion, and disorientation in the early phase of recovery from general anesthesia 1. Incidence ...
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February 23, 2022

Benefits of Ambulatory Surgery Centers for Patients

An ambulatory surgery center is a freestanding facility exclusively “providing surgical services to patients not requiring hospitalization, and in which ...
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January 19, 2022

The Effect of COVID-19 Vaccines on Disease, Transmission, and Infection

With the unprecedented rapid spread of the Omicron variant of SARS-CoV-2, the efficacy of the various COVID-19 vaccines has been ...
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December 22, 2021

Ultrasound for Spinal Anesthesia in Patients with Obesity

Spinal anesthesia is a type of regional anesthesia that can be used for procedures involving the lower abdomen, pelvic/perineal region ...
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November 15, 2021

Effect of Salt on Blood Pressure

The positive relationship between salt intake and high blood pressure has been well-established. While this relationship was first recognized over ...
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October 18, 2021

Blood Transfusions in the Operating Room

The transfusion of red blood cells is a life-saving measure in the management of a number of surgical conditions. Blood transfusions ...
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September 20, 2021

Adductor Canal Block for Total Knee Arthroplasty

Total knee arthroplasty (TKA) is an operation used for treating end-stage knee arthritis [1]. Unfortunately, it is a painful surgery, ...
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August 9, 2021

Efficacy of Inactivated COVID-19 Vaccines

With more than 200 million global cases documented, the COVID-19 pandemic has posed a significant challenge to public health systems ...
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July 5, 2021

Merit-based Incentive Payment System: Categories and Scoring

The Merit-based Incentive Payment System (MIPS) is one of the two tracks of Medicare Part B’s current pay-for-performance program [1]. ...
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June 7, 2021

Mechanism of Neuromuscular Blockade and Reversal

An essential anesthetic agent, neuromuscular blocking drugs are powerful skeletal muscle relaxants that allow for endotracheal intubation, patient movement reduction, ...
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May 3, 2021

Pre-Operative Cognitive Screening for Elderly Patients

Surgery often entails stress, inflammation, pain, medications, and anesthesia, all of which may temporarily compromise a patient’s cognitive function. In addition, risk of perioperative cognitive impairment heightens with aging: depending on the ...
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April 5, 2021

Merit-Based Incentive Payment System (MIPS): Applying for Exception

The Merit-Based Incentive Payment System (MIPS) is a system by which physicians receive merit-based payment adjustments through Medicare. This system is meant ...
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March 8, 2021

Intraoperative Hyperoxia and Acute Kidney Injury

A common practice during cardiac surgery is to supply patients with increased levels of oxygen. This practice, also known as intraoperative hyperoxia, ...
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February 8, 2021

The Effect of Approved COVID-19 Vaccines on Ongoing Clinical Trials

While new vaccines typically take years to develop, the unprecedented urgency of the COVID-19 pandemic has led to several new ...
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January 11, 2021

Anesthesiology Subspecialty Training

Like other medical disciplines, anesthesiology is divided into several subspecialties. After the completion of a residency training, anesthesiologists may choose to pursue ...
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December 14, 2020

Renal Protection and Anesthesia

Acute kidney injury (AKI) is a relatively common postoperative complication, most often occurring after major vascular, cardiac, liver, and transplant surgeries.3 Since both mild and ...
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November 16, 2020

Overview of Medication Routes

Medications, including anesthetics, can be administered via a variety of routes. These options include oral administration, injection—including intravenous, intra-articular, intramuscular, intrathecal, and ...
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A physician explains an opioid prescription for pain management
October 12, 2020

Balancing the Opioid Crisis with Compassionate Pain Management

Overprescribing opioids in the first decade of the 21st century led to a rash of addictions and deaths. In response, ...
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Image of X-ray showing hip
September 14, 2020

Neuraxial vs. General Anesthesia for Hip Fracture Repair

Though hip fracture repair has become a standard orthopedic procedure, the debate over the ideal method of anesthesia persists. Research ...
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August 17, 2020

Neuraxial versus General Anesthesia for Total Knee Arthroplasty

Neuraxial anesthesia (NA) for total knee arthroplasty (replacement) has gained favor over the past two decades with growing emphasis on enhanced recovery, as well as minimizing healthcare cost, opioid use, and costly inpatient stays. Concurrently, the number of arthroplasty ...
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July 23, 2020

The Role of Artificial Intelligence in Genomics

Artificial Intelligence (AI) is defined as the simulation of human intelligence by machines. AI has demonstrated significant utility in genomics, especially within clinical genomics. ...
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May 6, 2020

Persistent Pain Following Delivery

Anesthesia providers are responsible for anesthesia care, critical care medicine and pain management.1 In particular, pain management involves providing medicine or nonpharmaceutical alternatives for acute2 or chronic3 pain. Anesthesia providers may need ...
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April 17, 2020

Perioperative Management of the Patient with a Stent

Patients who present for surgery often have a variety of conditions that may or may not be directly related to their surgery. For example, patients undergoing noncardiac surgery can ...
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March 26, 2020

Anesthetic Considerations for Patients with Diabetes

Diabetes mellitus is a chronic disease characterized by a decrease in insulin production (type 1) or impaired utilization of insulin ...
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February 25, 2020

Anesthesia for Patients with Asthma

Asthma is a chronic pulmonary disease characterized by airway inflammation and hyper-responsiveness resulting in episodic wheezing, coughing, breathlessness, chest tightness, ...
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February 21, 2020

Remifentanil: Biological Mechanisms, Surgical Applications and Side Effects

Remifentanil is an ultrashort-acting opioid drug that is a derivative of fentanyl.1 It was first introduced into medical practice in ...
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January 8, 2020

Anesthetic Implications of Anorexia Nervosa

Anorexia nervosa, commonly known as anorexia, is an eating disorder characterized by abnormally low body weight, intense fear of gaining ...
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December 27, 2019

Anesthesia for Special Needs Patients

Anesthesiology is not only about selection of anesthetic drugs, but also involves patient care. Anesthesiology practitioners must consider a patient’s ...
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November 15, 2019

Improving Efficiency in the Operating Room

Operating rooms (ORs) are among the most important divisions of a hospital, contributing to both the workload and the revenue. ...
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June 17, 2019

Quality Assurance Instruments: Applications for the OR

Quality Assurance, also known in the Operations Management realm dialogue as QA, is of the utmost importance in surgical and ...
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