Pub Date : 2024-04-01Epub Date: 2024-01-22DOI: 10.1097/AIA.0000000000000431
Yuval Bitan, Michael F O'Connor, Mark E Nunnally
{"title":"The vial can help: Standardizing vial design to reduce the risk of medication errors.","authors":"Yuval Bitan, Michael F O'Connor, Mark E Nunnally","doi":"10.1097/AIA.0000000000000431","DOIUrl":"10.1097/AIA.0000000000000431","url":null,"abstract":"","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":" ","pages":"58-61"},"PeriodicalIF":0.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139513866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-01Epub Date: 2024-01-25DOI: 10.1097/AIA.0000000000000433
R Christopher Call, Samuel G Espiritu, David A Barrows
{"title":"\"Plans are worthless, but planning is everything\": advancing patient safety by better managing the paradox of planning versus adaptation.","authors":"R Christopher Call, Samuel G Espiritu, David A Barrows","doi":"10.1097/AIA.0000000000000433","DOIUrl":"10.1097/AIA.0000000000000433","url":null,"abstract":"","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":" ","pages":"9-15"},"PeriodicalIF":0.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139546579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01Epub Date: 2023-11-13DOI: 10.1097/AIA.0000000000000422
Yan H Lai, Malikah Latmore, Sarah S Joo, Janet Hong
{"title":"Regional anesthesia for the geriatric patient: a narrative review and update on hip fracture repair.","authors":"Yan H Lai, Malikah Latmore, Sarah S Joo, Janet Hong","doi":"10.1097/AIA.0000000000000422","DOIUrl":"10.1097/AIA.0000000000000422","url":null,"abstract":"","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":" ","pages":"79-85"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89719980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-08DOI: 10.1097/AIA.0000000000000425
Christopher O. Fadumiye, Jinlei Li
Regional anesthesia use has expanded into nearly every surgical specialty and most anesthesia clinical practices, with demonstrated bene fi ts in better acute pain control, fewer perioperative complications, improved recovery outcomes, less resource utilization, 1
{"title":"Clinical education in regional anesthesia: current status and future directions","authors":"Christopher O. Fadumiye, Jinlei Li","doi":"10.1097/AIA.0000000000000425","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000425","url":null,"abstract":"Regional anesthesia use has expanded into nearly every surgical specialty and most anesthesia clinical practices, with demonstrated bene fi ts in better acute pain control, fewer perioperative complications, improved recovery outcomes, less resource utilization, 1","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"26 12","pages":"86 - 93"},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138587818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-08DOI: 10.1097/AIA.0000000000000419
Marissa M Weber, David Rubin, Jaime L. Baratta
The management of pain in the critical care setting can be challenging and complex due to patient comorbidities and the reduced capacity of critically ill patients to communicate their pain severity. A majority of patients in the intensive care unit (ICU) report moderate to severe pain, inadequate pain control, and negative memories of their ICU stay secondary to pain. 1 – 3 However, untreated pain can not only be a very stressful and unpleasant experience for the patient, but it may also result in deleterious physiological effects, increased morbidity and mortality, and increased hospital costs. Regional anesthesia (RA) and multimodal analgesia are key components for successful pain management in the ICU, as opioids may worsen the cardiac and pulmonary status of the already critically ill patient. In addition, point-of-care ultrasound (POCUS) is a valuable and inexpensive diagnostic tool that can be used at the bedside or during critical situations in the ICU to quickly diagnose and treat acute changes in a patient ’ s status. The utility of ultrasound and RA has grown and continues to grow exponentially over the last decade.
{"title":"Regional anesthesia and POCUS in the intensive care unit","authors":"Marissa M Weber, David Rubin, Jaime L. Baratta","doi":"10.1097/AIA.0000000000000419","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000419","url":null,"abstract":"The management of pain in the critical care setting can be challenging and complex due to patient comorbidities and the reduced capacity of critically ill patients to communicate their pain severity. A majority of patients in the intensive care unit (ICU) report moderate to severe pain, inadequate pain control, and negative memories of their ICU stay secondary to pain. 1 – 3 However, untreated pain can not only be a very stressful and unpleasant experience for the patient, but it may also result in deleterious physiological effects, increased morbidity and mortality, and increased hospital costs. Regional anesthesia (RA) and multimodal analgesia are key components for successful pain management in the ICU, as opioids may worsen the cardiac and pulmonary status of the already critically ill patient. In addition, point-of-care ultrasound (POCUS) is a valuable and inexpensive diagnostic tool that can be used at the bedside or during critical situations in the ICU to quickly diagnose and treat acute changes in a patient ’ s status. The utility of ultrasound and RA has grown and continues to grow exponentially over the last decade.","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"87 4","pages":"35 - 42"},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138586824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-08DOI: 10.1097/AIA.0000000000000423
Aaron Ocker, Haitem Muafa, Jaime L. Baratta
{"title":"Regional anesthesia in cardiac surgery and electrophysiology procedures","authors":"Aaron Ocker, Haitem Muafa, Jaime L. Baratta","doi":"10.1097/AIA.0000000000000423","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000423","url":null,"abstract":"","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"13 1","pages":"21 - 27"},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138589945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-08DOI: 10.1097/AIA.0000000000000427
Rutuja Sikachi, Lori-Ann Oliver, Jodi-Ann Oliver, Poonam Pai B.H.
Elective spine surgeries are performed when conservative measures fail to adequately address back pain due to osteoarthritis or congenital deformities affecting quality of life adversely. With a growing aging population, the volume of thoracolumbar spine surgeries, such as anterior fusions, are expected to increase from 46,903 to 55,528, and posterior fusion surgeries are expected to increase from 248,416 to 297,994 from 2020 to 2040, indicating an eminent substantial burden on the health care systems. 1 Unfortunately, up to 57% of patients undergoing elective major spine surgeries experience poor pain control after surgery. 2 Perioperative pain management can be challenging not just due to the nature of the surgery but also due to some unique features in patients presenting for these surgeries, like preexisting chronic pain, adolescence, or advanced age. Poorly controlled pain is associated with increased opioid consumption, delayed rehabilitation, increased hospital length of stay (LOS), and increased rates of complications. 3 Inadequate analgesia is also associated with the development of chronic pain and a signi fi cant systemic in fl ammatory response, leading to a reduction in overall quality of life. 4 The fi eld of spine surgery has made enormous strides over the past 100 years, which has led to improved surgical outcomes and reduced patient morbidity. With safer and more ef fi cient techniques, some spinal surgeries are now possible as ambulatory procedures. 5 This has led to growing interest in the role of regional anesthesia as an alternative as well as a supplement to traditional general anesthesia (GA) for spine surgeries. In
{"title":"Perioperative pain management for spine surgeries","authors":"Rutuja Sikachi, Lori-Ann Oliver, Jodi-Ann Oliver, Poonam Pai B.H.","doi":"10.1097/AIA.0000000000000427","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000427","url":null,"abstract":"Elective spine surgeries are performed when conservative measures fail to adequately address back pain due to osteoarthritis or congenital deformities affecting quality of life adversely. With a growing aging population, the volume of thoracolumbar spine surgeries, such as anterior fusions, are expected to increase from 46,903 to 55,528, and posterior fusion surgeries are expected to increase from 248,416 to 297,994 from 2020 to 2040, indicating an eminent substantial burden on the health care systems. 1 Unfortunately, up to 57% of patients undergoing elective major spine surgeries experience poor pain control after surgery. 2 Perioperative pain management can be challenging not just due to the nature of the surgery but also due to some unique features in patients presenting for these surgeries, like preexisting chronic pain, adolescence, or advanced age. Poorly controlled pain is associated with increased opioid consumption, delayed rehabilitation, increased hospital length of stay (LOS), and increased rates of complications. 3 Inadequate analgesia is also associated with the development of chronic pain and a signi fi cant systemic in fl ammatory response, leading to a reduction in overall quality of life. 4 The fi eld of spine surgery has made enormous strides over the past 100 years, which has led to improved surgical outcomes and reduced patient morbidity. With safer and more ef fi cient techniques, some spinal surgeries are now possible as ambulatory procedures. 5 This has led to growing interest in the role of regional anesthesia as an alternative as well as a supplement to traditional general anesthesia (GA) for spine surgeries. In","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"83 22","pages":"28 - 34"},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138586714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-08DOI: 10.1097/AIA.0000000000000428
A. Bapodra, Kimberly Moy, Daniel Nekola, Gary S. Schwartz
{"title":"Neuraxial analgesia, nerve blocks, and special considerations for the parturient","authors":"A. Bapodra, Kimberly Moy, Daniel Nekola, Gary S. Schwartz","doi":"10.1097/AIA.0000000000000428","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000428","url":null,"abstract":"","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"23 20","pages":"62 - 68"},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138589511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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