Dept of Anesthesiology & Critical Care, University of Pennsylvania School of Meidicine
The purpose of this blog is primarily to provide ongoing contact with former residents and faculty of the Department of Anesthesiology and Critical Care at the University of Pennsylvania, Philadelphia, PA, U.S.A. Others may also have an interest in the topics presented. We discuss a variety of issues related to the practice of anesthesiology with an emphasis on patient safety, risk management and medical legal aspects of care.
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Oct 04, 10 06:38AMOf particular interest is that the number of reports for wrong site surgery in Pennsylvania appear to be declining. However, wrong site placement of local anesthetic blocks is becoming an increasing p ercentage...
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Aug 05, 10 06:59PMThe Agency for Healthcare Research and Quality has a section called case and commentary some of which are of interest to anesthesiologists. In October 2009 they presented a case that I briefly summari ze...
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Aug 05, 10 06:42PMPeter Pronovost’s very productive group examines a process by which previously unknown hazards that may be associated with the introduction of new health care services can be anticipated. The au thors...
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Aug 05, 10 06:38PMIn a rodent study published in the June 2009 issue of Anesthesiology, Ren et al begins to separate the analgesic from the respiratory effects of narcotics. They found that administration of Ampakine C X717...
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Jun 04, 10 11:08AMFrom the August 2009 Newsletter of the Premier Safety Institute With 2,700 cases of wrong-site surgery continuing to occur annually, experts recommend more consistent adoption of the Universal Protoco l...
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May 28, 10 11:47AMDr. Falk discusses what needs to be done when a patient unexpectedly does not “wake up” at the end of a general anesthetic: An unresponsive patient in the recovery suite should be approach ed...
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Apr 16, 10 04:28PMDr. Wei expands on his conference comments concerning needle cricothyrotomy and jet ventilation after needle cricothyrotomy -- The cannot ventilate/intubate emergency situation is responsible for a pr eviously...
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Apr 07, 10 02:46PMNundy et al examined the impact of a pre operative briefing on operating room delays and found that a pre operative briefing reduced unexpected delays by 31%. The authors developed a pre operative bri efing...
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Mar 11, 10 10:48AMUse the following hypothetical case as a starting point. A morbidly obese (BMI 48.8) woman in her early 20’s with no significant past medical history presented for relatively minor, superficial, elective...
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Mar 11, 10 10:09AMDr. Savino calls our attention to this article by Miceli et al: This study evaluates the effect of pre-operative angiotensin-converting enzyme inhibitor (ACEI) therapy on early clinical outcomes after coronary...
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