Anesthesia & Analgesia's supplement for education and dialog

Is postoperative opioid use after minor surgery related to PTSD?

Is postoperative opioid use after minor surgery related to PTSD?

Opioid use and posttraumatic stress disorder among veterans have been in the news. Is there a relationship between the two? For veterans who undergo elective ambulatory knee arthroscopy, is PTSD a risk factor for chronic postoperative pain, and are these veterans likely to use postoperative opioids for longer than 3 months? Dr. Irene Rozet, Department(…)

Pierre Robin Sequence: a review for the anesthesiologist

Pierre Robin Sequence: a review for the anesthesiologist

One of the dreaded difficult airway disorders is Pierre Robin Sequence (PRS), also called Pierre Robin Syndrome. It is defined as a combination of cleft palate, micrognathia (small jaw), and glossoptosis (airway obstruction resulting from backward and downward displacement of the base of the tongue). The term “sequence” is often used because it is thought that a(…)

August 2014: Anesthesia & Analgesia

August 2014: Anesthesia & Analgesia

The August issue of Anesthesia & Analgesia has just posted. Dr. Steven Shafer, editor-in-chief, Anesthesia & Analgesia: Ding and colleagues (Epidural Labor Analgesia Is Associated with a Decreased Risk of Postpartum Depression: A Prospective Cohort Study) at Peking Union Medical Center found that epidural anesthesia decreased the risk of postpartum depression. In their accompanying editorial Wisner(…)

Wrong site surgery is a “never event”: examination using root cause analysis

Wrong site surgery is a “never event”: examination using root cause analysis

  As implied by the name, “Never Events” should never occur. Health care registries can capture such sentinel events, facilitating root cause analysis to help determine how to prevent their recurrence.  Dr. Sally Rampersad, Department of Anesthesiology and Pain Medicine, Seattle Children’s Hospital and University of Washington School of Medicine, Seattle, Washington, and colleagues describe(…)

Root cause analysis after cardiac arrest due to local anesthetic overdose

Root cause analysis after cardiac arrest due to local anesthetic overdose

In the previous post, the authors described how Wake Up Safe (WUS) members use a standardized root cause analysis (RCA) method when adverse events occur in part to determine system changes that can be implemented to reduce future risk.  Dr. David Buck, Department of Anesthesiology, Cincinnati Children’s Hospital, Cincinnati, Ohio, and Drs. Renee Kreeger and(…)