Safety Profile of Select Perioperative Lumbar Drain Use After Endoscopic Endonasal Surgery.

Background And Objectives: Lumbar drains (LD) may be selectively used in complex endoscopic endonasal surgery (EES) to promote cerebrospinal fluid (CSF) diversion and decrease CSF leak rates. Perioperative outcomes related to LD insertion have not been described in detail. We aimed to study safety profiles and complications associated with LD placement for EES.

Anesthesiology Malpractice Premiums Considerations.

Medical malpractice insurance coverage and considerations in the United States remain focal points of substantial discourse, particularly for anesthesiology. This study provides a structured and comprehensive overview of malpractice insurance plan coverage and costs in anesthesiology practice while focusing on two pivotal aspects of the financial elements of medical malpractice: shifting trends in medical malpractice insurance costs and transitions in the medical malpractice liability insurance market. By incorporating new empirical data from a survey by the American Society of Anesthesiologists, which targeted medical malpractice insurers, this review exposes new dimensions within the arena of medical malpractice insurance.

Dental Anesthesia Guidelines and Regulations of US States and Major Professional Organizations: A Review.

This summary reviews guidelines and regulations pertaining to dental anesthesia across the United States, including guidelines of the American Dental Association (ADA), American Association of Oral and Maxillofacial Surgeons (AAOMS), and American Society of Anesthesiologists (ASA). The analysis addresses a range of requirements, including definitions of anesthesia and requirements for training and certification across professional societies and the 50 US states, with a focus on office-based settings. Strikingly, substantial variation exists among state rules and regulations and the ADA, AAOMS, and ASA guidelines with implications for variations of care, outcomes, and patient safety.

Low-dose sufentanil does not affect tolerance to LBNP-induced central hypovolemia or blood pressure responses during a cold pressor test.

Hemorrhage is a leading cause of death in the prehospital setting. Since trauma-induced pain often accompanies a hemorrhagic insult, the administered pain medication must not interfere with critical autonomic regulation of arterial blood pressure and vital organ perfusion. The purpose of this study was to test two unrelated hypotheses: ) sublingual sufentanil (Dsuvia) impairs tolerance to progressive central hypovolemia and ) sublingual sufentanil attenuates pain sensation and the accompanying cardiovascular responses to a noxious stimulus.

Physician Unionization: Opportunities and Challenges for Anesthesiologists in the United States.

Physician unionization is gaining traction in the United States, with <10% of practicing physicians now members, up from historically weak support. Factors that drive interest in unions include a decreased number of independent practitioners, an increase in workloads, and the erosion of autonomy. Approximately 56% of anesthesiologists are considered employees and may be eligible for union membership.