What if the future of dual antiplatelet therapy (DAPT) could be shorter, safer, and more effective? Uncover the latest insights into drug-eluting stents and how they are transforming how we think about dual-antiplatelet therapy. Join us as we examine the game-changing recommendations from top cardiology societies, which suggest that newer-generation stents can significantly reduce the duration of DAPT, particularly for patients with a high bleeding risk. Listen in as we dissect the innovative...
What if the future of cardiac care meant shorter duration of dual antiplatelet therapy without compromising safety? Join us as we explore this possibility with Dr. Joseph Szokol, a leading expert in clinical anesthesiology at the Keck School of Medicine of USC. Dr. Szokol shares his insights into the revolutionary advancements in drug-eluting stent technology, which are reshaping how we approach perioperative care and patient safety. With over 600,000 cardiac stents placed each year, this epi...
Join us for an enlightening conversation with documentary filmmaker Mike Eisenberg, where we explore the transformative role of technology in patient safety, inspired by his acclaimed film "The Pitch." Discover how pioneers like Jeff Cooper have shaped anesthesia patient safety and learn how the world of aviation offers valuable lessons for the healthcare industry. We promise you'll gain insights into how embracing technological innovations can not only reduce complications and costs but also...
Documentary film director, Mike Eisenberg, shares his compelling journey from playing minor league baseball to directing films that change lives. Inspired by his late father, a prominent figure in patient safety, Eisenberg brings passion and insight to his exploration of patient safety in healthcare. His earlier work, "To Error is Human," laid the groundwork for a critical conversation on improving patient safety in healthcare systems. Now, Eisenberg introduces his sequel, "The Pitch," which ...
Can anesthesia care for patients with obstructive sleep apnea (OSA) impact patient safety during surgery? Join me, Alli Bechtel, as I unravel the complexities of managing anesthesia for OSA patients, drawing insights from experts like Mandeep Singh and his team, featured in the June 2024 APSF newsletter. This episode promises to enhance your understanding of the challenges and solutions in perioperative care for OSA patients, highlighting the importance of preoperative screening and the press...
Wiretap laws might seem like a distant concern, but in the realm of clinical practice, they could be more relevant than you think. What if a simple audio recording could make or break your patient care approach? Join us as we unravel the complexities of wiretap regulations in healthcare with insights from Karolina Brook's enlightening APSF article, "Wiretap Laws: Relevance to Clinical Practice and Patient Safety." We'll explore how these laws differ across states, affecting everything from fa...
Ever wondered how wiretap laws impact your daily clinical interactions and patient safety measures? Discover the complexities of these laws with insights from our guest, Dr. Karolina Brook, an anesthesiologist from Boston Medical Center. Join us on the Anesthesia Patient Safety Podcast as we unravel the intricacies of one-party and all-party consent states, and explore how these decades-old statutes are more relevant than ever in our digital age. Dr. Brook shares her personal experiences of b...
Unlock the secrets to enhancing patient safety with our comprehensive discussion on the External Ventricular Drain (EVD) Safety Campaign. Ever wondered how to drastically reduce complications like ventriculitis? We promise you'll walk away with actionable insights, from the critical use of antimicrobial EVDs to the meticulous setup of devices by trained personnel under sterile conditions. We'll delve into essential preoperative steps such as patient history, neurological exams, and intracrani...
Curious about the best practices for managing patients with External Ventricular Drains (EVDs) during anesthesia and ICU transport? Join us as we talk to Dr. Abhijit Lele, a leading neuro-anesthesiologist and neuro-intensivist, who shares his expertise and personal journey from pediatrics to neuro-critical care. Discover the collaborative efforts between the Anesthesia Patient Safety Foundation (APSF) and the Society for Neuroscience and Anesthesiology and Critical Care (SNACC) aimed at impro...
Curious about how to enhance patient safety with external ventricular drains or EVDs? Join us as we unravel the intricacies of EVDs and their pivotal role in perioperative care. With over 25,000 EVD placements annually in the United States, it's crucial for anesthesia and critical care professionals to master the management of these devices to prevent serious complications. We delve into the fundamentals of EVDs, covering their function, placement, and the common risks associated with their u...
Unlock the secrets to improving anesthesia patient safety as we tackle the critical issue of intraoperative hypotension. Did you know that hypotension during surgery can lead to severe complications like acute kidney injury, myocardial injury, delirium, and stroke? Join us as we dissect recent studies, including one by Ariyarathna and colleagues linking high vasopressor use to kidney damage, and another by Chiu and colleagues on the dangers of limiting IV fluid administration. With expert ins...
Ever wondered about the dangers of low blood pressure during surgery? This episode features Amy Yerdon, a certified registered nurse anesthetist and assistant professor at the University of Alabama, Birmingham, who brings to light the critical issue of intraoperative hypotension. Alongside co-authors Matt Scherrer and Desiree Chappell, Yerdon underscores the often-overlooked consequences that patients face post-surgery due to intraoperative hypotension, including acute kidney injury, myocardi...
We are sharing the Residents in a Room Podcast episode #65 on Nontraditional Pathways - Leadership. Unlock the secrets of non-traditional leadership pathways within anesthesiology with Dr. Della Lin, a seasoned expert with over three decades of experience. Learn how Dr. Lin transitioned from a department chair to a speaker, healthcare think tank participant, and APSF board member, offering insights into leadership that go beyond titles. She reveals how behaviors that unite people and solve pr...
Discover the critical steps to safeguarding pediatric patients from opioid-induced respiratory depression in our latest episode featuring experts Tricia Vecchione and Constance Monitto. Learn about the paramount risk factors, such as age and co-morbidities like obstructive sleep apnea, that put young patients at increased risk. We’ll explore essential continuous monitoring strategies, emphasizing the importance of respiratory rate and pulse oximetry for those on parental opioids and patient-c...
How do we keep our youngest and most vulnerable patients safe from the deadly threat of opioid-induced respiratory depression? On this episode of the Anesthesia Patient Safety Podcast, we uncover the answers with invaluable insights from pediatric anesthesiologist Dr. Connie Monitto. Dr. Monitto, along with co-author Tricia Vecchione, breaks down their June 2024 APSF newsletter article, highlighting the unique challenges of managing opioid-induced respiratory depression in children. Expect to...
Can administering anesthesia to patients with concussions lead to complications? Join host, Alli Bechtel, as we unpack the pivotal findings from an insightful article by Arney Abcejo and Jeffrey Pasternak that was featured in the October 2018 APSF newsletter. This episode offers a comprehensive review of the clinical manifestations and challenges of providing anesthesia to recently concussed patients. Discover the prevalent causes of concussions, such as motor vehicle accidents, falls, and sp...
Can you imagine the horror of a medication mix-up between the overwrap and the infusion bag? In this episode, we tackle a crucial ISMP alert concerning a dangerous labeling error between dexmedetomidine and acetaminophen IV bags. Learn from a real-life case where this mistake led to a severe patient reaction, and discover essential steps to prevent such incidents in your practice. We'll cover best practices for barcode scanning, proper medication administration, and how to educate your team t...
Ensuring the safety of pediatric patients with sickle cell disease during anesthesia care can be a complex and demanding task, but what if you had a detailed roadmap to navigate this critical process? Join us as we unpack essential strategies based on the June 2024 APSF Article, “Preoperative Transfusion and Sickle Cell Disease in the Pediatric Patient” by Rahul Baijal, Priti Dalal, and Megha Kanjia, specifically tailored for pediatric anesthesia care. We break down the crucial factors like s...
Unlock the secrets to safeguarding pediatric patients with sickle cell disease during anesthesia. Join us for an enlightening discussion on the APSF article written by Dr. Megha Karkara Kanjia and Dr. Rahul Baijal, as they share their expertise on preoperative care strategies. Learn how to tailor transfusion plans uniquely for each child by considering critical factors such as sickle cell genotype, baseline hemoglobin, and surgical risk. This episode promises to arm you with evidence-ba...
Can the simple act of changing medication packaging save lives? On this week's Anesthesia Patient Safety Podcast, we uncover the alarming truth about the recurrent and devastating error of inadvertent intrathecal tranexamic acid administration. This episode is a continuation of last week's urgent discussion, featuring insights from Elizabeth Rebello and colleagues, who stress system-focused solutions over human-reliant measures to tackle this critical patient safety issue.We dissect the human...