President's Message
This winter newsletter comes on the heels of the ASA annual meeting that just concluded in Boston last month, and a Fall meeting of the SOCCA board. The title of this column refers to a big SOCCA change, one which we hope will open the door to an enhanced value of membership. Continue Reading...
The Challenge of Defining the "Classic Fluid Challenge"
As much as we want to believe that most medical interventions are carefully researched and based on the best possible evidence, a large proportion of what we do for patients is based on tradition, consensus, or what some refer to as “eminence-based medicine,” i.e. emulating what the most respected physicians do. The fluid challenge (FC) is a diagnostic and therapeutic intervention that has been used for years in critical care as an easy way to determine fluid responsiveness during resuscitation. In general terms, an FC attempts to assess whether a given patient’s hemodynamics will improve with further fluid administration.[i] Continue Reading...
The Opioid Epidemic and the Role of the ICU
The use of opioids has increased many times over in the last decade across the United States and has now reached epidemic proportions. After alcohol intoxication, opioids are now the most common cause of poisoning in the United States1 with an estimated incidence of 177.7/100,000 annual ED admissions related to opioid overdose.2 Although effective pain relief is a vital component of modern health care, the public health effects of opioid addiction have escalated sharply. Continue Reading...
A Brief Conversation with...Roman Dudaryk
Roman Dudaryk, M.D. is an Associate Professor of Clinical Anesthesiology and Director of Quality Assurance in the Department of Anesthesiology at the University of Miami Miller School of Medicine and Jackson Memorial Hospital. He is also an invaluable member of the Trauma Anesthesiology Faculty at the Ryder Trauma Center in Miami, FL. Continue Reading...
From AUA, eSAS, FAER, IARS and SOCCA: An Exciting Collaborative Research Initiative for Anesthesiology Clinical and Translational Science: a Call for Letters of Intent
We are pleased to inform you about an important new collaborative approach to Anesthesiology clinical and translational research. For several years, colleagues in Europe, Australasia and Canada have successfully conducted multicenter clinical trials in Anesthesiology, including perioperative medicine, pain management, peri-partum care, and perioperative critical care. These studies have enabled our field to address questions that are important to Anesthesiology and society, and have greatly advanced the quality of care we provide on a daily basis. Currently, no such clinical trials network exists in the United States. Continue Reading...
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