APSF News & Updates
Inability to retract guidewire from catheter during lumbar CSF drain placement for TEVAR surgery
September 9, 2020
Ischemic spinal cord injury is a significant complication of thoracic aortic aneurysm repair, presenting as transient or permanent paresis or paralysis…
National Alert Network: Tranexamic Acid – Local Anesthetic Administration Errors Resulting in Seizures & Prevention Recommendations
September 9, 2020
The National Alert Network (NAN) describes three cases of accidental administration of intrathecal tranexamic acid instead of local anesthetics, resulting in seizures. The top caps of vials for tranexamic acid…
Anesthesia Emergencies in Hybrid Operating Rooms: Multidisciplinary Crisis Resource Management
September 8, 2020
Non-operating room anesthesia (NORA) procedures are increasing in frequency and complexity. Anesthesia induction and emergence in particular are often challenging…
Designing a Program for Infection Prevention in the Anesthesia Work Environment
September 3, 2020
Intraoperative bacterial and viral contamination of the anesthesia work environment (AWE) has been directly linked to 30-day postoperative infections. Proven sites of contamination include…
ISMP Supports NRFit Initiative to Reduce Neuraxial Catheter Misconnections
September 1, 2020
The Institute for Safe Medication Practices (ISMP) recently wrote an article introducing and supporting the international movement called NRFit, aimed at preventing epidural or intrathecal catheter injections of medications meant…
MH Survival without Dantrolene
August 25, 2020
Treatment of intraoperative malignant hyperthermia (MH) usually involves administration of IV dantrolene, which reduces the mortality from over 80% if untreated to less than 10%…