Publications by authors named "Christopher Curatolo"
Because more older adults undergo surgical procedures, it is incumbent on us to learn how to provide them with the safest possible perioperative care. We conducted a retrospective cohort study at a large tertiary care center to determine whether outcomes after anesthesia-related adverse events differed between patients aged 65 years and older versus patients under age 65. One thousand four hundred twenty-four cases were referred to the Performance Improvement committee of the Department of Anesthesiology from the years 2007-2015.
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- Anesthesiologists have been analyzing adverse events during anesthesia since the 1970s, yet incidents still occur, prompting a study to identify and categorize these events at a major medical center.
- The study reviewed 1,424 cases from 2007 to 2015, finding that respiratory complications were the most common adverse events (245 cases), with a significant portion (42.8%) deemed preventable.
- The findings highlight the need for improved safety measures in areas such as respiratory management, trauma, and medication administration to reduce preventable adverse events in anesthesia.
Article Synopsis
- Idiopathic scoliosis is a condition that may need surgery, and new methods for fixing it, like a special surgery called anterolateral scoliosis correction, show promise and have been used a lot at one center.
- This article looks at the experiences of the first 105 patients who had this surgery, focusing on how doctors managed their care during the operation.
- The average age of the patients was about 15 years, and the study reports on how many people had different types of surgeries, their blood loss, and how the doctors prepared them for surgery.
Objective: The American Society of Anesthesiologists physical status (ASA-PS) is associated with increased morbidity and mortality in the perioperative period. When surgeries are scheduled by surgeons and their staff at our large institution a presumed ASA-PS is chosen. This is because our institution (and, anecdotally, others in our hospital system and elsewhere), recognizing the relationship between higher ASA-PS and poorer postoperative outcomes, requires all patients with higher ASA-PS levels (≥3) to undergo enhanced preoperative workup.
View Article and Find Full Text PDFPatients receiving extended-release (XR) naltrexone who are having surgery present unique challenges to anesthesia providers, the most obvious of which is an altered response to the effects of opioid agonists. Based on the timing of the last XR naltrexone dose, patients may be refractory to the effects of opioid agonists or potentially more sensitive to dangerous side effects due to receptor upregulation and hypersensitivity. Complicating matters, redosing XR naltrexone soon after opioid use may precipitate opioid withdrawal.
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