Unlock the future of perioperative medicine with insights into remimazolam, the cutting-edge benzodiazepine poised to transform anesthesia practices. We uncover the remarkable features of remimazolam, from its rapid onset and short duration to its unique reversibility and minimal impact on cardiac and respiratory systems. Discover why this novel sedative is gaining traction for neurosurgery and neurology applications, especially for short procedures in the U.S. market.

Explore the nuances of remimazolam's pharmacology, its economic considerations, and how it stands out in complex cardiovascular cases and interventional radiology. With practical insights into its effective use even in MRI procedures for patients with claustrophobia or spinal cord stenosis, this episode is your gateway to understanding how remimazolam is reshaping anesthesia with enhanced patient safety and recovery. This information was previously published in Episodes #175 and #176 and brought together to make one high-yield revisited show all about Remimazolam today.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/233-revolutionizing-anesthesia-the-impact-of-remimazolam/

© 2024, The Anesthesia Patient Safety Foundation

What happens when a defective CO2 absorbent canister leads to ventilation failure during surgery? Our latest episode uncovers the hidden risks of hypoventilation and leaks in anesthesia machines following intra-procedure CO2 canister replacement. We discuss the critical role of manufacturers in providing warnings about potential equipment failures, the importance of backup systems, and the environmental considerations of CO2 absorbent usage and low flow anesthesia. By examining real-world scenarios and various ventilator types, we equip you with strategies to enhance patient safety, all while balancing the benefits of reduced gas flows with the ecological impact of absorbent materials. Tune in to explore these vital topics and the ways in which you can contribute to a safer future in anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/232-embracing-safety-and-sustainability-in-anesthesia-care/

© 2024, The Anesthesia Patient Safety Foundation

What if a simple component replacement could jeopardize patient safety during surgery? Join us as we discuss critical anesthesia safety concerns with our special guest, Dr. Yuki Kuruma, an experienced anesthetist from Japan's Saiseikai Matsusaka General Hospital. Kuruma sheds light on the potential dangers of replacing CO2 absorbent canisters and the risk of hypoventilation caused by defective canisters. Reflecting on a significant 2013 incident involving a canister leak, we uncover why these issues remain pressing today and the urgent need for heightened awareness among anesthesia professionals.

In addition to safety risks, this episode offers a valuable platform for addressing technology-related concerns in anesthesia care. Our rapid response column encourages listeners to submit their insights and experiences with tech-related safety issues, providing direct communication with industry experts and manufacturers. We aim to foster a proactive community dedicated to patient safety and vigilance. Don't miss this enlightening conversation that highlights the importance of staying informed and prepared to ensure the highest standards of care in anesthesia practice.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/231-ensuring-anesthesia-safety-risks-of-co2-canister-replacement-and-technology-concerns/

© 2024, The Anesthesia Patient Safety Foundation

What impact do communication failures have on anesthesia patient safety, particularly for those with limited English proficiency? Join us as we welcome anesthesiology resident, Dr. Yasuko Mano, who sheds light on this critical issue. Drawing from her personal experiences and research, Mano reveals how language barriers can lead to less patient-centered care and increased risks during high-pressure situations like medication reconciliation and obtaining informed consent. Through her insights, we explore the often-overlooked moments in healthcare settings where communication breakdowns can lead to adverse outcomes, especially in perioperative care.

Despite the availability of interpreter services in many hospitals, our discussion uncovers their underutilization at crucial times, such as during the initial check-in or induction of anesthesia. On the show, we outline a quality improvement initiative aiming to bridge these communication gaps. By proposing structural changes in preoperative and interoperative areas, the initiative seeks to enhance interactions between patients and the anesthesia care team with personalized translation tools. Together, we envision a future where high-quality and safe anesthesia care is accessible to all patients, regardless of language proficiency. Listen in to learn about practical solutions and the path toward more inclusive healthcare practices.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/230-bridging-communication-gaps-ensuring-safe-anesthesia-care-for-patients-with-limited-english-proficiency/

© 2024, The Anesthesia Patient Safety Foundation

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 tools like the PRECISE-DAPT score and ARC-HBR criteria used to determine bleeding risk, ensuring patient safety without compromising on the efficacy of treatment. We delve into pivotal studies, including the Global Leader Study and the STOP-DAPT trial, that back these groundbreaking changes.

Our conversation takes an intriguing turn as we explore the intersection of cardiology advancements with anesthesia practices. Discover how these developments are influencing preoperative settings, potentially altering surgical timing and decision-making in anesthesia care. We bring you exclusive insights from contributor, Janak Chandrasoma, featured in the October 2024 APSF newsletter. We urge you to explore further resources, share the knowledge with your peers, and join us in promoting patient safety in perioperative environments. Don't forget to rate, review, and share the episode with colleagues keen on staying at the forefront of anesthesia patient safety advancements.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/229-revolutionizing-anesthesia-care-for-cardiac-patients/

© 2024, The Anesthesia Patient Safety Foundation

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 episode is a must-listen for understanding the evolving landscape and its implications for anesthesia professionals.

Reflecting on past challenges, we transport you back to insights from the 2009 APSF newsletter that spotlighted the critical risks of stent thrombosis associated with older stent technologies. Discover how recommendations have dramatically shifted—from urging a 12-month delay for elective surgeries post-stent placement to adapting to breakthroughs in new generation stents. With a compelling narrative filled with historical context and cutting-edge research, this episode equips listeners with vital knowledge and updated guidelines that could significantly enhance perioperative patient management and safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/228-the-journey-of-drug-eluting-stents-and-anesthesia-patient-safety/

© 2024, The Anesthesia Patient Safety Foundation

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 improve safety outcomes across the board. You'll hear about the fascinating parallels between industries and the potential of predictive analytics to preemptively tackle issues like low blood pressure during surgery.

In our discussion, we highlight the power of collaboration and storytelling in driving change within healthcare systems. We highlight the significance of dedicated events such as Patient Safety Awareness Week and World Anesthesia Day in bringing often-overlooked topics to the forefront. This episode underscores the collective effort needed to address patient safety issues, likening it to the global challenge of climate change. Listen in to understand the pivotal role of media and technology in shaping a safer future for patients worldwide.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/227-technologys-impact-on-patient-safety-insights-from-filmmaker-mike-eisenberg/

© 2024, The Anesthesia Patient Safety Foundation

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 confronts the evolving role of technology in this ongoing mission. Through personal stories and expert insights, we learn how these documentaries have resonated with audiences and sparked a movement for change.

Our discussion takes an enlightening turn as we explore the cutting-edge innovations featured in Eisenberg's latest project. Our conversation highlights the vital role of technology in redefining patient safety. With a focus on the triumphs and trials faced by these innovators, listeners will gain a deeper understanding of how technological advances are shaping the future of healthcare and patient safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/226-from-the-ballpark-to-the-big-screen-patient-safetys-next-generation/

© 2024, The Anesthesia Patient Safety Foundation

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 pressing need for structured postoperative guidelines. With the prevalence of OSA higher in surgical patients, the frequent lack of diagnosis poses significant risks, and together, we explore how clinical guidelines are working to change that narrative.

The Society of Anesthesia and Sleep Medicine is at the forefront of the mission to keep sleep disorder patients safe, and I'm here to share their initiatives and collaborative efforts with you. From addressing the gaps in routine OSA screening to improving clinical training, this conversation is packed with actionable recommendations to elevate anesthesia care practices. Discover the significance of collaborative efforts with other medical societies to create comprehensive management guidelines that ensure patient safety. Whether you're directly involved in anesthesia care or interested in the latest advancements in patient safety, this episode is essential listening for navigating the complexities of OSA management in the perioperative period.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/225-collaborative-guidelines-for-safe-anesthesia-in-osa/

© 2024, The Anesthesia Patient Safety Foundation

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 face-to-face conversations to phone calls, and discuss the potential penalties that could arise from unintentional violations.

In our episode, we share practical tips for anesthesia professionals to navigate these legal waters, ensuring compliance while safeguarding privacy and safety. Whether you're an anesthesia professional or a legal enthusiast, this episode promises to equip you with valuable insights and strategies to remain informed and legally compliant.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/224-staying-legal-recording-conversations-during-anesthesia-care/

© 2024, The Anesthesia Patient Safety Foundation