APSF News & Updates
Institute for Safe Medication Practices (ISMP) Publishes Featured Article “Obstetrical Patient Receives Ampule of Digoxin Instead of BUPivacaine for Spinal Anesthesia”
September 28, 2023
The Institute for Safe Medication Practices (ISMP) published a featured article “Obstetrical Patient Receives Ampule of Digoxin Instead of BUPivacaine for Spinal Anesthesia” highlighting a medication error and safe practice recommendations.
Unusual Cause of Endotracheal Tube Cuff Inflation Failure
August 18, 2023
A 2-year-old undergoing dental rehab was intubated orally with a Covidien (Mansfield, MA) Shiley Hi-Lo Oral Tracheal 4.0 cuffed ETT. After confirmation of ETT placement, we attempted to adjust the leak to 20 cmH20…
Non-opioid analgesics for the prevention of chronic postsurgical pain: a systematic review and network meta-analysis
August 8, 2023
A significant portion of patients (20-30%) undergoing surgery may experience ongoing pain after the procedure known as chronic post-surgical pain (CPSP), with some cases even leading to severe complications. This…
Drug Dilution Errors in The Operating Room. Operating Room Drug Safe Labelling System Update Needed
July 26, 2023
Recently our pharmacy replaced remifentanil 2 mg/ml vials with 1 mg/ml vials. To provide uniformity, syringe pumps used in our perioperative areas are programmed to default to 40 mcg/ml of remifentanil…
Sudden Hypoxemia in GI Procedure Relieved by a New Distal Pharyngeal Airway (DPA): Case Report
July 16, 2023
As a result of sharing the airway with the endoscopist, airway management challenges can occur during gastrointestinal (GI) endoscopy. Hypoxemia occurrence during an upper endoscopy is multifactorial…