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  1. Article ; Online: Pro: The Best Method to Preoxygenate the Physiologically Difficult Airway Is Noninvasive Ventilation.

    Jarzebowski, Mary L / Kadar, Rachel

    Journal of cardiothoracic and vascular anesthesia

    2023  Volume 37, Issue 12, Page(s) 2668–2670

    MeSH term(s) Humans ; Noninvasive Ventilation ; Respiration, Artificial ; Positive-Pressure Respiration
    Language English
    Publishing date 2023-04-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1067317-9
    ISSN 1532-8422 ; 1053-0770
    ISSN (online) 1532-8422
    ISSN 1053-0770
    DOI 10.1053/j.jvca.2023.04.036
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    Zs.A 2203: Show issues Location:
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  2. Article: Current Topics in Critical Care for the Anesthesiologist.

    Chalkias, Athanasios / Jarzebowski, Mary L / Rosenblatt, Kathryn

    Anesthesiology clinics

    2023  Volume 41, Issue 1, Page(s) xvii–xviii

    MeSH term(s) Humans ; Anesthesiologists ; Critical Care
    Language English
    Publishing date 2023-03-03
    Publishing country United States
    Document type Editorial
    ZDB-ID 2228899-5
    ISSN 2210-3538 ; 1932-2275 ; 0889-8537
    ISSN (online) 2210-3538
    ISSN 1932-2275 ; 0889-8537
    DOI 10.1016/j.anclin.2022.10.001
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  3. Article: Patient Blood Management, Anemia, and Transfusion Optimization Across Surgical Specialties.

    Kiyatkin, Michael E / Mladinov, Domagoj / Jarzebowski, Mary L / Warner, Matthew A

    Anesthesiology clinics

    2023  Volume 41, Issue 1, Page(s) 161–174

    Abstract: Patient blood management (PBM) is a systematic, evidence-based approach to improve patient outcomes by managing and preserving a patient's own blood and minimizing allogenic transfusion need and risk. According to the PBM approach, the goals of ... ...

    Abstract Patient blood management (PBM) is a systematic, evidence-based approach to improve patient outcomes by managing and preserving a patient's own blood and minimizing allogenic transfusion need and risk. According to the PBM approach, the goals of perioperative anemia management include early diagnosis, targeted treatment, blood conservation, restrictive transfusion except in cases of acute and massive hemorrhage, and ongoing quality assurance and research efforts to advance overall blood health.
    MeSH term(s) Humans ; Anemia ; Specialties, Surgical ; Blood Transfusion
    Language English
    Publishing date 2023-03-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2228899-5
    ISSN 2210-3538 ; 1932-2275 ; 0889-8537
    ISSN (online) 2210-3538
    ISSN 1932-2275 ; 0889-8537
    DOI 10.1016/j.anclin.2022.10.003
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  4. Article ; Online: Challenges and outcomes in airway management outside the operating room.

    Jarzebowski, Mary / Estime, Stephen / Russotto, Vincenzo / Karamchandani, Kunal

    Current opinion in anaesthesiology

    2022  Volume 35, Issue 2, Page(s) 109–114

    Abstract: Purpose of review: Airway management outside the operating room poses unique challenges that every clinician should recognize. These include anatomic, physiologic, and logistic challenges, each of which can contribute to complications and lead to poor ... ...

    Abstract Purpose of review: Airway management outside the operating room poses unique challenges that every clinician should recognize. These include anatomic, physiologic, and logistic challenges, each of which can contribute to complications and lead to poor outcomes. Recognizing these challenges and highlighting known outcome data may better prepare the team, making this otherwise daunting procedure safer and potentially improving patient outcomes.
    Recent findings: Newer intubating techniques and devices have made navigating anatomic airway challenges easier. However, physiological challenges during emergency airway management remain a cause of poor patient outcomes. Hemodynamic collapse has been identified as the most common peri-intubation adverse event and a leading cause of morbidity and mortality associated with the procedure.
    Summary: Emergency airway management outside the operating room remains a high-risk procedure, associated with poor outcomes. Pre-intubation hemodynamic optimization may mitigate some of the risks, and future research should focus on identification of best strategies for hemodynamic optimization prior to and during this procedure.
    MeSH term(s) Airway Management/adverse effects ; Airway Management/methods ; Emergency Medical Services ; Hemodynamic Monitoring ; Humans ; Intubation, Intratracheal/adverse effects ; Intubation, Intratracheal/methods
    Language English
    Publishing date 2022-01-31
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 645203-6
    ISSN 1473-6500 ; 0952-7907
    ISSN (online) 1473-6500
    ISSN 0952-7907
    DOI 10.1097/ACO.0000000000001100
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    Zs.A 2564: Show issues Location:
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  5. Article ; Online: Errors in perioperative antimicrobial use for hospitalized surgical patients.

    Boton, Noah H / Patel, Payal K / Kendall, Ronald E / Hershey, Cheryl / Jarzebowski, Mary

    Antimicrobial stewardship & healthcare epidemiology : ASHE

    2022  Volume 2, Issue 1, Page(s) e162

    Language English
    Publishing date 2022-09-30
    Publishing country England
    Document type Journal Article
    ISSN 2732-494X
    ISSN (online) 2732-494X
    DOI 10.1017/ash.2022.255
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  6. Article ; Online: Patterns of opioid prescribing in mechanically ventilated patients with septic shock.

    Jarzebowski, Mary L / Hill, Andrea D / Burry, Lisa / Bosch, Nicholas A / Viglianti, Elizabeth M / Teja, Bijan / Wunsch, Hannah

    British journal of anaesthesia

    2023  Volume 131, Issue 6, Page(s) e197–e199

    MeSH term(s) Humans ; Shock, Septic/drug therapy ; Analgesics, Opioid/therapeutic use ; Respiration, Artificial ; Practice Patterns, Physicians' ; Sepsis ; Intensive Care Units ; Hypnotics and Sedatives
    Chemical Substances Analgesics, Opioid ; Hypnotics and Sedatives
    Language English
    Publishing date 2023-10-19
    Publishing country England
    Document type Letter
    ZDB-ID 80074-0
    ISSN 1471-6771 ; 0007-0912
    ISSN (online) 1471-6771
    ISSN 0007-0912
    DOI 10.1016/j.bja.2023.09.018
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  7. Article ; Online: Severe Shivering on Venoarterial Extracorporeal Membrane Oxygenation-Raising the Circuit Temperature to Stop Rhabdomyolysis: A Case Report.

    Kadar, Rachel B / Atassi, Giancarlo / Jarzebowski, Mary / Ault, Michael L

    A&A practice

    2020  Volume 14, Issue 13, Page(s) e01341

    Abstract: We report a case of severe shivering resulting in rhabdomyolysis while on venoarterial extracorporeal membrane oxygenation (ECMO) that resolved after hyperthermia was induced using the ECMO circuit. The patient developed shivering approximately 24 hours ... ...

    Abstract We report a case of severe shivering resulting in rhabdomyolysis while on venoarterial extracorporeal membrane oxygenation (ECMO) that resolved after hyperthermia was induced using the ECMO circuit. The patient developed shivering approximately 24 hours after venoarterial ECMO cannulation for refractory ventricular tachycardia. The shivering caused rhabdomyolysis and necessitated cisatracurium infusion. The shivering failed to resolve after the patient was diagnosed and treated for ventilator-associated pneumonia. Suspecting sepsis as the etiology of shivering, the ECMO circuit temperature was increased to 38 °C, and the shivering was resolved. This case demonstrates therapeutic hyperthermia to treat infection-induced severe shivering and rhabdomyolysis while on ECMO.
    MeSH term(s) Extracorporeal Membrane Oxygenation/adverse effects ; Humans ; Retrospective Studies ; Rhabdomyolysis/etiology ; Rhabdomyolysis/therapy ; Shivering ; Temperature
    Language English
    Publishing date 2020-11-13
    Publishing country United States
    Document type Case Reports ; Journal Article
    ISSN 2575-3126
    ISSN (online) 2575-3126
    DOI 10.1213/XAA.0000000000001341
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  8. Article ; Online: Delayed recognition of false lumen tracheostomy.

    Omosule, Ayodeji Joshua / Zukowski, Daniel Michael / Jarzebowski, Mary Louise

    Journal of clinical anesthesia

    2018  Volume 54, Page(s) 57–58

    MeSH term(s) Aneurysm, Dissecting ; Delayed Diagnosis ; Humans ; Male ; Middle Aged ; Postoperative Complications/diagnostic imaging ; Postoperative Complications/etiology ; Reoperation ; Respiratory Insufficiency/surgery ; Tomography, X-Ray Computed ; Trachea/diagnostic imaging ; Trachea/surgery ; Tracheostomy/adverse effects ; Treatment Failure
    Language English
    Publishing date 2018-11-02
    Publishing country United States
    Document type Letter
    ZDB-ID 1011618-7
    ISSN 1873-4529 ; 0952-8180
    ISSN (online) 1873-4529
    ISSN 0952-8180
    DOI 10.1016/j.jclinane.2018.10.037
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    Zs.A 2622: Show issues Location:
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  9. Article: Naloxone Dispensing in Patients at Risk for Opioid Overdose After Total Knee Arthroplasty Within the Veterans Health Administration.

    Lahidji, Sam / Oliva, Elizabeth / Jarzebowski, Mary / Mudumbai, Seshadri C / Lake, Tamar / Krishnamoorthy, Vijay / Raghunathan, Karthik / Bryan, William E

    Federal practitioner : for the health care professionals of the VA, DoD, and PHS

    2022  Volume 39, Issue 2, Page(s) 64–69

    Abstract: Background: Naloxone prescribing among patients undergoing surgery is not well described. This cohort study was designed to examine patients' risk factors for opioid overdose and their association with naloxone prescribing among veterans undergoing ... ...

    Abstract Background: Naloxone prescribing among patients undergoing surgery is not well described. This cohort study was designed to examine patients' risk factors for opioid overdose and their association with naloxone prescribing among veterans undergoing total knee arthroplasty (TKA) after a systemwide Overdose Education and Naloxone Distribution (OEND) initiative.
    Methods: A retrospective analysis of Veterans Health Administration (VHA) records was performed and consisted of 38,011 veterans undergoing primary TKA from 2013 to 2016. Patient overdose risk was determined using a validated risk index for overdose or serious opioid-induced respiratory depression (RIOSORD) based on patient diagnoses, health care utilization, and prescription drug use. Naloxone dispensing was examined from the year before surgery until 7 days after discharge. These rates were examined the year prior to implementation of a national OEND initiative (2013), the year of implementation (2014), and 2 years following implementation (2015-2016).
    Results: In 2013, 3.3% of patients presenting for TKA had moderate or high risk for overdose and none were prescribed naloxone. By 2016, after OEND implementation, 2.2% of patients presenting for TKA had moderate or high risk for overdose, but only 10.9% of the moderate-risk and 12.7% of the high-risk patients were prescribed naloxone.
    Conclusions: Patients presenting for TKA routinely have risk factors for opioid overdose and significant proportions are at moderate or high risk for overdose. Despite this, most patients at moderate and high risk do not receive perioperative naloxone. Risk mitigation strategies using validated tools such as RIOSORD may help identify surgical patients at greatest risk for opioid overdose who could benefit from OEND.
    Language English
    Publishing date 2022-02-10
    Publishing country United States
    Document type Journal Article
    ISSN 1078-4497
    ISSN 1078-4497
    DOI 10.12788/fp.0227
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  10. Article: Creating an Intensive Care Unit From a Postanesthesia Care Unit for the COVID-19 Surge at the Veterans Affairs Ann Arbor Healthcare System.

    Jarzebowski, Mary / Curran, Tom / Dorsey, Megan / Cederquist, William / Claar, Dru / Derrig, Elisa / Dick, Weston / Push, Katrina / Hausman, Mark / Lake, Tamar

    Federal practitioner : for the health care professionals of the VA, DoD, and PHS

    2020  Volume 37, Issue 8, Page(s) 348–353

    Abstract: Objectives: To prepare for the predicted surge of patients with COVID-19 in Southeast Michigan, the US Department of Veterans Affairs Ann Arbor Healthcare System engineered, built, and staffed a 12-bed intensive care unit (ICU) from the existing ... ...

    Abstract Objectives: To prepare for the predicted surge of patients with COVID-19 in Southeast Michigan, the US Department of Veterans Affairs Ann Arbor Healthcare System engineered, built, and staffed a 12-bed intensive care unit (ICU) from the existing postanesthesia care unit (PACU).
    Observations: Considerations including floor planning, reversal of airflow, strict airborne precautions, sealing off a dedicated nursing station, and developing an infection control plan in an open care unit. A staffing model was created that included anesthesiologist intensivists, advanced practice providers, residents, certified registered nurse anesthetists, and perioperative nurses working alongside ICU trained nurses. Challenges arose in infection control, communication, mechanical ventilation using anesthesia machines, providing renal replacement therapy, and maintaining patient privacy in an open unit.
    Conclusions: This article describes the setup, challenges, and solutions that allowed the creation of the PACU-ICU to help serve veterans and civilians during a time of unprecedented strain on the health care system due to COVID-19.
    Keywords covid19
    Language English
    Publishing date 2020-09-09
    Publishing country United States
    Document type Journal Article
    ISSN 1078-4497
    ISSN 1078-4497
    DOI 10.12788/fp.0020
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