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Integrating IPACK (Interspace between the Popliteal Artery and Capsule of the Posterior Knee) Block in an Enhanced Recovery after Surgery Pathway for Total Knee Arthroplasty-A Prospective Triple-Blinded Randomized Controlled Trial

Bh, Poonam Pai; Jinadu, Samiat; Okunlola, Olubunmi; Darkzali, Haider; Lin, Hung Mo; Lai, Yan H
UNLABELLED: < 0.01. In terms of opioid consumption and a majority of functional outcomes, our study demonstrates no overall benefits of adding an IPACK block in this ERAS pathway in TKA. Nevertheless, IPACK may have the potential of mitigating posterior knee pain after TKA. LEVEL OF EVIDENCE/METHODS:level 1. CLINICAL TRIAL NUMBER AND REGISTRY URL/BACKGROUND:NCT03653416. www. CLINICALTRIALS/RESULTS:gov.
PMID: 35944566
ISSN: 1938-2480
CID: 5399372

Health Equity Curriculum for Anesthesiology and Surgery Residents: A Necessary Step Toward Addressing Perioperative Disparities

Asnake, Betelehem; Okunlola, Olubunmi; Wollner, Elliot; Ehie, Odinakachukwu
ISSN: 2380-4017
CID: 5399392

Pulse Oximeter Performance, Racial Inequity, and the Work Ahead

Okunlola, Olubunmi E; Lipnick, Michael S; Batchelder, Paul B; Bernstein, Michael; Feiner, John R; Bickler, Philip E
It has long been known that many pulse oximeters function less accurately in patients with darker skin. Reasons for this observation are incompletely characterized and potentially enabled by limitations in existing regulatory oversight. Based on decades of experience and unpublished data, we believe it is feasible to fully characterize, in the public domain, the factors that contribute to missing clinically important hypoxemia in patients with darkly pigmented skin. Here we propose 5 priority areas of inquiry for the research community and actionable changes to current regulations that will help improve oximeter accuracy. We propose that leading regulatory agencies should immediately modify standards for measuring accuracy and precision of oximeter performance, analyzing and reporting performance outliers, diversifying study subject pools, thoughtfully defining skin pigmentation, reporting data transparently, and accounting for performance during low-perfusion states. These changes will help reduce bias in pulse oximeter performance and improve access to safe oximeters.
PMID: 34772785
ISSN: 1943-3654
CID: 5399382

The Work Is All Around Us: Health Equity in Anesthesiology : From Local to Regional to International

Percy, Samuel; Okunlola, Bunmi; Wollner, Elliot; Medina, Edward; Lipnick, Michael S; Bulamba, Fred
ISSN: 2380-4017
CID: 5007282