PGY-4 (CA-3 & Chief Year)

Senior Presentation – Challenging Dogmas In Anesthesiology

Our anesthesia program’s senior residents are required to give a 30 minute presentation on a topic of their choice at our department’s weekly Grand Rounds. My presentation is in six weeks, and I’ve spent the last few weeks collecting articles pertaining to my topic – evidence based challenges to dogmas in anesthesiology.

VA anesthesia cart

Teaching anesthesiology is an extremely variable task. There are countless ways to perform any anesthetic, and everyone thinks his/her approach is the “correct one.” As trainees, this is good and bad as we’re exposed to many different styles. However, we’re inundated with anecdotal information… many times figments of anesthesia lore or a previous schools of thought.

I chose my topic because incorporating evidence to defend or refute our practices and knowledge base is becoming increasingly important in the world of translational medicine. Accepting dogma without questioning why or how confers a very complacent and lazy practice of medicine. During my anesthesiology training, I’ve been taught and read many “myths” which the evidence either does not support or rejects entirely. I’m hoping to shed light on some of these dogmas and think it will be relevant to trainees at all levels.

I’ll upload my presentation in early December for those who are curious. Till then, happy football Sunday! 🙂

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5 Comments

  1. Hey Dr. I’ve been looking at your website and found quite curious about what you talk in this presentation years ago. Did you have this slides still available for downloading?

    1. Won’t be posting the slides, but I discussed the evidence behind things like cricoid pressure during laryngoscopy, fasting guidelines, mask ventilation before paralysis, ketorolac and bone healing, ketamine and ICP, nitrous oxide’s association with PONV, and low-pressure intraneural injections (during regional nerve blocks). It’s always interesting revisiting the evidence for common things we might otherwise take for granted.

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