anesthesia

Intravenous Fluid Comparison Table

Intravenous (IV) fluids are ubiquitous in medicine. Crystalloid fluids consist of electrolytes and/or dextrose. They are traditionally used to replace ongoing fluid losses, hydrate patients who cannot tolerate enteral intake, reconstitute medications, etc. Colloids...

Posey Cufflator Manometer

Endotracheal tubes (ETTs) and tracheostomy tubes have pilot balloons which are inflated to expand a pilot cuff situated within the trachea below the vocal cords. This is termed a "secure airway." If this cuff is...

Chewing Gum Before Surgery

The American Society of Anesthesiologists (ASA) preoperative fasting guidelines outline a certain number of hours patient should fast based on their last intake (ie, 6 hours for a light meal) The goal is to...

Reversal With Sugammadex Versus Neostigmine – Postoperative Pulmonary Complications (STRONGER)

Postoperative pulmonary complications (PPCs) come in a wide variety of flavors ranging from atelectasis and pulmonary congestion to respiratory failure and pneumonia. Not only do certain surgeries (upper abdominal and thoracic), age, case duration,...

Anesthetic Considerations For Cardiac Compression And Tamponade

Over the course of my training as a cardiac anesthesiologist and intensivist, I've come across many manifestations of cardiac compression ranging from hemorrhagic pericardial effusions to massive clots. Although the general teaching is to...

7 Steps Of Medical Direction For Anesthesiologists

As an anesthesiologist working with resident physicians and anesthesiologist assistants (AAs), I'm held accountable for the following seven steps of medical direction. In many cases, payers require documentation of these elements (even with I'm...

You Pick Your Surgeon – Not Your Anesthesiologist

Working "behind the curtain" in the operating room has given me insight about the incredible commitment we as anesthesiologists have to patient safety. In the course of a routine cardiac surgery, I administer a...

“Awareness” During Monitored Anesthesia Care (MAC)

Over the years, I've read and received accounts of patient experiences along the lines of: "I woke up during anesthesia!" This piqued my interest as awareness with recall during general anesthesia (GA) is a...

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