anesthesia

“Redheads Need More Anesthesia” – Fact Or Fiction?

The notion that natural redheads need "more anesthesia" and/or are resistant to certain medications has been spread by the media (ie, Time Magazine and The New York Times), the scientific literature, and even seasoned...

What To Expect The Day Of Heart Surgery

As a cardiothoracic anesthesiologist, I often meet patients who have wrapped their head around the fact that they are getting surgery, but they have a lot of fear about the anesthesia, cardiopulmonary bypass, and...

Transporting Critically Ill Patients To The Operating Room

For critically ill inpatients on multiple pressors, mechanical ventilation, and/or mechanical circulatory support devices, it's customary for the anesthesiologist to be a part of the transport team. Over the years, I've seen countless styles...

Premedication Before Surgery

In the perioperative world, "premedication" refers to pharmacologic therapy administered to relieve anxiety, provide light sedation, and even create some degree of antegrade amnesia prior to an operation. While there are many styles, I'm...

Intralipid

Intralipid (20% fat emulsion) is a formulation of intravenous fat primarily of soybean oil, glycerin, and egg yolk-derived phospholipids. As an intensivist, Intralipid provides supplementary nutrition to patients on parenteral nutrition; however, as an...

Maintenance of Certification in Anesthesiology – MOCA 2.0®

Maintenance of certification in anesthesiology (MOCA) is an important aspect of demonstrating knowledge and various proficiencies over the course of our careers. The latest iteration of this process ("MOCA 2.0") has replaced the MOCA...

Total Intravenous Anesthesia (TIVA)

Total intravenous anesthesia (TIVA) traditionally refers to general anesthesia maintained by intravenous medications without using inhaled volatile (“gas”) anesthetics. To safely accomplish this, one must understand the pharmacokinetics involved with maintaining an appropriate plasma/brain...

Visiting The Ether Dome

The Ether Dome at Massachusetts General Hospital is a historical site in medicine for serving as the amphitheater for the first public demonstration of surgical anesthesia by William T.G. Morton on October 16, 1946....

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