Supervision of anesthesiology residents and/or Certified Registered Nurse Anesthetists (CRNAs) is a major daily responsibility of most anesthesiologists. The quality of this supervision should be evaluated and understood. For example, is the quality of supervision different if an anesthesiologist is supervising 3 CRNAs compared to 1 resident who is caring for a patient with high(…)
Can labor pain, need for local analgesics during labor, and time to epidural analgesia request for labor be predicted?
Labor is the process of childbirth, from the start of uterine contractions to the delivery of the fetus and placenta. Labor hurts, of course, and the intensity of labor pain increases over the course of labor. Nevertheless, women experience pain differently. Can we understand this variability? Dr. Brendan Carvalho, Department of Anesthesia, Stanford University School(…)
The previous post described the Triton System™, an iPad application, combined with a modest amount of hardware (a footswitch) that scans surgical sponges, uploads the data to a cloud server, and estimates hemoglobin mass. In that study, reconstituted blood was used to measure the system’s accuracy. Dr. Allen A. Holmes, Department of Anesthesiology and Perioperative(…)
Blood is lost during a surgical procedure. The surgeon wipes it up with sponges, suctions it, or lets it fall on the floor. We, the anesthesiologist, must then determine how much blood is lost. This is an inaccurate science at best! Sponges can be weighed and the dry weight can be subtracted, though it’s assumed(…)
Regional anesthesia has been thought of as the future of anesthesia, specifically targeting the area being operated on, and providing postoperative analgesia while decreasing intraoperative anesthetic requirements. In this month’s issue of Anesthesia & Analgesia, Dr. Gildasio S. De Oliveira, Jr., Department of Anesthesiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, and colleagues from(…)
The September issue of Anesthesia & Analgesia has just posted. Dr. Steven Shafer, editor-in-chief, Anesthesia & Analgesia: Turan and colleagues (The Association of Serum Vitamin D Concentration with Serious Complications After Noncardiac Surgery) report that increased vitamin D concentrations were associated with a reduction in severe adverse perioperative outcomes in adult noncardiac surgical patients. Zaloga(…)