J. Lance Lichtor

Posts by J. Lance Lichtor:

Perioperative management of aspirin therapy

March 3, 2015 By J. Lance Lichtor in Cardiovascular Anesthesiology

Aspirin constitutes important lifelong therapy for many patients with cardiovascular (CV) disease or significant CV risk factors. However, perioperative aspirin management (continuation versus temporary cessation) in patients undergoing noncardiac surgery is a common clinical conundrum that balances aspirin’s potential for decreasing thrombotic risk against possible increased perioperative blood loss. Dr. Neal Stuart Gerstein, Department of […]

The 20 most important publications that are significant “game changers” for anesthesiology

February 27, 2015 By J. Lance Lichtor in General Articles

Many might think that history is boring. Specifically with regard to anesthesia, who cares what happened 50 years ago? For anesthesiologists, the history of anesthesia is important in part because it allows us to better understand from where we have come so that we have a better understanding of why it is that we […]

Hydroxyethyl starch: Is it safe?

February 26, 2015 By J. Lance Lichtor in Critical Care, Trauma, and Resuscitation

Two papers published in this month’s issue of Anesthesia & Analgesia, “The Effect of 6% Hydroxyethyl Starch 130/0.4 on Renal Function, Arterial Blood Pressure, and Vasoactive Hormones During Radical Prostatectomy: A Randomized Controlled Trial” and “Hydroxyethyl Starch and Acute Kidney Injury in Orthotopic Liver Transplantation: A Single-Center Retrospective Review” represent two different perspectives on the […]

Cardiac arrest at 35 weeks gestation with thyromegaly: successful resuscitation of mother and child

February 20, 2015 By J. Lance Lichtor in A & A Case Reports

Maternal cardiopulmonary arrest around the time of delivery happens infrequently. Dr. Judith Aronsohn, Department of Anesthesiology, North Shore/LIJ Health System, New Hyde Park, New York, and colleagues describe a 38-year-old, 131 kg, patient with longstanding chronic hypertension and nontoxic goiter with a presumptive diagnosis of preeclampsia without proteinuria who became agitated and hypoxic while being […]

Lung injury occurs in normal patients during general anesthesia

February 19, 2015 By J. Lance Lichtor in Critical Care, Trauma, and Resuscitation

Lung diffusion for carbon monoxide (DLCO) is commonly used to examine the diffusing capacity of the lung for carbon monoxide, a common assessment of pulmonary gas exchange. Similarly, pulmonary surfactant protein type B (SPB) can serve as a marker of damage to the alveolar-capillary membrane. Impaired oxygenation during anesthesia, even for patients with normal preoperative […]

Does surfactant reduce the severity of lung injury after hydrochloric acid instillation?

February 13, 2015 By J. Lance Lichtor in Critical Care, Trauma, and Resuscitation

Even with the resources available in the most modern intensive care units, the mortality in patients with respiratory distress syndrome remains high. Therapy is supportive, and there is no pharmacological therapy that demonstrably improves outcome. Dr. Giacomo Bellani, Department of Health Science, University of Milano-Bicocca, Monza, Italy, and Department of Emergency, San Gerardo Hospital, Monza, […]