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Laparoscopic equipment safety: children and neonates

January 29, 2015 By Susan P. Taylor in Technology, Computing, and Simulation

Laparoscopic equipment safety: children and neonates

Laparoscopic equipment, originally designed for use in adult procedures, is now widely used for pediatric and neonatal surgery. As commonly occurs in medical practice, the transition from adult to pediatric use occurs “off-label” and without further investigation into the safety and efficacy of the practice. After a number of reports of catastrophic events associated with […]

Does use of PEEP affect bleeding during functional endoscopic sinus surgery?

January 28, 2015 By J. Lance Lichtor in Ambulatory Anesthesiology

Does use of PEEP affect bleeding during functional endoscopic sinus surgery?

Mechanical ventilation in the operating room frequently includes application of positive end expiratory pressure (PEEP). This is done to improve intraoperative oxygen delivery, as well as to improve lung mechanics postoperatively. PEEP increases intrathoracic pressure, decreasing venous return, and potentially raising venous pressure. This raises potential concern that PEEP may increase bleeding, particularly in operations […]

Cardiac arrest: a determination using the National Anesthesia Clinical Outcomes Registry

January 27, 2015 By J. Lance Lichtor in Patient Safety

Cardiac arrest:  a determination using the National Anesthesia Clinical Outcomes Registry

How many patients die as a result of cardiac arrest under the care of an anesthesiologist? The number is sufficiently low that we need large databases to answer the question. Many perioperative databases are composed of patients who underwent an operative procedure. Anesthesiologists provide anesthesia care for patients both inside and outside the operating room. […]

The accuracy of ETCO2 is based on nasal cannula design

January 23, 2015 By Tal Levy in Technology, Computing, and Simulation

The accuracy of ETCO2 is based on nasal cannula design

Basic anesthesia care includes monitoring exhaled end-tidal carbon dioxide (ETCO2) concentration in patients undergoing sedation. The challenge is to measure end-tidal gas concentration through a cannula that is also tasked with delivering supplemental oxygen. In their article published in this month’s issue of Anesthesia & Analgesia titled “The Effectiveness of Oxygen Delivery and Reliability of […]

February 2015: Anesthesia & Analgesia

January 22, 2015 By Steven Shafer in This issue

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The February issue of Anesthesia & Analgesia has just posted. Dr. Steven Shafer, editor-in-chief, Anesthesia & Analgesia: Nunnally and colleagues (The Incidence and Risk Factors for Perioperative Cardiac Arrest Observed in the National Anesthesia Clinical Outcomes Registry) found that the incidence of perioperative cardiac arrest was 5.6 per 10,000, based on data collected in the National […]

Levetiracetam: a case report where the drug is associated with a global decrease in transcranial electrical motor-evoked potentials

January 21, 2015 By J. Lance Lichtor in A & A Case Reports

Levetiracetam: a case report where the drug is associated with a global decrease in transcranial electrical motor-evoked potentials

  Those who perform neurosurgical and orthopedic spine procedures know the sinking feeling when transcranial electrical motor-evoked potential (tceMEP) amplitude abruptly falls. The differential diagnosis includes hypotension, hypocapnia, hypothermia, hypoxemia, and direct surgical injury. Dr. Allan F. Simpao, Department of Anesthesiology and Critical Care, Perelman School of Medicine at the University of Pennsylvania and The […]

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  • Putlockers-[HD]-Watch! Ad Astra [2019] Online Full For Free September 18, 2019
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  • January 2019: Anesthesia & Analgesia January 2, 2019
  • April 2015: Anesthesia & Analgesia March 26, 2015

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  • January 2019: Anesthesia & Analgesia

    January 2019: Anesthesia & Analgesia

    The January 2019 issue of Anesthesia & Analgesia has been published. Patient blood management is the timely application of evidence-based medical and surgical concepts designed to maintain hemoglobin concentration, optimize hemostasis, and minimize blood loss to improve patient outcomes. In their article, Zaleski and colleagues provide suggestions for successful, safe and bloodless treatment for patients […]

  • April cover infection small

    April 2015: Anesthesia & Analgesia

    Dr. Steven Shafer, editor-in-chief, Anesthesia & Analgesia: Recent news reports have highlighted the risks of nosocomial infection. Fourteen articles in this issue of Anesthesia & Analgesia document how anesthesiologists make a difference in perioperative infection. Research papers identify the reservoirs of bacterial contamination in the operating room, our role in hospital-acquired infections, and changes in […]

  • IMG_1905

    We’ve gone to the IARS meeting

    We’ve gone to the IARS meeting.  Posts will continue after the meeting.  Anyone know the location of this image? To see it, go to the Hawaii Tropical Botanic Garden, near Hilo: on the Ocean Front trail, the twin rocks, based on legend, are where two young lovers were turned to stone as they protected their village […]

  • A Summary of Research on Perioperative Neurotoxicity in the Elderly

    A Summary of Research on Perioperative Neurotoxicity in the Elderly

    Scientists and clinicians from ten countries attended the International Workshop on Perioperative Neurotoxicity in the Elderly this past May in Stockholm, Sweden. In this month’s issue of Anesthesia & Analgesia, Dr. Roderic G. Eckenhoff, Department of Anesthesiology & Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, and colleagues review the workshop proceedings […]

  • Can the anesthesiologist affect outcome after CABG surgery?  A study from New York (reader note: this article has been retracted)

    Can the anesthesiologist affect outcome after CABG surgery? A study from New York (reader note: this article has been retracted)

    Anesthesia care has changed significantly since that time. However, the question remains whether a subset of anesthesiologists is particularly skilled relative to a different subset. That’s the “glass half full” question. You can invert that if you prefer the “glass half empty” question. Dr. Laurent G. Glance, Department of Anesthesiology, University of Rochester School of […]

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