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Fluid therapy for kidney transplant surgery

January 20, 2015 By J. Lance Lichtor in Critical Care, Trauma, and Resuscitation

Fluid therapy for kidney transplant surgery

  When you care for a patient who is undergoing a kidney transplant, what fluid do you use for maintenance? If your answer is normal saline, your fluid choice matches that of the majority of anesthesiologists in the United States. The reason for this practice, is, in part, because of the fear of causing hyperkalemia […]

Heart valve surgery and myocardial infarction treatment: does competition improve care and decrease cost? The answer is “no.”

January 16, 2015 By J. Lance Lichtor in Economics, Education, and Policy

Heart valve surgery and myocardial infarction treatment: does competition improve care and decrease cost?  The answer is “no.”

Hospitals publish outcome data in accessible databases, including the Hospital Compare database created by the Center for Medicare and Medicaid Services. The Hospital Compare database has information about the quality of care at over 4,000 hospitals, and permits consumers to compare quality of care at different hospitals.  Does access to hospital quality data lead to […]

Anesthesia for MRI

January 15, 2015 By Tal Levy in Pediatric Anesthesiology

Anesthesia for MRI

Pediatric anesthesiologists debate the best way to anesthetize children for diagnostic radiology, particularly MRI. Although some anesthesiologists believe that there is less of a chance of postanesthetic nausea and vomiting with propofol anesthesia and less likelihood of airway complications in a spontaneously breathing patient, others feel that patients wake up faster after anesthetic gas maintenance […]

Are caudal blocks safe in children?

January 9, 2015 By Tal Levy in Pediatric Anesthesiology

Are caudal blocks safe in children?

The caudal block is the most commonly performed regional anesthesia technique in children. Unfortunately, there is little data available to support the safety of the procedure. The Pediatric Regional Anesthesia Network (PRAN) database was created in order to fill gaps in available knowledge about the safety of regional anesthesia in children by collecting large-scale statistics. […]

PTSD after surgery and anesthesia

January 8, 2015 By J. Lance Lichtor in Patient Safety

PTSD after surgery and anesthesia

More than 10% of veterans who served in U.S. military operations after 9/11 suffer from PTSD. Patients who suffer awareness after anesthesia also suffer from PTSD. Up to 1.0 % of all general anesthetics are complicated by unintended intraoperative awareness with explicit recall. Dr. Elizabeth Whitlock (UCSF), Dr. Michael Avidan (Washington University), Dr. George A. Mashour (University of Michigan) […]

Ventilation of the child undergoing surgery: a review

January 7, 2015 By J. Lance Lichtor in Pediatric Anesthesiology

Ventilation of the child undergoing surgery: a review

How should mechanical ventilation be managed for children undergoing anesthesia?  In this month’s issue of Anesthesia & Analgesia, Dr. Jeffrey M. Feldman, Department of Anesthesiology, Children’s Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, has reviewed current technology used to ventilate children during anesthesia in the article titled “Optimal Ventilation of […]

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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 […]

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    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 […]

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    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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