Antibiotic prophylaxis is commonly used for many types of procedures. Patients who receive epidural analgesia for pain relief during labor may become febrile and this may be due to infection of the amniotic cavity or even an infected fetus. Is it appropriate to use antibiotic prophylaxis for patients who receive epidural analgesia during labor? Dr. […]
We’re taking a break for the holidays and will be back on Monday, January 6, 2014. Thank you all for following us, and best wishes for a happy and healthy 2014.
• Dr. Lawrence Saidman and 2 anonymous co-authors (It’s Still Plagiarism) describe the experience of textbook chapter authors who saw their scholarship massively copied in subsequent versions of the textbook that inappropriately attributed their scholarship to new authors. The 3 accompanying editorials are uncompromising. Marcovitch and Barbour (Whose Words in the Textbook?) suggest “editors and […]
You’re caring for patients in the PACU and you’re called because a patient who has just undergone elective laparoscopic cholecystectomy to treat symptomatic cholelithiasis is suddenly paraplegic. What is the differential diagnosis? What should you do? Drs. Robert L. Mcclain and Sher-Lu Pai, Department of Anesthesiology, Mayo Clinic, Jacksonville, FL, describe a patient such as this […]
Neuraxial morphine is commonly used to help control pain after cesarean section. While pain control is important, the risk of apnea with neuraxial opioids is always a cause of concern. There is particular concern if the patient has risk factors for respiratory depression and hypoxia, such as obesity or sleep apnea. Previous studies have looked […]
Anxiety before a surgical procedure is to be expected. As anesthesiologists, we tend to be more focused on pharmacologic therapy. However, behavioral approaches, specifically distraction, can also be used to decrease stress. Video glasses have been around since the mid-1990s, Early users appeared to have large binoculars strapped to their heads. Newer models are both […]