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An increasing number of patients with coronary stents have a noncardiac operation each year. Approximately 5 to 15 percent of patients will present for a surgical procedure within the first year after stent placement. “The surgical environment is unique, with a complex interplay of multiple factors that predispose patients with coronary stents to a high […]
Read MoreAuthors: Malcolm Lemyze, M.D. et al Anesthesiology October 2018. A PHYSIOLOGICALLY based venti lator strategy using transpulmonary pressure (PL)—the difference between airway pressure (PAW) and pleural pressure or its surrogate, the esophageal pressure (PES)—is especially interesting for morbidly obese patients whose lungs are trapped between excessive chest fat and a massive abdominal wall, as a bag-in-box […]
Read MoreAccidents happen, but they impact some professions more than others. Identifying why accidents happen, evaluating the aftermath and finding solutions to prevent them was part of the Monday session “Understanding Medical Accidents.” Michael F. O’Connor, M.D., FCCM, a Professor in the Department of Anesthesia and Critical Care at the University of Chicago, said learning from […]
Read MoreAs endovascular aortic surgeries continue to treat more complex and acute pathologies, anesthesiologists must evolve along with them. This morning’s session “The Vascular Surgeon Just Booked an Emergent Acute Aortic Syndrome: What Do I Need to Know as the On-Call Anesthesiologist?” addresses the types of general and acute cardiovascular aortic emergencies on-call anesthesiologists are likely […]
Read MoreWhen we think of pollution, we envision plastic drink bottles, plant and auto emissions, and landfills churning with consumer waste. Yet health care is a top contributor to pollution in the world – and unfortunately, anesthesiology is a contributor as well. Manufacturing, use, and disposal of waste from inhaled anesthetics and injectable drugs are concerning […]
Read MoreCirrhosis is on the rise in the U.S., and yet the risk of dying from the disease is less than half of what it was in 1970. Anesthesiologists will likely encounter more patients with cirrhosis presenting for elective surgery as they await a liver transplant. This may include arthroscopy, head and neck surgery, hernia repair […]
Read MoreInteresting so wanted to share. In what is believed to be the first in the world, researchers at Wits University have transplanted a liver from an HIV positive mother to her HIV negative child. The child, who at the time of the transplant was 13-months-old, and her mother cannot be identified as part of doctor-patient […]
Read MoreKeeping children safe during anesthesia requires evidence-based knowledge of how to prevent, identify and manage anesthesia-related complications. It’s an issue that develops more often in children than adults. In Saturday’s session “Complications in Pediatric Anesthesia — How to Stay Out of Trouble!,” Linda J. Mason, M.D., FASA, Professor of Anesthesiology and Pediatrics, Loma Linda University, […]
Read MoreSurgical site infections (SSIs) account for approximately 20 percent of all hospital-acquired infections, and nearly 60 percent of these infections are preventable. Established guidelines help reduce the rate of SSIs, but are these guidelines effective? “The session, “Surgical Site Infections: Is My Cloth Hat Really Killing People?,” arose originally from the ongoing surge in practices […]
Read MoreAuthors: Daniel I. Sessler, M.D. et al Anesthesiology October 12, 2018. What We Already Know about This Topic: Intraoperative triple-low events (mean arterial pressure less than 75 mmHg, Bispectral Index less than 45, and minimum alveolar fraction of anesthetic less than 0.8) have been found to be associated with increased risk of mortality What This Article […]
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