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Extremely challenging situations can develop in the O.R. that affect what happens in the ICU later on. But the more familiar you are with the core tenets of ICU management, the better prepared you’ll be when challenging situations happen. That was the premise of the Sunday session “Intraoperative Critical Care: How to Best Succeed When […]
Read MoreAnesthesiologists have long talked about the transition to perioperative medicine and how this shift will affect the specialty. Leading institutions have already made the move. And the lessons they have learned along the way can help smooth the shift for others. “Perioperative medicine is no longer in the talking phase, it is in the action […]
Read MorePerioperative anesthetic management can have profound effects on patient outcomes for those who are either at risk for stroke during noncardiac surgery or who have had acute ischemic stroke (AIS) and are having endovascular thrombectomy (EVT). Intraprocedural variables, such as blood pressure management, respiratory parameters, medications or time between recognition of AIS and treatment, can […]
Read MoreAn 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 […]
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