The World Of Anesthesiology Podcast

Can supraglottic airway and similar devices cause cranial nerve injury? What nerves are affected?Diagnosis?Outcome? Can you avoid them and How?

Pulmonary hypertension is a critical factor in outcome for patients undergoing non-cardiac surgery. In this episode, I discuss definition, classification, pathogenesis, treatment, preoperative evaluation, intra and post operative management of patients of pulmonary hypertensionPulmonary hypertension and its management in patients undergoing non-cardiac surgery
S. A. Pilkington,1 D. Taboada2 and G. Martinez3 Anaesthesia 2015, 70, 56–70

Neostigmine reversal of Neuromuscular blockade, Does it decrease respiratory complication after general anesthesia?Should you, Would you, May you place Interscaline nerve block under general anesthesia? Effects of Neostigmine Reversal of Nondepolarizing Neuromuscular Blocking Agents on Postoperative Respiratory Outcomes (ANESTHESIOLOGY 2014; 121:959-68) Interscalene Brachial Plexus Blocks Under General Anesthesia in Children: Is This Safe Practice? A Report From the Pediatric Regional Anesthesia Network (PRAN) Regional Anesthesia and Pain Medicine • Volume 39, Number 6, November-December 2014

Dexmedetomidine as an adjuvant to ropivacaine prolongs peripheral nerve block: a volunteer studyBritish Journal of Anesthesia   02/28/2013

Volume resuscitation is a pivotal element in sepsis management. Guidelines point out to goal directed fluid therapy according to CVP and restoration of intravascular volume. However, there are no guidelines to define upper limits if any exists!

Anesthesia crystalizes into a profession and Surgery transformation begins. Its is great to recognized how Anesthesia propelled surgery and continue to do so to this day. A trip into memory lane from the 1800s where a new science is born and a profession that grew and continue to grow since then.

Resuscitation of patients while under anesthesia for surgical procedures may not be your everyday ACLS. While ACLS may fit a wide range of providers and out of hospital Circulatory arrest, the skill set presented by the anesthesiologist, the etiology of arrest and availability of unique technologies call for deviation from the rigid ACLS algorithms.

Is Transversus Abdominis block after spinal anesthesia with intrathecal narcotics helpful?

Obstructive sleep apnea patients are abound. Many outpatient procedures are required. Should we administer general anesthesia to those patients in an ambulatory surgery center setting or must they go to the big house ?

Echo use by intensivist in ICU is gaining ground very quickly. This article examine the role of protocol of ultrasound exam in diagnosis and treatment in comparison to the gold standards. I have compiled few high quality web resources to learn echo for critical care below (click website link in iTunes) Echo Links: Stanford University Echocardiography in ICU: https://www.stanford.edu/group/ccm_echocardio/ Vanderbilt Emergency Medicine: https://emdas.mc.vanderbilt.edu/us/ Sonography.com: http://123sonography.come-echocardiography: http://e-echocardiography.com/index.php

Raj is back and we are a duo again! Awareness under anesthesia is rare but with major consequences. What should you do to minimize the risk of such events. In this diverse patients, the authors explore the use of Awareness monitor vs simple anesthetic concentration (MAC) alerting system to do just that. Which tool is best for you and your patients?

Antifibrinolytics had been tried for decades to lower surgical blood loss for cardiac and non cardiac surgery patients. Some were hailed for sometime then demonized and were removed, Aprotinin is a classic example. What about Tranexamic acid? what about using it in off-pump coronary bypass grafting ? Do we know all we need to know to use it routinely ?

Does protective lung ventilation apply to patients with normal lungs?Should use high PEEP, Low tidal volume ? How does mechanical ventilation affect lung injury and and systemic inflammatory response ?If you like to know, tune in!

Does the anesthesiologist age increase litigation potential? At what age should the anesthesiologist retire? What makes some older anesthesiologists safer than others?Join me in the next 20 min to explore a new look at a taboo topic finally being opened ...

Nahel and Raj discuss a review article about addition and the anesthesiologist. What we know and what we don’t. How to deal with the issue on multiple levels from trainee, colleagues, co-workers to hospital administration and licensing boards.

Raj continues his statistics class with episode 3. In this series, you will find a step by step understanding of statistics used in research and publication. In this episode, we discuss Hypothesis testing and p value.

An observational study of the role of Statins in sepsis. If we strip the confounding variables, will Statins still hold any value to patient with community acquired pneumonia ?

Should patients on Statins also have succinylcholine like everyone else ? Interesting finding and even more interesting editorial !!

Raj continues his statistics class with episode 3. In this series, you will find a step by step understanding of statistics used in research and publication. In this episode, we discuss Hypothesis testing and p value.

Review of the ASA closed claims database of spinal cord injury. How does it compare to other highly paid claims, what is the predisposing factors and what information is missing to complete the puzzle and improve outcome.