Is Locoregional Anesthesia a Functional Option for Major Abdominal Surgeries in the COVID-19 Era?

Is Locoregional Anesthesia a Functional Option for Major Abdominal Surgeries in the COVID-19 Era?

Based on our preliminary case series, awake open surgery has resulted feasible and safe. This approach has allowed to perform undelayable major abdominal surgeries on fragile patients when intensive care beds were not available.... read more

Crisis Management in Anesthesiology

Crisis Management in Anesthesiology

The fully updated Crisis Management in Anesthesiology continues to provide updated insights on the latest theories, principles, and practices in anesthesiology. From anesthesiologists and nurse anesthetists to emergency physicians... read more

What If a COVID-19 Patient Needs a Surgery?

What If a COVID-19 Patient Needs a Surgery?

In the week of February 13–19, the World Health Organization reported that Singapore had more cases of COVID-19 than any other country outside of mainland China. We wish to share the protocol that we use in our hospital... read more

The Invasion of the Physician Assistants

The Invasion of the Physician Assistants

I was a senior emergency medicine resident at Darnall Army Community Hospital in Fort Hood, TX, in 1992. I wanted to do an elective rotation in anesthesia and to work closer to home because my wife and I lived 50 miles... read more

Effects of Neuromuscular Block Reversal with Sugammadex vs. Neostigmine on Postoperative Respiratory Outcomes After Major Abdominal Surgery

Effects of Neuromuscular Block Reversal with Sugammadex vs. Neostigmine on Postoperative Respiratory Outcomes After Major Abdominal Surgery

No differences found in pulmonary function in patients reversed with sugammadex or neostigmine in a high-risk population. 126 patients were included in the main analysis. In the neostigmine group (n = 64), mean (95%... read more

Essentials of Neurosurgical Anesthesia & Critical Care

Essentials of Neurosurgical Anesthesia & Critical Care

This handbook is aimed at first-line health care providers involved in the perioperative care of adult and pediatric neurosurgical patients. It is unique in its systematic focus on how to deal with common and important... read more

Taming the Ketamine Tiger

Taming the Ketamine Tiger

THOSE who anesthetize patients with ketamine (originally given the clinical investigation number CI-581) realize it is a unique pharmacological agent. Ever since its introduction into human clinical anesthesia, ketamine has... read more

Effect of Cricoid Pressure Compared With a Sham Procedure in the Rapid Sequence Induction of Anesthesia

Effect of Cricoid Pressure Compared With a Sham Procedure in the Rapid Sequence Induction of Anesthesia

This large randomized clinical trial performed in patients undergoing anesthesia with RSI failed to demonstrate the noninferiority of the sham procedure in preventing pulmonary aspiration. Further studies are required in... read more

Annual Update in Intensive Care and Emergency Medicine 2018

Annual Update in Intensive Care and Emergency Medicine 2018

The Annual Update compiles reviews of the most recent developments in experimental and clinical intensive care and emergency medicine research and practice in one comprehensive reference book. The chapters are written by... read more

Doctors Raise Alarm About Shortages Of Pain Medications

Doctors Raise Alarm About Shortages Of Pain Medications

In an informal survey of nearly 2,500 anesthesiologists conducted by the American Society of Anesthesiologists, 98 percent of respondents said they "regularly experience drug shortages at their institutions." More than 95... read more

Operation Timing and 30-Day Mortality After Elective General Surgery

Operation Timing and 30-Day Mortality After Elective General Surgery

Elective general surgery appears to be comparably safe at any time of the workday, any day of the workweek, and in any month of the year. The binary outcomes of 32,001 elective general surgical patients at the Cleveland Clinic... read more

Pre-hospital advanced airway management by anaesthetist and nurse anaesthetist critical care teams

Pre-hospital advanced airway management by anaesthetist and nurse anaesthetist critical care teams

When performed by experienced physician anaesthetists and nurse anaesthetists, pre-hospital tracheal intubation was completed rapidly with high success rates and a low incidence of complications. The critical care teams attended... read more

General Anesthesia a Viable Sedation Strategy for Thrombectomy in Stroke

General Anesthesia a Viable Sedation Strategy for Thrombectomy in Stroke

An analysis of a New York registry with 1174 patients who underwent thrombectomy showed a correlation between general anesthesia and death. Several other studies that only compared embolectomies done with and without general... read more

New Replacement Heart Valve Grows as Child Gets Older

New Replacement Heart Valve Grows as Child Gets Older

Children born with congenital heart valve defects number in the thousands each year, yet there are simply no artificial cardiac valves available that were designed specifically for babies. Multiple heart surgeries have to... read more

Eye Protection in Anaesthesia and Intensive Care

Eye Protection in Anaesthesia and Intensive Care

New guidelines on prevention of eye injuries during anaesthesia and intensive care have been developed by the French Society for Anaesthesia and Intensive Care Medicine (SFAR), together with the French Ophthalmology Society... read more

Anesthesia changes neuronal choreography

Anesthesia changes neuronal choreography

Even under deep anesthesia, nerve cells remain highly active. A study conducted by researchers from Charite - Universitätsmedizin Berlin has shown by high-resolution cellular imaging that local neuronal networks remain active... read more

Medical Device Interoperability 4.0: Disruptive Innovation for the ICU

Medical Device Interoperability 4.0: Disruptive Innovation for the ICU

Medical Device Interoperability in the ICU did not undergo any significant innovation in the past 30 years. This is the reason why data integration of medical device data into Electronic Medical Records (EMR/EHR) and Population... read more