Mon, 23 December 2019
Impact of Caffeine Ingestion on the Driving Performance of Anesthesiology Residents After 6 Consecutive Overnight Work Shifts |
Sun, 15 December 2019
Wiggles, Squiggles, and Drugs: Neuromonitoring with Michael Puglia |
Sun, 15 December 2019
Low Tidal Volume Ventilation: Lung protective effect |
Fri, 13 December 2019
Forced Care During Pregnancy with Julie Cantor |
Fri, 6 December 2019
Pulmonary Hypertension and Liver Transplantation |
Mon, 2 December 2019
Neonatal Respiratory Distress Syndrome with Aditee Ambardekar |
Mon, 2 December 2019
Does Adherence to World Health Organization Hand Hygiene Protocols in the Operating Room Have the Potential to Produce Irritant Contact Dermatitis in Anesthesia Providers? and Targeted Use of Alcohol-Based Hand Rub on Gloves During Task Dense Periods: One Step Closer to Pathogen Containment by Anesthesia Providers in the Operating Room |
Sun, 1 December 2019
Dr. Nicholas Dalesio and OpenAnesthesia Editor Dr. Debnath Chatterjee discuss the pediatric difficult airway. |
Sun, 1 December 2019
Vasopressin; Arginine Vasopressin: Mechanism of Action; CV Effects of Vasopressin |
Fri, 15 November 2019
Arginine Vasopressin |
Thu, 14 November 2019
Obstetric Critical Care with Jennifer Hofer |
Fri, 1 November 2019
Dr. Annette Schure and OpenAnesthesia Editor Dr. Faith Ross discuss caring for patients with congenital heart disease. |
Fri, 1 November 2019
Placental transfer: anesthetic drugs |
Mon, 28 October 2019
Rescue TEE and Pulmonary Embolus |
Sun, 27 October 2019
Congenital Heart Disease Associated with Genetic Syndromes with Faith Ross |
Sun, 27 October 2019
ABA Manuscript Series November 2019 |
Tue, 15 October 2019
Transfusion-related Immunomodulation (TRIM); Transfusion: Leukoreduction |
Thu, 10 October 2019
Neurologic Complications in Obstetric Anesthesia with Christine Warrick |
Wed, 2 October 2019
Laryngomalacia with Debnath Chatterjee |
Tue, 1 October 2019
Dr. Mark Newton and OpenAnesthesia Editor Dr. Aditee Ambardekar discuss global health. |
Tue, 1 October 2019
Pregnancy: DIC |
Mon, 30 September 2019
Red Blood Cell Transfusion in Pediatric Orthotopic Liver Transplantation: What a Difference a Few Decades Make |
Fri, 27 September 2019
Non-Compaction Cardiomyopathy |
Sun, 15 September 2019
Pregnancy: DIC |
Thu, 12 September 2019
Building a Career in Academia with Arvind Palanisamy |
Mon, 9 September 2019
Heart Failure and Mechanical Circulatory Support |
Wed, 4 September 2019
Anesthetic Implications for Pediatric Patients Undergoing Scoliosis Repair with Denise P. Chang |
Sun, 1 September 2019
Dr. T. Wesley Templeton and OpenAnesthesia Editor Dr. Debnath Chatterjee discuss one-lung ventilation in children. |
Sun, 1 September 2019
Post-op Cardiac Event: Risk Factors; Pre-anesthesia Eval: Cardiac |
Fri, 30 August 2019
Necrotizing enterocolitis (NEC) with Aditee Ambardekar |
Wed, 28 August 2019
Do You Really Mean It? Assessing the Strength, Frequency, and Reliability of Applicant Commitment Statements During the Anesthesiology Residency Match |
Thu, 15 August 2019
ACC/AHA Guidelines: Stents; Old MI: Perioperative Risk Assessment |
Tue, 13 August 2019
Impacting the Labor and Delivery Floor Using Quality and Patient Safety Metrics with Klaus Kjaer |
Tue, 13 August 2019
Pediatric One-lung ventilation with Debnath Chatterjee |
Thu, 1 August 2019
Dr. Charles Haberkern and OpenAnesthesia Editor Dr. Faith Ross discuss perioperative management of sickle cell disease. |
Thu, 1 August 2019
Lambert-Eaten Physiology; Myasthenic Syndrome vs Myasthenia Gravis: Sx |
Mon, 29 July 2019
American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Opioid Minimization in Opioid-Naive Patients |
Fri, 26 July 2019
Intracardiac Mass |
Sat, 20 July 2019
Erector Spinae Plane Block A novel inter-fascial plane block first described in 2016. This technique has been used for analgesia for the following procedures: - Video-assisted thoracoscopic surgery (VATS) - Pulmonary lobectomy - Thoracic rib and sternal fractures - Mastectomy - Axillary sentinel lymph node biopsy - Abdominal surgery - Hip surgery - Thoracic neuropathic pain relief
Unique Contraindications: - Localized active infectious process at injection site - Extensive tissue depth between skin and transverse process limiting visualization of transverse process
Unique Complications: - Pneumothorax - Lower extremity motor weakness if performed at lower thoracic level
Technique: - Transverse probe at midline of the spine and identify spinous process, lamina, transverse process and rib - Slide probe laterally and center view over transverse process - Rotate probe 90 degrees to parasagittal view of transverse process - Insert needle from cranial to caudal direction and contact transverse process - Inject local anesthetic aiming for pooling above transverse process and lifting of erector spinae muscle. For this video, 30 ml of Ropivacaine 0.5% was used.
Tips: - Other postural positions (i.e. prone or lateral) may facilitate placement - Although the T5 transverse process had been the traditional plane of insertion, the block can be performed at any level - Rostral spread 2-3 levels and approximately 5 levels caudally - Ultrasound identification/differentiation of the target transverse process and its transition to its adjacent rib can ensure injection at the correct site - Transverse process appears as blunt and flat while the rib is seen as round on ultrasound with pleura clearly seen in close proximity - Constant visualization of the needle along its entire length until its contact to the transverse process may decrease the likelihood of a pneumothorax - Consider use of weight-appropriate dose of local anesthetic to decrease the likelihood of LAST
Block Anesthesiologist: Gloria Shih Cheng, M.D. Synopsis: Jose Enrique Lagueras Garcia, M.D. Production: Sandy Thammasithiboon, M.D. / ST Film
References:
|
Mon, 15 July 2019
Latex allergy: Fruits; Anaphylaxis: Epinephrine Treatment; Latex Allergy: Treatment |
Thu, 11 July 2019
Beyond the Binary: Caring for Sexual and Gender Minority Patients on the Birth Unit |
Mon, 8 July 2019
Pediatric ECMO with Faith Ross |
Mon, 1 July 2019
Dr. Jorge Galvez and OpenAnesthesia Editor Dr. Aditee Ambardekar discuss technology in anesthesiology. |
Mon, 1 July 2019
Sugammadex (Bridion®), Pharmacology. Warnings and precautions, and Reintubation considerations after use |
Mon, 1 July 2019
Hypertrophic Cardiomyopathy |
Sat, 15 June 2019
Hypothalamus; Pituitary gland; Hypothalamic-pituitary-target organ axes Sheehan’s syndrome Management |
Thu, 13 June 2019
Neuraxial Techniques to Optimize Labor Analgesia with Brendan Carvalho |
Thu, 6 June 2019
Rheumatic Mitral Disease |
Wed, 5 June 2019
The Pediatric Transgender Patient: Foundations and Perioperative Considerations with Remigio Roque |
Tue, 4 June 2019
Retinopathy of Prematurity with Aditee Ambardekar |
Sat, 1 June 2019
Post-Operative Urinary Retention (POUR); Control of micturition; Management of POUR |
Tue, 28 May 2019
Drug Calculation Errors in Anesthesiology Residents and Faculty: An Analysis of Contributing Factors |
Wed, 15 May 2019
Local anesthetics: Mechanism of action, Onset, potency, duration, Nerve fibers; Local Anesthetic Systemic Toxicity (LAST) |
Thu, 9 May 2019
None Born Positive: Elimination of Maternal to Child Transmission of HIV |
Fri, 3 May 2019
Pediatric Cardiomyopathy with Faith Ross |
Wed, 1 May 2019
Dr. Nina Guzzetta and OpenAnesthesia Editor Dr. Faith Ross discuss hemostasis in pediatric cardiac anesthesia. |
Wed, 1 May 2019
Carcinoid heart disease |
Wed, 1 May 2019
Volume Status: Monitoring; CVP Waveform: Components |
Tue, 23 April 2019
Nighttime Extubation Does Not Increase Risk of Reintubation, Length of Stay, or Mortality: Experience of a Large, Urban, Teaching Hospital |
Mon, 15 April 2019
Epidural hematoma; Epidural Abscess; Post Spinal Backache |
Mon, 15 April 2019
Shared Decision Making on Labor and Delivery with May Pian-Smith |
Mon, 15 April 2019
Mitral valve endocarditis |
Sat, 13 April 2019
Value of OB Anesthesia–Current Needs, Future Directions, Controversies |
Mon, 1 April 2019
Dr. Don Tyler and OpenAnesthesia Editor Dr. Aditee Ambardekar discuss the Wake Up Safe initiative. |
Mon, 1 April 2019
Perioperative Hyperglycemia; Glucose Control |
Tue, 26 March 2019
Long-Term Cognitive and Functional Impairments after Critical Illness |
Thu, 21 March 2019
Fetal Interventions with Debnath Chatterjee |
Tue, 19 March 2019
The NPMS Hemorrhage Bundle: Enhancing the Management of Maternal Hemorrhage with Michaela Farer |
Fri, 15 March 2019
Laryngospasm including Laryngeal Closure Reflex, Signs and symptoms and Management |
Fri, 1 March 2019
Dr. Eliot Grigg and OpenAnesthesia Editor Dr. Faith Ross discuss anesthesia medication safety. |
Fri, 1 March 2019
Placenta accreta (Definition and Risk factors); Anesthetic management of cesarean delivery of placenta accreta |
Wed, 27 February 2019
Challenging the Traditional Definition of a Difficult Intubation: What Is Difficult? |
Fri, 15 February 2019
Non-obstetric surgery in pregnant women; Timing of non-obstetric surgery; Perioperative fetal monitoring |
Thu, 14 February 2019
Vasopressor Use in Obstetrics: Past, Present, and Future with Nicole Higgins |
Wed, 6 February 2019
Flail mitral leaflet and repair |
Tue, 5 February 2019
Anterior Mediastinal Mass with Aditee Ambardekar |
Fri, 1 February 2019
ERAS for Cesarean Delivery |
Sat, 26 January 2019
Emergency Department Airway Management Responsibilities in the United States |
Tue, 15 January 2019
ACLS in Pregnancy |
Thu, 10 January 2019
Marijuana in Pregnancy: Sorting through Hazy Evidence with Torri Metz |
Thu, 10 January 2019
Ascending aortic aneurysm |
Fri, 4 January 2019
Pulmonary Hypertension with Faith Ross |
Tue, 1 January 2019
Opioids, The Opioid Epidemic, and The OB Anesthesiologist |
Tue, 1 January 2019
ACLS in Pregnancy |
Tue, 1 January 2019
Persistent Left Superior Vena Cava (PLSVC) |