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:
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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
Volume Status: Monitoring; CVP Waveform: Components |
Wed, 1 May 2019
Carcinoid heart disease |
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) |
Fri, 28 December 2018
Predatory Open-Access Publishing in Anesthesiology |
Mon, 17 December 2018
Trial of Labor after Cesarean Delivery: Which patients? Which hospitals? |
Wed, 5 December 2018
Drs. Phil Morgan and OpenAnesthesia Editor Dr. Faith Ross discuss mitochondrial disease and anesthesia. |
Mon, 3 December 2018
Non-Pharmacology and the Art of Induction with Sam Rodriguez |
Sat, 1 December 2018
Dr. Mary Landrigan-Ossar and OpenAnesthesia Editor Dr. Aditee Ambardekar discuss out-of-operating-room anesthesiology. |
Tue, 27 November 2018
Decision Making in Anesthesiology: An Introduction to Behavioral Economics with Daniel Katz |
Tue, 27 November 2018
World Health Organization Surgical Safety Checklist: Compliance and Associated Surgical Outcomes in Uganda’s Referral Hospitals |
Thu, 8 November 2018
Massive thromboembolism |
Thu, 1 November 2018
Dr. David Polaner and OpenAnesthesia Editor Dr. Debnath Chatterjee discuss Pediatric Regional Anesthesia Network (PRAN). |
Tue, 30 October 2018
Evaluating Patient-Centered Outcomes in Clinical Trials of Procedural Sedation, Part 2 Safety: Sedation Consortium on Endpoints and Procedures for Treatment, Education, and Research Recommendations |
Tue, 30 October 2018
Surgical Fires: Prevention and Management with Debnath Chatterjee |
Sun, 21 October 2018
Postpartum Sterilization with Feyce M. Peralta |
Mon, 15 October 2018
ACC/AHA Guidelines for Perioperative Cardiovascular Evaluation |
Mon, 8 October 2018
Citrate Toxicity Dx/Rx; Transfusion Mortality: Causes; Delayed Transfusion Reaction |
Thu, 4 October 2018
Aortic endocarditis |
Tue, 2 October 2018
Craniosynostosis with Aditee Ambardekar
Direct download: Pediatric_Anesthesia_Podcast_of_the_Month_-_October_2018.m4v
Category:general -- posted at: 12:00pm PDT |
Mon, 1 October 2018
Dr. Paul Stricker and OpenAnesthesia Editor Dr. Aditee Ambardekar discuss craniosynostosis. |
Mon, 1 October 2018
FFP Indications; Rx: Antithrombin 3 deficiency; FFP Citrate Toxicity Dx/Rx |
Fri, 28 September 2018
Harmful or Physiologic: Diagnosing Fibrinolysis Shutdown in a Trauma Cohort With Rotational Thromboelastometry |
Mon, 24 September 2018
Type and Screen; Blood: Crossmatch; Refusal of Blood Transfusion |
Fri, 14 September 2018
Maternal Comorbidities Combined with Physiologic Changes of Pregnancy Requiring ICU Admission with Jennifer Hofer |
Fri, 7 September 2018
Introduction to Congenital Heart Disease, Part 3 (Single Ventricle Physiology) with Faith Ross
Direct download: Pediatric_Anesthesia_Podcast_of_the_Month_-_September_2018.m4v
Category:general -- posted at: 7:14am PDT |
Wed, 5 September 2018
Hypertrophic Cardiomyopathy |
Mon, 3 September 2018
Pacemaker Intraoperative Complications; Blood supply to the AV node; Cardiac cycle ECG |
Sat, 1 September 2018
Burnout and wellness |
Sat, 1 September 2018
Dr. Adrian T. Bosenberg and OpenAnesthesia Editor Dr. Faith Ross discuss pediatric regional anesthesia. |
Tue, 28 August 2018
A Simulation Study to Evaluate Improvements in Anesthesia Work Environment Contamination After Implementation of an Infection Prevention Bundle |
Mon, 27 August 2018
Pacemaker Nomenclature; Pacer Lead Placement: ECG Morphology; Pacemaker: Intraoperative Complications |
Mon, 20 August 2018
Succinylcholine: Termination of Blockade; Phase II Depolarizing Blockade |
Mon, 13 August 2018
Update on Button Battery Ingestion Guidelines with Debnath Chatterjee |
Mon, 13 August 2018
Viscoelastic Testing for Obstetric Hemorrhage with Daniel Katz |
Mon, 13 August 2018
Amiodarone: Hemodynamic Effect; Amiodarone: Side effects; Amiodarone: Toxicity |
Mon, 6 August 2018
Obesity: Airway Evaluation; Morbid Obesity: Rapid Desaturation |
Wed, 1 August 2018
Anesthetic neurotoxicity |
Wed, 1 August 2018
Atrial Septal Defect, Part 2 |
Mon, 30 July 2018
Morbid Obesity: Drug Dosing; Obesity Succinylcholine Dosing; Obesity: Airway Evaluation |
Thu, 26 July 2018
The Perioperative Care of the Transgender Patient |
Mon, 23 July 2018
Becker’s Muscular Dystrophy: Rhabdomyolysis; Succinylcholine: Normal Potassium Release |
Fri, 13 July 2018
Epidural Fever with Elizabeth Lange |
Mon, 9 July 2018
Atrial Septal Defect, Part 1 |
Mon, 2 July 2018
The Anesthesia Perioperative “Call for Help”—Experience at a Quaternary Pediatric Medical Center: Analysis of 67,564 Anesthesia Encounters |
Mon, 2 July 2018
Introduction to Congenital Heart Disease, Part 2 with Faith Ross |
Sun, 1 July 2018
Dr. John E. Fiadjoe and OpenAnesthesia Editor Dr. Aditee Ambardekar discuss pediatric difficult airway.
Direct download: OA-SPA_July_2018_Ask_the_Expert_Fiadjoe.mp3
Category:general -- posted at: 1:03pm PDT |
Mon, 18 June 2018
Left Ventricle |
Mon, 18 June 2018
Maternal Sepsis with Melissa Bauer |
Mon, 11 June 2018
Pulmonary HTN: Diagnosis; Calculation of Pulmonary vs Systemic Vascular Resistance; RV Failure; Cor Pulmonale |