Cutting-Edge Trauma and Emergency Care
Publication date: March 2019Source: Anesthesiology Clinics, Volume 37, Issue 1Author(s): Maureen McCunn, Mohammed Iqbal Ahmed, Catherine M. Kuza
Hello! Current CA3 in the northeast region looking at non-fellowship jobs. It seems like the area where I want to be is either academic or AMC jobs. I have been looking into this AMC job that was bought by Mednax about 3-4 years ago. Reading through forums, there seems to be concern for private practice jobs where new grads might be screw over if a group gets purchase by AMC while they are on the partnership track. Is there a concern after the group is already bought and appears stable... Mednax Job
Hi, I'm a DO student with COMLEX level 1 and 2 scores and USMLE CK score. Does it make sense to take step 1 even if it means that I won't receive the grade a month after submitting ERAS? Is there a way to update the programs with my new scores? I'm a pretty weak applicant with couple of red flags and want to pursue anesthesia with family med as a backup. Thanks for the suggestions.
Guy comes in 50, 100kg, osa, htn no other problems. For an elective foot surgery. Found to have a fib in pre op. States he has no symptoms. Already on metoprolol for bp. Rates in 70s bp normal. What do you do?
AbstractIntroductionTo determine whether the placement of an interscalene brachial plexus block (IBPB) with general anaesthesia before shoulder arthroscopy would be effective in establishing a clear visual field and in shortening the surgical procedure.MethodThis prospective randomized control trial study included 152 patients who had undergone arthroscopic rotator cuff repair. Group A received IBPB and group B did not receive IBPB. A visual clarity scale (VCS) was determined by arthroscopic visualization. The systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), duration of surgical procedure, VC...
Publication date: Available online 16 August 2019Source: Oral and Maxillofacial Surgery Clinics of North AmericaAuthor(s): Yi Deng, Jovany Cruz Navarro, Sandee Markan
Conclusion This study shows the versatility of SALoRA in delivering hand surgery in a cost-effective manner. A wide spectrum of surgeries in the hand, wrist, forearm, and elbow can be performed using SALoRA safely. This has increased productivity, efficiency, and use of resources. SALoRA has the advantage of a guaranteed and reliable bloodless field, quick turnaround time without the need of extra personnel and resources needed for patient monitoring to abide by Joint Commission International requirements and the potential risk of systemic adrenaline effects.
Authors: Strandby RB, Ambrus R, Achiam MP, Henriksen A, Goetze JP, Secher NH, Svendsen LB Abstract Purpose: Changes in plasma pro-atrial natriuretic peptide (proANP) may indicate deviations in the central blood volume (CBV). We evaluated the plasma proANP response to hypotensive hypovolemia under the influence of thoracic epidural anesthesia (TEA) in pigs. We hypothesized that plasma proANP would decrease in response to hypotensive hypovolemia and that TEA would aggravate the proANP response, reflecting a further decrease in CBV. Design: Randomized, blinded, controlled trial. Setting: A university-affiliate...
ConclusionMeasurement of maximum pupil size is useful to identify patients at risk for intraoperative hypotension. The influence of age must be considered during measurement of the pupil response.Clinical trial numberUMIN000023729Registry URLhttps://www.umin.ac.jp
Conclusions: This study demonstrates no differences in 6-week clinical or radiographic outcomes between patients undergoing primary TKA on single versus overlapping OR days. These results support the safe practice of overlapping surgical scheduling in high-volume primary TKA centers.Level of Evidence: III. PMID: 31413671 [PubMed - in process]
Authors: Cheng Q, Zhang W, Lu Y, Chen J, Tian H Abstract The present study aimed to investigate and compare the analgesic effect and safety of ropivacaine or levobupivacaine in combined spinal-epidural anesthesia during childbirth and their effects on neonatal Apgar scores, as well as maternal and neonatal vital signs. A total of 615 maternal patients undergoing labor between April 2016 and March 2017 were divided into two groups according to the analgesic used for combined spinal-epidural anesthesia during childbirth: The ropivacaine group (n=318) and the levobupivacaine group (n=297). The onset time of analgesia ...