To young attendings: Do you regret choosing anesthesiology?
CRNAs will continue to push to replace anesthesiologists as evident by the recent ridiculous AANA statement. Frankly, what AANA claims disgusts me, but at the same time, I am very disappointed to see that ASA is not responding in any meaningful way. This gives me very little hope regarding the future of the specialty, and makes me think that I chose the wrong field. I chose Anesthesiology because I loved the clinical aspect of it. I always knew the issues regarding CRNA, but did not know it... To young attendings: Do you regret choosing anesthesiology?
One of our Spine surgeons has requested that I keep the hematocrit above 35% throughout the case. His reasoning is that Optic Ischemic Retinopathy can occur. This surgeons is slow in operating most of the time. He does not make incision in a timely manner. For instance, after induction it sometimes take him two hours to make incision. He takes almost six hours for one level spinal fusion. I am curious if at other hospitals if the blood transfusion committee would not stand for this?
Hello everyone. I’m a rising MS4 still trying to decide on what specialty to do. From third year, I’ve basically realized that I’m not great with patients. In addition, I’m not great at reading social cues. I’m by no means antisocial or a jerk, and have a decent number of friends, just not exactly a “people person”. I’ve realized that these facts might make going into something that is more clinically-oriented more difficult. I’ve had advisors recommend Pathology, Radiology, Anesthesiology... Specialty choice for smart but socially awkward medical students.
Publication date: Available online 24 June 2019Source: Respiratory Physiology &NeurobiologyAuthor(s): Giovanni Tagliabue, Michael Ji, Jenny V. Suneby Jagers, Dan J. Zuege, John B. Kortbeek, Paul A. EastonAbstractClassic physiology suggests that the two distinct diaphragm segments, costal and crural, are functionally different. It is not known if the two diaphragm muscles share a common neural mechanical activation.We hypothesized that costal and crural diaphragm are recruited differently during hypercapnic stimulated ventilation, and the EMG recordings of the esophageal crural diaphragm segment does not translate to th...
Does anesthesia strategy impact outcomes of acute ischemic stroke patients undergoing endovascular treatment?BMC Anesthesiology
Publication date: Available online 31 May 2019Source: The Journal of Allergy and Clinical Immunology: In PracticeAuthor(s): Gerald W. Volcheck, David L. HepnerThe authors present a case of a patient with multiple episodes of perioperative anaphylaxis. The incidence and the most common causes of perioperative anaphylaxis are reviewed. The most common causes can vary by country and the type of perioperative medications used. The unique environment and the multiple medications and substances used in the anesthesia and surgical setting that make a definitive diagnosis challenging are outlined. A systematic strategy to recogniz...
Hi Everyone, I am a current transitional year resident looking to apply to any available PGY 1 or PGY 2 residency positions in internal medicine, family medicine, neurology, anesthesiology, or emergency medicine. I don't have any Visa issues. Please message if you know of any available positions. Thank you for your help!
ConclusionConception and safe, full-term pregnancy is achievable following Lap-RFA of symptomatic fibroids. Additional large, rigorous, multivariate prospective studies that adjust for confounders and report pregnancy outcomes following symptomatic fibroid treatment are needed.
Conclusions In this pilot study of 23 asymptomatic women, intraurethral administration of lidocaine did not decrease VE compared with placebo. The lidocaine group had a greater percentage of interrupted flow patterns and increased electromyographic activity during micturition.
Simar R Singh, Vikas Saini, Avneet Singh, Mohit DograIndian Journal of Ophthalmology 2019 67(7):1247-1248
ConclusionIntermittent knee infiltration with ropivacaine is a safe, reproducible and effective method to control pain in the first 48 h postoperative period after TKA.