awake fiberoptic topicalization/premedication

Hi all, I did a quick search and wasn't able to find this previously posted, so I apologize if this is a repeated question. regarding topicalization and premedication for an awake fiberoptic intubation, I know there are dozens of ways to skin this cat. I'm at the point in my training where I've tried a few different methods with varying degrees of success, yet have not settled on any "best way" to do it. I'm just curious to see how those of you go about it, and if you have any tips/tricks... awake fiberoptic topicalization/premedication
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums

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Authors: Beylacq L, Baer E, Choquet O, Dupre HL, Capdevila X Abstract BACKGROUND: Ultrasound-guided axillary block is widely used in daily practice for upper limb orthopedic surgery. A simple, safe, efficacious and time-saving technique is mandatory to optimize surgical turnover and costs. In this perspective, we compared, in a randomized, single-blinded study, a standardized perifascial technique and the selective perineural technique. METHODS: Forty-two patients scheduled for elective hand surgery were randomly assigned to receive 20 ml of 10 mg/mL mepivacaïne, either selectively around each of the radia...
Source: Minerva Anestesiologica - Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research
CONCLUSIONS: Perioperative, i.v. lidocaine administration influences postoperative serum concentrations of endocannabinoids and NAEs in children. PMID: 31630508 [PubMed - as supplied by publisher]
Source: Minerva Anestesiologica - Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research
Catheter use in regional anesthesia: pros &cons. Minerva Anestesiol. 2019 Oct 14;: Authors: Capdevila X, Iohom G, Choquet O, Delaney P, Apan A Abstract Continuous peripheral nerve blocks refer to a local anesthetic solution administered via perineurally placed catheters in an effort to extend the benefits of a single-shot peripheral nerve block. They offer several advantages in the postoperative period including excellent analgesia, reduced opioid consumption and associated side effects, enhanced rehabilitation and improved patient satisfaction. The current trend towards less invasive, one-day surg...
Source: Minerva Anestesiologica - Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research
Authors: Romagnoli S, Franchi F, Ricci Z Abstract Individual response to sedatives and hypnotics is characterized by high variability and the identification of a personalized dose during anesthesia in the operating room and during sedation in the intensive care unit may have beneficial effects. Although the brain is the main target of general intravenous and inhaled anesthetic agents, electroencephalography (EEG) is not routinely utilized to explore cerebral response to sedation and anesthesia probably because EEG trace reading is complex and requires encephalographers' skills. Automated processing algorithms (proc...
Source: Minerva Anestesiologica - Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research
CLINICS IN PERINATOLOGY
Source: Clinics in Perinatology - Category: Perinatology & Neonatology Authors: Source Type: research
News out of Michigan where apparently 2 CRNA's whistleblew regarding billing practices which started after an AA was hired into the practice. Traverse City anesthesia practice to pay $600K for false Medicare claims
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
Anyone who do a lot of these have tips for VATS/thoracotomies, especially with paramedian techniques? Place i trained didn't have a ton of paramedian numbers for thoracic cases. most of the thoracic epidurals i did was for abdominal cases were lower, which were just mostly midline I have done some paramedians with variable success long time ago in residency(n probably too low to tell how good i am), but i will be doing more in my new practice. I did some rereading on paramedians, and it... thoracic epidural tips?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
Hello Everyone, I am thinking about trying locums for a little bit. I would like to find out if anyone knows what happens in the following scenario. Lets say I inquire about a permanent position advertised by the hospital/group, but after finding out all the details I decide that I am not interested. Can I apply for the same job as a locum via a locum agency? Is there any conflict? Thank you for the advice.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
Conclusions: Female gender, increasing age, American Society of Anesthesiology classification, operative time, or a history of diabetes, chronic obstructive pulmonary disease, congestive heart failure, or a bleeding disorder are risk factors for prolonged hospitalization following total shoulder arthroplasty. Level of Evidence: Level III.
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: Original Research Source Type: research
ConclusionsThe study is designed to identify a TxA dose with maximal efficacy and minimal complications. We hypothesize that the high dose has superior efficacy and non-inferior safety to the low dose.
Source: American Heart Journal - Category: Cardiology Source Type: research
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