Category: Articles

Transcatheter Mitral Valve Replacement

Our hospital will be partaking in the Medtronic APOLLO study. The data so far from other hospitals in an easy to read format. PPT from Duke 2017 Peri-procedural imaging for transcatheter mitral valve replacement. Cardiovasc Diagn Ther. 2016 Apr; 6(2): 144–159. Role of echocardiography for catheter-based management of valvular heart disease. Journal of Cardiology 69 (2017) 66–73. EAE/ASE

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Responsibility for your own health

I was shocked to see that the NHS could ban surgery for the obese and smokers.  That’s socialized medicine.  You take a conglomerate group of people (the UK) on a limited budget for healthcare… and basically find the cheapest most cost-effective way to deliver healthcare.  But in a way, it’s empowering patients to take responsibility

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Suprascapular blocks

Trends are evolving in decreasing intraoperative and postoperative opioid use.  Therefore, anesthesiologists are constantly learning new regional techniques to help with postoperative pain.  For shoulder surgeries, I’ve moved away from interscalene blocks toward supraclavicular blocks.  I think the interscalene block provides a better block of a total shoulder surgery, however, certain patient comorbidities often make

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The physician anesthesiologist vs. CRNA debate

Why is this even a debate? It seems to me that the CRNA-led debate is financial… once you tease through all the fluff. So here’s some literature I found: Evidence-based review did NOT find nurse anesthetists’ care equal to that of physician anesthesiologists Unsupervised anesthesia care by a nurse anesthetist is a threat to patient

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Walking labor epidurals

What is an epidural? American Pregnancy Association: Epidural Anesthesia N Engl J Med 2010;362:1503-10. Epidural analgesia for labor and delivery. What is a “walking” epidural? Brigham and Women’s Anesthesiology 2 2000, Vol.92, 387. Walking with Labor Epidural Analgesia: The Impact of Bupivacaine Concentration and a Lidocaine–Epinephrine Test Dose. MJAFI, Vol. 63, No. 1, 2007. Walking Epidural :

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Mitraclip and TEE for MR

  European Heart Journal – Cardiovascular Imaging (2013) 14, 935–949.  Peri-interventional echo assessment for the MitraClip procedure.  Everest Clinical Trial results PPT Open Heart 2014;1:e000056. Two-year outcomes after percutaneous mitral valve repair with the MitraClip system: durability of the procedure and predictors of outcome. ASE Echo 2016: Percutaneous approaches to MR. UofMichigan PPT. 2015: The role

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