Category: Great Cases

Emergency Checklists

It seems like in today’s day and age, emergencies are occurring everywhere.  From hurricanes to shooters to earthquakes and fires… I think it’s always important to know what to do.  Here are some fabulous checklists I’ve found for getting through those emergencies.  These are not substitutions for knowledge and training.  Clinical judgement warranted. Emergency Manual

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Deep Hypothermic Circulatory Arrest

Case     OpenAnesthesia.org: Cerebral ischemia: deep hypothermia SCA 2013 PBLD: Anesthetic Management for Deep Hypothermic Circulatory Arrest BJA: Deep hypothermic circulatory arrest. July 2010 JCVA: Perioperative management of deep hypothermic circulatory arrest. Aug 2010. Anaesthesia, Pain, and Intensive Care: Deep hypothermic circulatory arrest – anesthetic considerations. Aug 2016. Annals of Thoracic and Cardiovascular Surgery:

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Cardiac Surgery in a Jehovah’s Witness Patient

AVR Brief case summary Literature Search Blood Transfusion: 2011; April 9(2); 189-217.  Recommendations for the transfusion management of patients in the peri-operative period. II. The intra-operative period. BMJ Case Rep. 2012; 2012: bcr1220115403.  Aortic valve replacement in a Jehovah’s Witness: a case of multi-disciplinary clinical management for bloodless surgery. Journal of Cardiothoracic and Vascular Anesthesia,

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Ventricular Assist Devices: Impella

“There’s an emergent case coming for impella placement.” Impella?  I’ve read about these devices and I’m familiar with managing patients on LVADs as well as providing anesthesia for LVAD placement.  But, I’ve never done an Impella on a critically unstable patient. YouTube video describing the purpose and placement of the Impella Cath Lab Digest: Overview

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Awake Tracheostomy

They say that anesthesiology is 95% comfy and relaxed and the other 5% is “oh shit”!  It’s a great career choice — pretty flexible hours, great patient contact, broad spectrum medicine, crisis management, leadership role, etc. There happened to be an interesting case in the OR — awake tracheostomy for a patient coming in from home.

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TAVR Team: conscious sedation vs. general anesthesia

Today, we had a guest speaker Christian Spies from Queen’s Hospital in Hawaii who spoke on his experience with his TAVR team and conscious sedation vs. general anesthesia for these patients.  More specifically, we are speaking of the transfemoral route. Keypoints: Patient selection is key (consider for COPD; bad for OSA) Short surgical time for monitored anesthesia

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The 10 most stressful situations in anesthesiology from an anesthesiologist’s perspective

These aren’t my own thought, however, I can easily agree with the list below.  One of the things that was left off this list was pediatric hearts.  I had the chance to do a one month pediatric cardiac anesthesia rotation at a very busy Children’s hospital and it was definitely an eye opening experience.  Teeny

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