Category: OB

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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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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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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OB Anesthesia

Today, I’m on call covering OB. MGH: OB anesthesia Q&A for patients BWH: OB anesthesia Q&A for patients IARS 2010: OB anesthesia in the 21st century IARS 2011: OB anesthesia update A&A 2013: A Randomized Controlled Comparison of Epidural Analgesia and Combined Spinal-Epidural Analgesia in a Private Practice Setting: Pain Scores During First and Second

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Intraoperative cystoscopy and ureteral visualization

Over the years, I’ve been asked to inject various dyes to help light up the urine for visualization of the ureters.  Now, we’ve moved to fluorescein because it “lights up” quicker than other previous dyes.  Why are we always switching?  Drug shortages. Obstet Gynecol. 2015 Mar;125(3):548-50. Sodium fluorescein use during intraoperative cystoscopy. Dosing: 0.25 – 1.0

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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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What is the “Best” Anesthetic for Oocyte Retrieval

Originally posted on John Gerancher's Regional Anesthesiology:
Pain Relief for Women Undergoing Oocyte Retrieval for Assisted Reproduction (review) Published: January 2013 In: The Cochrane Collaboration From: EPPI-Centre, University of London Authors: Kwan I, Bhattacharya S, Knox F, McNeil A. Review: In investigating if spinal anesthesia might be the best anesthetic and analgesic approach for…

24 hours with an anesthesiologist

A piece I’d like to submit for: CNN Money 24 hours With….an anesthesiologist About Kris: I grew up in a small west Texas town called Abilene, TX. My mom was a standard tiger mom in that she encouraged me to pursue multiple activities while nudging me to do my best. After drama lessons, tennis lessons, basketball, volleyball,

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