Tag: anesthesia

Work-Life Balance and taking care of yourself

Work-life balance and taking care of yourself #anes17 #meded #stress #medicine #burnout #administrators

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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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Lidocaine infusions for pain

BJA Educ, April 2016. Intravenous lidocaine for acute pain: an evidence-based clinical update Lidocaine Infusion for Perioperative Pain Management – Vanderbilt Cocharane Library, July 2015. Continuous intravenous perioperative lidocaine infusion for postoperative pain and recovery. Perioperative Use of Intravenous Lidocaine. Anesthesiology 4 2017, Vol.126, 729-737. Open Access Journals, Jan 2017. Lidocaine Infusion: A Promising Therapeutic Approach for

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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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Oppose AB 72 #politics #healthcare #anesthesia

Subject: I’m strongly “Opposed” to AB 72 (Bonta). As a physician anesthesiologist, I routinely treat patients during life’s most difficult and uncertain moments, often in life-sustaining surgeries. I agree that patients should not be surprised by out-of-network charges that can arise during these difficult times. However, AB 72 (Bonta) shifts the onus of arranging for

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Left atrial occlusion devices

Our hospital is starting to do more left atrial occlusion devices for people who have afib and aren’t able to tolerate blood thinners. Currently, two types are offered by our cardiologists: Watchman procedure (endocardial) vs Lariat procedure (epicardial). Lariat It look and acts similar to a lariat or lasso.  An external guide wire with a

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Minimally invasive mitral valve surgery from an anesthesiologist’s perspective. #cardiac #mitral #tee #minimallyinvasive #robot #anesthesia #meded

Surgically, more and more cases are performed through tiny incisions for minimal scarring.  Don’t let that underestimate the size of the procedure.  For example, mitral valve surgery is still a common procedure that involves a sternotomy (“cracking the chest”) and stopping the heart — it’s a big procedure.  However, surgeons have become adept at making

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