Tag: surgery

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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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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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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PEC 1 & 2 Blocks, Serratus Anterior Block

I’ve been hearing more and more about PEC 2 block for mastectomy.  What’s wonderful about this block is that it seems that the risk of pneumothorax is lower than for a paravertebral block. Egyptian Journal of Anaesthesia; April 2014. Thoracic Paravertebral Block vs. Pectoral Nerve Block for Analgesia after Breast Surgery SlideShare powerpoint: PEC 1

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Mr. Chill – #cardiac

Today was an ordinary day.  Come in for a minimally invasive aortic valve and call it a day.  However, that case was cancelled secondary to UTI.  So, I opted to get involved in a different case…. an epicardial lead placement.  This was a gentleman I’ll refer to as Mr. Chill.  He was getting an epicardial

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