Communication Is Everything

Given the difficulty of working with a volunteer team in the developing world, how do we take strangers and quickly transform them into a cohesive, well-functioning team in a difficult environment? Let’s look at some of the tools we use. Read More …

Airway Disasters: Volunteer Anesthesia Mishaps #3

Airway disasters during volunteer medical missions to Developing World are often preventable if you screen carefully, prepare, & communicate. Read More …

Equipment—Avert Volunteer Anesthesia Mishaps 2

During volunteer missions, anesthesia equipment hazards include old, poorly maintained equipment in a foreign, stressful environment. Prevention requires vigilance, preparation, and ingenuity. #FOAMED #anesthesia Read More …

Halothane: Avert Volunteer Anesthesia Mishaps 1

Anesthetic mortality during volunteer medical missions overseas is 20X higher than US statistics. Article discusses risks inhalation anesthesia/Halothane. Read More …

Prevent Perioperative Hypothermia: Retain Heat

Perioperative hypothermia is a common, and often preventable, complication of anesthesia with potentially serious patient outcomes. Preventing it requires understanding its physiology and causes. Read More …

Pediatric Respiratory Failure: A Peril In Young Children

Children younger than 5 have a much higher risk of developing pediatric respiratory failure. Article discusses why a higher risk of hypoxia, an immature cardiovascular system, and inefficient mechanics of breathing increases risk of respiratory failure. #FOAMED #anesthesi Read More …

Pediatric Hypotension: Think Hypovolemia

Pediatric hypotension, in the absence of cardiac pathology, should be considered hypovolemia until proven otherwise. Hypovolemia can precipitate respiratory failure, which then worsens hypotension in a vicious cycle. Hypovolemia can result in cardiac arrest. Case: I was called to the emergency room to intubate an unresponsive, cyanotic, 5 year old Read More …

Using Video Laryngoscopy For Nasal Intubation

, using video laryngoscopy for nasal intubation can be technically challenging. Use of a nasal airway and a pediatric bougie can greatly simplify this task. #anesthesia #FOAMED Read More …

Nasal Intubation

Nasal intubation needs attention to anatomy to avoid complications. Technique: nasal intubation combined with direct laryngoscopy described. #anesthesia #FOAMED Read More …

Avoiding Pediatric Anesthesia Problems — YouTube

Anesthesia providers who don’t care for children frequently can find their care intimidating. Link to pediatric anesthesia airway management lectures on YouTube by Dr. Christine Whitten and Dr. S. Ramesh. #anesthesia, #FOAMED, #anaesthesia Read More …

Save The Date: Upcoming International Lecture on Common Problems in Pediatric Anesthesia

It is my honor to have been asked to lecture to the anesthesia post graduates in India. This YouTube presentation will be live worldwide. The different international times are noted below. Children are not miniature adults: in many ways normal pediatric anatomy and physiology make children more vulnerable to hypoxia, Read More …

Failed Airway: A Supraglottic Airway Can Rescue Your Patient!

Inserting a supraglottic airway in a failed airway emergency can rescue your patient and allow successful oxygenation and ventilation. management of failed airway, can’t intubate can’t ventilate discussed. #anesthesia, #FOAMED Read More …

Aspiration in Anesthesia: Be Vigilant, Be Prepared

Pulmonary aspiration in anesthesia can be life-threatening. Article discusses how to minimize risk with vigilance, good judgment, preparation, and quick actions. #anesthesia, #FOAMED Read More …

Cricoid Pressure Requires Communication & Teamwork

To be effective, cricoid pressure must be applied using the correct force, at the correct spot, using the correct angle. It therefore, requires good communication between intubator and the applier. Article discusses technique. #FOAMED Read More …

Anesthesia Circuit Failure: Predictable and Preventable

Failure of the anesthesia circuit, with inability to ventilate, is one of the most frightening anesthetic emergencies. You must act quickly to keep your patient safe and troubleshoot causes of the anesthesia circuit failure. One essential diagnostic and management tool in this emergency is your manual ventilation bag. Case: The Read More …

Avoid Nasotracheal Intubation Trauma By Using A Red Rubber Robinson Catheter

Nasotracheal intubation can cause nosebleeds. One way to minimize trauma to the nasal turbinates is to shield the tip of the endotracheal tube inside a Red Rubber Robinson catheter. Article discusses technique and alternatives. #FOAMED Read More …

Pediatric Surgery Center Cases During COVID-19

Article discusses reducing complication risk for scheduling elective pediatric cases at surgery ccenters to avoid delay during COVID pandemic restrictions. Read More …

Extubation: Plan The End At The Beginning

Anesthesia providers frequently prepare for difficult intubation, but may take extubation for granted. The anesthesia provider should treat extubation with the same degree of caution as intubation. Article discusses extubation criteria, technique, and precautions. Read More …