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 …
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, 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 can be technically challenging. Use of a nasal airway and a pediatric bougie can greatly simplify this task. #anesthesia #FOAMED Read More …
Nasal intubation needs attention to anatomy to avoid complications. Technique: nasal intubation combined with direct laryngoscopy described. #anesthesia #FOAMED Read More …
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 …
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 …
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 …
Gastroparesis, delayed gastric emptying, increases risk of pulmonary aspiration. Article discusses 3 near misses & anesthetic management. #FOAMED #anesthesia Read More …
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 …
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 …
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 …
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 …
Article discusses reducing complication risk for scheduling elective pediatric cases at surgery ccenters to avoid delay during COVID pandemic restrictions. Read More …
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 …
Tracheal rupture is a rare intubation injury associated with stylet trauma & over-inflation. This article discusses predispositions and prevention. Read More …
Going through your anesthesia checklist before starting a case isn’t exciting. However the anesthesia checklist can potentially save your patient’s life by allowing you to find risks and correct them before they cause harm. I found early in my career that if I skip this step, unwelcome surprises can occur. Read More …
Deep extubation has advantages for the patient but must be done carefully to avoid laryngospasm and aspiration. This article discusses the pros, cons and technique. Read More …
Drug shortages force us to use clinical calculations to mix what we need with ingredients on hand. Clinical Calculations: Epinephrine & Local Anesthetics. Article shows how to understand drug concentrations for epinephrine and local anesthetics as well as how to perform the calculation to epinephrine and local anesthesia into different concentrations Read More …
Dead space is the portion of the respiratory system where tidal volume doesn’t participate in gas exchange. We often worry about anatomic and physiologic dead space. We often forget equipment dead space, the dead space belongs to any airway equipment used to assist ventilation. Ignoring equipment dead space can lead Read More …