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Needle Selection for Neuraxial Anesthesia

DFW Anesthesia Professionals

Typically, the procedure involves inserting a needle between the vertebrae to administer medication into either the epidural space (as in epidural anesthesia) or the subarachnoid space (as in spinal anesthesia). Pencil-point needles can also lead to greater post-traumatic inflammation, myelin damage, and intraneural hematoma.

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ANESTHESIOLOGISTS: BEFORE YOU ADVANCE THAT NEEDLE. A CAUTIONARY TALE

The Anesthesia Consultant

You discuss the procedure of a blood patch and he says, “Yes, that’s what I need. 3 You explain the blood patch procedure and its risks to the patient, he signs a consent, and you perform the blood patch within the hour. You withdraw the Tuohy needle and announce to the patient that the procedure is over. What do you do?

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Anesthesiologist, Tired of Intubating in Era of COVID, Decides to Perform CABG Under Spinal

Gomer: Anesthesiology

At one New York medical center, intense clinical demands and provider fatigue have inspired one anesthesiologist to push the boundaries of clinical medicine. Dr. Mac “McGrath” Millerstein, a cardiothoracic anesthesiologist, has intubated countless patients with COVID over the last several weeks.

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ANESTHESIOLOGISTS, DON’T BE AFRAID TO CUT INTO A PATIENT’S NECK

The Anesthesia Consultant

You’re an anesthesiologist. I’d like to focus on one specific aspect of this important study: anesthesiologists need to lose their reluctance to cut a surgical airway into a patient’s neck in a “can’t intubate, can’t oxygenate” airway emergency. Your patient’s skin and lips are purple and you are terrified. What do you do?

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CODE BLUE – WHEN AN ANESTHESIOLOGIST PREMATURELY DEPARTS A FREESTANDING SURGERY CENTER

The Anesthesia Consultant

Let’s look at a case study which highlights a specific risk of general anesthesia at a freestanding surgery center or a surgeon’s office operating room, when the anesthesiologist departs soon after the case is finished. The anesthesiologist meets the patient prior to the surgery, reviews the chart, and examines the patient.