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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.

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ANESTHESIOLOGISTS: BEFORE YOU ADVANCE THAT NEEDLE. A CAUTIONARY TALE

The Anesthesia Consultant

You drive to the hospital to find the patient has already had a stat MRI of his spine, and the diagnosis was a perispinal hematoma at L3. Neurosurgeons have taken him to the operating room to drain the hematoma and decompress the spinal column. These hematomas may result in long-term or permanent paralysis.

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

The Anesthesia Consultant

The surgeon arrived and attempted to perform an emergency surgical airway, at which time the anesthesiologist successfully intubated the patient’s trachea as the hematoma was drained. Evaluate each airway prior to surgery. Why Did Take Me So Long To Wake From General Anesthesia?

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ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 6

Anaesthesia News

. • A recently published consensus statement on the obstetric anesthetic management of patients receiving anticoagulation therapy – if an anticoagulated patient requires an emergent cesarean delivery and the anticoagulation cannot be reversed, the risk of epidural hematoma from neuraxial anesthesia may outweigh the risks of general anesthesia.

Hematoma 100
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ANESTHESIA FOR PATIENTS WITH RENAL DISEASE

Anaesthesia News

Acute kidney injury (AKI) occurs in about 1% of patients undergoing general surgery procedures. Predictors of AKI for patients undergoing cardiac surgery are related to poor cardiac performance and advanced atherosclerotic disease. Decreased urine output may be a normal part of the stress response to surgery.