Anesthesiology ClinicsThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

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IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Source Type: journals

Anesthetic Care for Patients with Skin BreakdownEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Wound patients commonly have multiple comorbidities, which should be optimized before anesthesia. These factors contribute not only to skin breakdown but also other causes of mortality and morbidity. Skin becomes more vulnerable to damage from pressure, friction, shear, and moisture when the skin is dry, less elastic, and less perfused. Careful assessment and implementation of an anesthetic plan using regional or general techniques can improve outcomes. The anesthesiologist plays a vital role in maintaining homeostasis during the surgically stressful perioperative period of the wound patient. Aggressive wound management in...
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Authors: Daniel K. O'Neill, Jason Maggi Source Type: journals

Perioperative Use of β-Blockers in the Elderly PatientEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article examines common comorbidities in the elderly who may benefit from the chronic use of β-blockers, prophylactic perioperative use of β-blockers including timing, dosage, and choice of β-blocker, the pharmacologic effects of aging, and recommendations on the use of β-blockers. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Authors: Stefan A. Lombaard, Reinette Robbertze Source Type: journals

Informed Consent and the Ethical Management of the Older PatientEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion of do-not-resuscitate orders is part of informed consent, and patients' wishes regarding resuscitation in the operating room should be respected. Surrogate consent for participation in research is not necessarily allowed by IRB approval and research protocols. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Authors: Yulia Ivashkov, Gail A. Van Norman Source Type: journals

Anesthetic Management of Acute Mesenteric Ischemia in Elderly PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Ischemic insult to the splanchnic vasculature can jeopardize bowel viability and lead to devastating consequences, including bowel necrosis and gangrene. Although acute mesenteric ischemia (AMI) may occur at any age, the elderly are most commonly affected due to their higher incidence of underlying systemic pathology, most notably atherosclerotic cardiovascular disease. Treatment options include pharmacology-based actions, endovascular, and surgical interventions. AMI remains a life-threatening condition with a mortality rate of 60% to 80%, especially if intestinal infarction has occurred and surgical intervention becomes ...
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Authors: Alexander A. Vitin, Julia I. Metzner Source Type: journals

Fat EmbolismEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the definition, epidemiology, etiology, pathophysiology, clinical presentation, diagnosis, management, and prognosis of FES. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Authors: Shamsuddin Akhtar Source Type: journals

Aortic Valve StenosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Calcific aortic stenosis (AS) is primarily a disease of the elderly, possessing features that are biomechanical as well as systemic and inflammatory in nature, with risk factors and histopathology similar to atherosclerosis. To date no medical therapy has been shown to conclusively alter the progression of the disease, and for those with symptomatic AS, aortic valve replacement (AVR) is advocated. Factors that may alert the physician to an accelerated progression of calcific aortic valvular disease toward severe symptomatic AS include moderate aortic valve calcification, chronically dialyzed patients, and patients 80 years...
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Authors: Charles Z. Zigelman, Patti M. Edelstein Source Type: journals

Diastolic Dysfunction, Cardiovascular Aging, and the AnesthesiologistEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As the number of persons aged 65 years and older continues to increase, the anesthesiologist will more frequently encounter this demographic. Cardiovascular changes that occur in this patient population present difficult anesthetic challenges and place these patients at high risk of perioperative morbidity and mortality. The anesthesiologist should be knowledgeable about these age-related cardiovascular changes, the pathophysiology underlying them, and the appropriate perioperative management. Whether presenting for cardiac or general surgery, the anesthesiologist must identify patients with altered physiology as a result ...
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Authors: David Sanders, Michael Dudley, Leanne Groban Source Type: journals

Postoperative Cognitive Dysfunction in the ElderlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses the incidence, assessment, consequences, and prevention of POCD, as well as anesthetic strategies to improve cognitive outcome in elderly patients. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Authors: Ramesh Ramaiah, Arthur M. Lam Source Type: journals

Postoperative Urinary RetentionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Postoperative urinary retention (PUR) is a common complication of surgery and anesthesia. The risk of retention is especially high after anorectal surgery, hernia repair, and orthopedic surgery and increases with advancing age. Certain anesthetic and analgesic modalities, particularly spinal anesthesia with long-acting local anesthetics and epidural analgesia, promote the development of urinary retention. Portable ultrasound provides rapid and accurate assessment of bladder volume and aids in the diagnosis and management of PUR. Catheterization is recommended when bladder volume exceeds 600 mL to prevent the negative seque...
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Authors: Daniela M. Darrah, Tomas L. Griebling, Jeffrey H. Silverstein Source Type: journals

Postoperative Delirium in the Elderly Surgical PatientEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Delirium is a common complication in the geriatric population following cardiac and noncardiac procedures. Postoperative delirium is a significant financial burden on the United States health care system and is independently associated with prolonged hospital stay, increased risk of early and long term mortality, increased physical dependence, and an increased rate of nursing home placement. The Confusion Assessment Method (CAM) is a bedside rating scale developed to assist nonpsychiatrically trained clinicians in the rapid and accurate diagnosis of delirium. The CAM has been adapted for use in ventilated intensive care un...
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Authors: Frederick E. Sieber Source Type: journals

Delayed ArousalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Elderly patients have medical and psychological problems affecting all major organ systems. These problems may alter the pharmacokinetics and/or pharmacodynamics of medications, or expose previous neurologic deficits simply as a result of sedation. Delayed arousal, therefore, may arise from structural problems that are pre-existent or new, or metabolic or functional disorders such as convulsive or nonconvulsive seizures. Determining the cause of delayed arousal may require clinical, chemical, and structural tests. Structural problems that impair consciousness arise from a small number of focal lesions to specific areas of ...
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Authors: Zirka H. Anastasian, Eugene Ornstein, Eric J. Heyer Source Type: journals

Atrial Fibrillation in the ElderlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article provides an overview of the incidence, prevalence, etiology, and pathophysiology of AF in elderly patients, with special emphasis on the perioperative period. The pharmacologic and nonpharmacologic management strategies available to the anesthesiologist are described. The anesthesiologist must be aware of the causes, consequences, and treatment of elderly patients developing AF during the perioperative period, as well as patients presenting to the operating room with chronic AF. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Authors: Gregory W. Fischer Source Type: journals

Parkinson's Disease and Deep Brain Stimulator PlacementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article examines the role of the anesthesiologist in the pre- and perioperative management of patients undergoing DBS procedures. In terms of the general anesthetic management of PD patients, it is clear that no simple anesthetic regimen exists. Anesthesiologists can provide the best care through preoperative assessment, maintenance of PD drug therapy, and avoidance of known precipitating agents. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Authors: Stacie Deiner, John Hagen Source Type: journals

Polypharmacy and Perioperative Medications in the ElderlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Polypharmacy is a significant and complex problem affecting more than 40% of the geriatric population. Accurate medication histories may be difficult to obtain, but must include over-the-counter remedies as well as prescription. Physiologic changes occur with aging that predispose elderly patients to adverse drug events. At a minimum, medications with significant anticholinergic properties should be recognized and avoided in the perioperative period. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Authors: Sheila Ryan Barnett Source Type: journals

PrefaceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This issue of Anesthesiology Clinics, focused on problems encountered in geriatric patients, comes at an interesting and exciting time in modern anesthesia practice. The practices of anesthesiologists in North America are becoming progressively populated by aging patients. Longevity seems to be increasing steadily, and the expectations of a vital elderly population include quality medical care. The quality and diversity of information regarding the perioperative care of the elderly has increased significantly, as can be noted at national meetings, in scientific journals, and by the creation of the subspecialty Society for ...
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Authors: Jeffrey H. Silverstein Source Type: journals

ForewordEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Anesthesia at the extremes of age has been a topic of interest to anesthesiologists, but much of the focus has been on the very young as opposed to the very old. Anesthesiologists are acquainted with managing patients with multiple comorbidities, which are known to increase with increasing age, but the very old have some unique problems, and the manifestations of the comorbidities have changed. Therefore, there is increasing interest in geriatric patients and their perioperative care, and in this issue of Anesthesiology Clinics, the editor has chosen a different format from the traditional monograph, using a problem-based ...
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Authors: Lee A. Fleisher Source Type: journals

Forthcoming issuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Source Type: journals

IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 31, 2009 Category: Anesthesiology Source Type: journals

Monitoring Endocrine FunctionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews current knowledge concerning the monitoring of endocrine function in patients in the clinical setting. Monitoring techniques are discussed and literature is reviewed regarding diabetes mellitus, thyroid, and parathyroid disorders, pheochromocytoma, adrenal insufficiency, and carcinoid tumors. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 31, 2009 Category: Anesthesiology Authors: Vivek Moitra, Robert N. Sladen Source Type: journals

Blood Conservation Strategies in Pediatric AnesthesiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Management of bleeding in the neonate, infant, or child presents its own set of dilemmas and challenges. One of the primary problems is the lack of good scientific evidence regarding the best management strategies for children rather than for adults. The key to success in the predicament is firstly to ensure that the physician has a clear understanding of the underlying normal physiology of the young child's hematologic status. Then by adding knowledge of the abnormal pathology that is being presented, the physician can at least understand what anomalies he or she is facing. Once all the available information concerning th...
Source: Anesthesiology Clinics - May 31, 2009 Category: Anesthesiology Authors: Shilpa Verma, Michael Eisses, Michael Richards Source Type: journals

Anesthesia and HemoglobinopathiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the common types of hemoglobinopathies, presents a basic summary of the pathophysiology relevant to anesthesia, and outlines current perioperative management. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 31, 2009 Category: Anesthesiology Authors: Paul G. Firth Source Type: journals

Sedating the Child with Congenital Heart DiseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The number of pediatric patients requiring sedation for procedures performed outside the operating room environment continues to grow yearly, as does the number of patients surviving to adulthood with the residua and sequelae of congenital heart disease. Ongoing efforts to develop guidelines to enhance the safety of these pediatric sedative encounters have resulted in great strides in the prevention of adverse events. In addition, the Society for Pediatric Sedation, associated with the Pediatric Sedation Research Consortium, provides an important forum for practitioner education and the promotion of safe care for infants a...
Source: Anesthesiology Clinics - May 31, 2009 Category: Anesthesiology Authors: Laura K. Diaz, Lisa Jones Source Type: journals

The Fontan PatientEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Improved surgical and medical management has led to an increase in survival after staged univentricular palliative procedures. Subsequently, this improved survival has led to an increase in the number of patients who will present for noncardiac surgical interventions with Fontan physiology. A comprehensive understanding of normal Fontan physiology and the perturbations that the proposed surgical procedure will likely have is necessary to care for and design a comprehensive anesthetic plan that takes into account the effects of anesthetic agents, ventilation strategies, cardiovascular drugs, and various other perioperative ...
Source: Anesthesiology Clinics - May 31, 2009 Category: Anesthesiology Authors: Philip D. Bailey, David R. Jobes Source Type: journals

Is Anesthesia Bad for the Newborn Brain?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although certain data suggest that common general anesthetics may be neurotoxic to immature animals, there are also data suggesting that these same anesthetics may be neuroprotective against hypoxicischemic injury, and that inadequate analgesia during painful procedures may lead to increased neuronal cell death in animals and long-term behavioral changes in humans. The challenge for the pediatric anesthesia community is to design and implement studies in human infants to ascertain the safety of general anesthesia. In this article, the authors review the relevant preclinical and clinical data that are currently available on...
Source: Anesthesiology Clinics - May 31, 2009 Category: Anesthesiology Authors: Mary Ellen McCann, Sulpicio G. Soriano Source Type: journals

Pharmacologic Management of Acute Pediatric PainEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article provides an overview of the most common analgesic medications and techniques used to treat acute pain in children. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 31, 2009 Category: Anesthesiology Authors: F. Wickham Kraemer, John B. Rose Source Type: journals

New Concepts in Treatment of Pediatric Traumatic Brain InjuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Emerging evidence suggests unique age-dependent responses following pediatric traumatic brain injury. The anesthesiologist plays a pivotal role in the acute treatment of the head-injured pediatric patient. This review provides important updates on the pathophysiology, diagnosis, and age-appropriate acute management of infants and children with severe traumatic brain injury. Areas of important clinical and basic science investigations germane to the anesthesiologist, such as the role of anesthetics and apoptosis in the developing brain, are discussed. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 31, 2009 Category: Anesthesiology Authors: Jimmy W. Huh, Ramesh Raghupathi Source Type: journals

Ultrasound Guidance for Pediatric Peripheral Nerve BlockadeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There is an increasing trend in the use of peripheral nerve blockade for postoperative analgesia in children, and the use of ultrasound guidance to perform peripheral nerve blocks is gaining popularity. A thorough knowledge of anatomy will help in performing the appropriate block, and will also aid in better use and understanding of ultrasound guidance. In this article, we briefly review the use of ultrasound guidance to perform common upper and lower extremity and truncal blocks. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 31, 2009 Category: Anesthesiology Authors: Arjunan Ganesh, Harshad G. Gurnaney Source Type: journals

Pediatric Difficult Airway Management: Current Devices and TechniquesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The anesthesiologist confronting the difficult pediatric airway is presented with a unique set of challenges. Adult difficult airway management techniques, such as awake or invasive approaches to airway management, often cannot be applied to children because of inadequate cooperation. Consequently, awake intubation in pediatrics is uncommon; most intubations are performed under general anesthesia or deep sedation. From a physiologic perspective, children have higher rates of oxygen consumption, significantly shortening the period of apnea that can be safely tolerated. Normal developmental anatomic differences of the pediat...
Source: Anesthesiology Clinics - May 31, 2009 Category: Anesthesiology Authors: John Fiadjoe, Paul Stricker Source Type: journals

PrefaceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Many thousands of times each day, practitioners of pediatric anesthesia perform routine anesthetics safely with an inconspicuous and remarkable consistency. However, unless one pays careful attention to the published literature and scientific meeting abstracts, the progress behind the clinical scenes can be easily missed. These subtle advances and evolving controversies in pediatric anesthesia are the main focus of this thrilling issue of Anesthesiology Clinics. Our goal was to provide readers with updates in areas where clinical and basic science research have led to changes in clinical practice or areas of continuing res...
Source: Anesthesiology Clinics - May 31, 2009 Category: Anesthesiology Authors: Arjunan Ganesh, Ronald Litman Source Type: journals

ForewordEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As surgery and the condition of patients who undergo surgery become more complex, hospitals specifically devoted to care for these patients have developed. One of the first such types of hospitals were the children's hospitals. These specialized hospitals allow for the translation of the latest science into clinical care. Yet it is important to recognize that most routine anesthesia care for pediatric patients is performed in general hospitals by non–specialty trained anesthesiologists. As new knowledge is produced, it is important to diffuse it to the larger population. This issue of Anesthesiology Clinics is devoted to...
Source: Anesthesiology Clinics - May 31, 2009 Category: Anesthesiology Authors: Lee A. Fleisher Source Type: journals

Erratum: Intraoperative Management: Peripheral Vascular SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the June 2004 issue of the Anesthesiology Clinics of North America (Volume 22, Issue 2), the name of Dale F. Szpisjak, MD, MPH was misspelled in the table of contents, in the contributors list, and on the title page of the article. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 31, 2009 Category: Anesthesiology Authors: Richard P. Serianni, Cynthia H. Shields, Dale F. Szpisjak, Paul D. Mongan Source Type: journals

Forthcoming issuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 31, 2009 Category: Anesthesiology Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 31, 2009 Category: Anesthesiology Source Type: journals

IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - March 1, 2009 Category: Anesthesiology Source Type: journals

Anesthesiology and Competitive StrategyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Whether we like it or not, medicine is big business. The argument is sometimes made that standard management strategies from the business world do not apply to medicine because the economics and practice of medicine are unique—driven by science and rapid rates of change. But an exploding knowledge base, light-speed technological development, and ever-changing reimbursement schemes are not exclusive to medicine and health care. Some fundamental principles of finance, business management, and strategic development have evolved to deal with problems of rapid change. These principles do apply to modern medicine. The business...
Source: Anesthesiology Clinics - March 1, 2009 Category: Anesthesiology Authors: Wendy L. Gross, Barbara Gold Tags: SECTION 3: TRANSITIONAL PRIORITIES Source Type: journals

The Evolution of the Anesthesiologist: Novel Perioperative Roles and BeyondEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Delivery of the spectrum of anesthesia from sedation to general anesthesia for patients undergoing procedures outside of the operating room (OR) poses several problems not encountered in the OR. These include limited time to assess the patient and often no time to obtain consultations for medical conditions that may be outside of the usual purview of an anesthesiologist, such as initial management of infections, diabetic ketoacidosis or hyperosmotic hyperglycemic state, inadequately managed cardiovascular disease, and toxic ingestions. Anesthesiologists trained in critical care usually have more experience with the initial...
Source: Anesthesiology Clinics - March 1, 2009 Category: Anesthesiology Authors: Richard Teplick, Myer Rosenthal Tags: SECTION 3: TRANSITIONAL PRIORITIES Source Type: journals

Critical Monitoring Issues Outside the Operating RoomEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There is no need to reinvent the wheel to determine the need for vigilant monitoring in outside of the operating room (OOR) settings. Anesthesiologists have evolved a robust system of monitoring standards based on decades of experience in operating room environments. Every OOR location should be thoroughly evaluated and monitoring standards implemented. The standards should be periodically reviewed to avert morbidity. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - March 1, 2009 Category: Anesthesiology Authors: Samuel M. Galvagno, Bhavani-Shankar Kodali Tags: SECTION 3: TRANSITIONAL PRIORITIES Source Type: journals

Patient Safety: Anesthesia in Remote LocationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the basic concepts in safety, with an emphasis on teamwork and communication, and then discusses how their application ensures safe care in remote locations. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - March 1, 2009 Category: Anesthesiology Authors: Allan Frankel Tags: SECTION 3: TRANSITIONAL PRIORITIES Source Type: journals

Out-of-Operating Room Procedures: Preprocedure AssessmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Performing an anesthetic in a procedure suite instead of in the operating room can be extremely challenging for the anesthetist. Not only are the procedures performed outside of the operating room becoming increasingly more complex but also patient acuity is increasing. In some cases, the out-of–operating room procedure may be selected as a less risky alternative to an operating room procedure in an extremely high-risk patient. Effective preprocedure evaluation and preparation are critical to achieve optimal clinical outcomes and maximal operational efficiency in these areas. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - March 1, 2009 Category: Anesthesiology Authors: Angela M. Bader, Margaret M. Pothier Tags: SECTION 3: TRANSITIONAL PRIORITIES Source Type: journals

Consultation, Communication, and Conflict Management by Out-of-Operating Room Anesthesiologists: Strangers in a Strange LandEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses the literature regarding practice as a consultant and the navigation of conflict with an emphasis on how anesthesiologists might apply the findings to out-of-OR practice. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - March 1, 2009 Category: Anesthesiology Authors: Jason P. Caplan, John Querques, Lucy A. Epstein, Theodore A. Stern Tags: SECTION 3: TRANSITIONAL PRIORITIES Source Type: journals

Introduction to Section 3: Transitional PrioritiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As anesthesiologists follow the movement of cases to sites outside of the operating room, new challenges and new opportunities are bound to emerge. Some of these issues will develop simply because the environment outside of the operating room is new or different; some will arise as new technologies are encountered, and some will appear as anesthesiologists interact with medical specialists who are unfamiliar with the scope and practice of anesthesiology as a specialty. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - March 1, 2009 Category: Anesthesiology Authors: Wendy L. Gross Tags: SECTION 3: TRANSITIONAL PRIORITIES Source Type: journals

Section 3: Transitional PrioritiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - March 1, 2009 Category: Anesthesiology Tags: SECTION 3: TRANSITIONAL PRIORITIES Source Type: journals

Radiologists and AnesthesiologistsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses the anesthesiologist's role in diagnostic and therapeutic radiologic procedures. It addresses the use of monitored anesthesia care, regional anesthesia, and general anesthesia, with an emphasis on patient safety. The discussion is based on guidelines published by the American Society of Anesthesiologists and the American College of Radiology. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - March 1, 2009 Category: Anesthesiology Authors: Thomas W. Cutter Tags: SECTION 2: PRACTICE PARAMETERS Source Type: journals

Interventional Radiology and AnesthesiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Interventional radiology (IR) encompasses a broad and expanding array of image-guided, minimally invasive therapies that are essential to the practice of modern medicine. The growth and diversity of these non-OR procedures presents unique challenges and opportunities to anesthesiologists and interventional radiologists alike. Collaborative action has led to better patient care and quality management. This discussion considers some angiographic and cross-sectional IR procedures in more detail and comments on some of the anesthesia choices and considerations. In addition, specific concerns regarding anesthesia in the area of...
Source: Anesthesiology Clinics - March 1, 2009 Category: Anesthesiology Authors: Matthew P. Schenker, Ramon Martin, Paul B. Shyn, Richard A. Baum Tags: SECTION 2: PRACTICE PARAMETERS Source Type: journals

Anesthesia for Gastrointestinal Endoscopic ProceduresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the challenges encountered in this environment and anesthetic techniques that can be used successfully for these procedures. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - March 1, 2009 Category: Anesthesiology Authors: Daniel T. Goulson, Regina Y. Fragneto Tags: SECTION 2: PRACTICE PARAMETERS Source Type: journals

Anesthesiology and GastroenterologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A successful population-based colorectal cancer screening requires efficient colonoscopy practices that incorporate high throughput, safety, and patient satisfaction. There are several different modalities of nonanesthesiologist-administered sedation currently available and in development that may fulfill these requirements. Modern-day gastroenterology endoscopic procedures are complex and demand the full attention of the attending gastroenterologist and the complete cooperation of the patient. Many of these procedures will also require the anesthesiologist's knowledge, skills, abilities, and experience to ensure optimal p...
Source: Anesthesiology Clinics - March 1, 2009 Category: Anesthesiology Authors: Willem J.S. de Villiers Tags: SECTION 2: PRACTICE PARAMETERS Source Type: journals

Anesthesia in the Cardiac Catheterization Laboratory and Electrophysiology LaboratoryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Procedures and interventions in the cardiac catheterization laboratory (CCL) and electrophysiology laboratory (EPL) are more complex and involve acutely ill patients. Safely caring for this growing patient population in the CCL and EPL is now a concern for all anesthesiologists and cardiologists. Anesthesiologists are uniquely trained to care for this complex patient population, allowing the cardiologist to focus on completing the interventional procedure successfully. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - March 1, 2009 Category: Anesthesiology Authors: Douglas C. Shook, Robert M. Savage Tags: SECTION 2: PRACTICE PARAMETERS Source Type: journals

The Role of the Out-of-Operating Room Anesthesiologist in the Care of the Cardiac PatientEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article clearly delineates the procedures cardiologists perform that might involve anesthesiologists. Mutual knowledge, understanding, and respect are fundamental requirements for integration of cardiology and anesthesia services to optimize patient outcomes. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - March 1, 2009 Category: Anesthesiology Authors: Robert T. Faillace, Raja'a Kaddaha, Mahesh Bikkina, Thil Yogananthan, Rupen Parikh, Pierre Casthley Tags: SECTION 2: PRACTICE PARAMETERS Source Type: journals