WHAT’S NEW UNDER THE ANESTHESIA SUN? LETTER GRADES FOR 13 MAJOR CHANGES IN THE LAST TEN YEARS OF OUR PROFESSION:

    SUGAMMADEX – The long awaited reversal agent for neuromuscular paralysis reached the market in 2016, and by my review, the drug is wonderful. I’ve found sugammadex to reverse rocuronium paralysis in less than a minute in every patient who has at least one twitch from a nerve stimulator. The dose is expensive at […]

ZDoggMD MUSIC VIDEO TRASHES ELECTRONIC MEDICAL RECORDS IN A TRUTHFUL, PERTINENT, AND HILARIOUS VISION

I’m not a fan of the current state of Electronic Health Records (EHR), also known as Electronic Medical Records (EMR). Particularly in acute care, the computer keyboard and screen have no place between an anesthesiologist and his patient, an emergency room physician and his patient, an ICU doctor and his patient, or an ICU nurse […]

HOW COMMON ARE CARDIAC ARRESTS DURING SURGERY AND ANESTHESIA?

How common are cardiac arrests during surgery? Uncommon, but the incidence is not zero and the outcome is usually dire. In 2004 the Japanese Society of Anesthesiologists reported 2,443 cardiac arrests (6.34 per 10,000 anesthetics) and 2,638 deaths (6.85 per 10,000 anesthetics) among 3,855,384 anesthetics. The majority of deaths were due to preoperative health complications […]

ANESTHESIA FACTS FOR NON-MEDICAL PEOPLE: WHY DO I HAVE TO STOP EATING AND DRINKING AT MIDNIGHT BEFORE SURGERY?

“Why do I have to stop eating and drinking prior to surgery?” This is a common question I hear from my patients—they’re puzzled by the connection between going to sleep and avoiding eating after midnight the day prior to surgery. It’s vital that your stomach is empty prior to elective surgery and anesthesia. Once you’re […]