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Anesthesia.com Member Blogs

Personal blogs from Anesthesia.com members.

Oct 25
2008

More New Stuff

Posted by bwilhelm in New Site Features

bwilhelm

We have been quietly adding new features and content to the site over the past few weeks, some of which I wanted to share with you today.

Anesthesia Jobs

 First, you might notice the home page has been rearranged slightly to reflect the recent focus on Anesthesia jobs. If you subscribe to our emails, you know that we are offering one FREE job posting and one FREE directory listing to each member through the end of 2008. 

Oct 17
2008

Thanatos and Hypnos

Posted by DrWael in Anesthesia History

DrWael
 
 
 
In Greek mythology, the night has twin sons, Thanatos (death)
and Hypnos (sleep), who carry flaming torches pointing toward
the floor, to light a path through the dark. Juan Mar´ın, a Latin
American anesthesia pioneer, designed this image to represent
anesthesia. He placed a small light between Thanatos and Hypnos indicating the flame of life the anesthesiologist must
guard. The upper half of the emblem shows the rising or
setting sun of consciousness. The Confederacio´ n Latino americana de Anestesiolog´ıa and the Revista Colombi de Anestesiolog´ıa have adopted this beautiful emblem, which in the past had been used by the World Federation of Societies of Anaesthesiologists.
Oct 16
2008

A very short history of anesthesia

Posted by DrWael in Anesthesia History

DrWael

 

 

"Gentlemen, this is no humbug"
Dr John Collins Warren, 17 October 1846

Oct 15
2008

SnapShots - New Feature

Posted by bwilhelm in New Site Features

bwilhelm

I just installed a nice little tool on this site called Snap Shots that enhances links with visual previews of the destination site. This feature will be displayed on most links going to site outside of Anesthesia.com.

Sometimes Snap Shots bring you the information you need, without your having to leave the site, while other times it lets you "look ahead," before deciding if you want to follow a link or not.

Should you decide this is not for you, just click the Options icon in the upper right corner of the Snap Shot and opt-out.

Oct 11
2008

Facebook Connect - New Feature

Posted by bwilhelm in New Site Features

bwilhelm

We have rolled out a beta test of our Facebook Connect feature on the site. Facebook Connect allows members of Anesthesia.com to connect their facebook profile information such as their friends, photos, etc to Anesthesia.com, and also publish a user's actions on Anesthesia.com on their Facebook profile.

Check out the demo video here:

http://screencast.com/t/2TPVgmLLe

Oct 08
2008

Hannah Greener the First Death under Anesthesia

Posted by DrWael in Anesthesia History

DrWael

 


HANNAH Greener of Winlaton, near Newcastle in the United Kingdom, died more than 150 yr ago, on January 28, 1848, after receiving a chloroform anesthetic for the removal of a toenail. She was a healthy 15-yr-old girl who had successfully undergone an anesthetic with diethyl ether several months before for the removal of another toenail. Hers was the first death attributed to the new and wondrous blessing of anesthesia for surgical pain relief.

Oct 08
2008

This Month in Anesthesia History: October

Posted by DrWael in Anesthesia History

DrWael

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This Month in Anesthesia History: October

1632 October 20: Christopher Wren is born in London . Around 1660 the English architect and astronomer began to experiment with the transfusion of blood between animals and intravenous injections into animals. An account of his work was published in the Philosophical Transactions of the Royal Society of London in 1665. Wren, the greatest English architect of his time who designed many of London 's cathedrals, died in that city in February, 1723. A much earlier attempt at blood transfusion was described by Stefano Infessura [ca. 1435-1500], an anti-papist lawyer in Rome . According to Infessura's Diary of the City of Rome, when Pope Innocent VIII was on his deathbed, a Jewish physician suggested infusing blood from three ten year-old boys into the pontiff's veins. All three donors died and Innocent himself died on July 25, 1492. The Catholic Encyclopedia warns that Infessura's work is full of gossip and not to be trusted.

1708 October 16: Swiss scientist and writer Albrecht von Haller, father of experimental physiology, is born. He graduated from medical school in Leiden at age 19 and returned to Bern where he lectured on anatomy and wrote poetry. His research on the irritability or contractility of muscle tissue was published in 1732 as A Dissertation on the Sensible and Irritable Parts of Animals. In 1736 he was appointed professor of anatomy at the University of Gottingen 's medical school, where he spent 17 years. In 1753 he returned again to Bern , where he died in 1777. Haller published numerous other works, including bibligraphies on anatomy, surgery, botany and medicine and a very popular collection of poems. A brief review of his life is available here.

1760 October 23: Japanese physician Hanaoka Seishu is born in Hirayama. In October 1805 Seishu performs an operation for breast cancer using "tsusensan" as an anesthetic. The research behind this event is portrayed in Sawako Ariyoshi's novel The Doctor's Wife. Seishu died on October 2, 1835.

Oct 04
2008

Nerve injury after colonoscopy (complication of positioning)

Posted by DrWael in Case Studies

DrWael

 

Three cases of lower-extremity nerve palsy among adolescents after colonoscopy have prompted reassessment of positioning guidelines at Children's Hospital in Boston. Since the guideline revision-use of the lateral decubitus rather than the frog-leg position-there have been no new cases of neuropathy

Oct 02
2008

The Dromedary Sign—An Unusual Capnograph Tracing

Posted by DrWael in Case Studies

DrWael

 

ABNORMAL capnographs are not unusual in clinical anesthesia. These typically result from uneven ventilation in patients with lung disease. Previous reports also have noted abnormal capnograph tracings resulting from loose connections between the end-tidal carbon dioxide sample line and the gas analyzer or other leaks in the system.The resulting biphasic waveform has been described as a long lower plateau followed by a short higher plateau rather than the usual single plateau waveform. We report a case of an abnormal triphasic capnograph tracing with a mid-plateau hump. As we eventually discovered, this was due to a longer than normal sample line combined with a cracked water trap (Apollo, Drager Medical, Telford, PA). This case highlights the importance of prompt recognition of abnormal carbon dioxide waveforms and the resulting clinical implications. Also, we identified an equipment failure that was not detected during the Drager Apollo anesthesia machine self-check.

Case Report

A 54-yr-old woman (American Society of Anesthesiologists physical status 2) presented for right front temporal craniotomy for superficial temporal artery to middle cerebral artery bypass graft under mild hypothermia with intraoperative electrophysiologic monitoring. Her past medical history was notable for bilateral Moyamoya disease, atrial aneurysm, uterine fibroids, obstructive sleep apnea, hypertension, and hyperlipidemia. She was 160 cm tall and weighed 90 kg.

Oct 02
2008

Ephedrine-Dexamethasone combination reduces PONV

Posted by DrWael in Updates in Anesthesia

DrWael

Ephedrine-Dexamethasone Combination Reduces Postoperative Nausea and Vomiting in Patients Undergoing Laparoscopic Cholecystectomy

Nausea and vomiting are among the most unpleasant experiences associated with surgery and one of the most common reasons for poor patient satisfaction rating in the postoperative period . The incidence of PONV in the present study in ephedrine-dexamethasone combination group was only 23% with significantly better antiemetic effect than placebo and dexamethasone alone, which might be due to the combination of antiemetic effect of both drugs. Combination prophylaxis may also have important economic implications. These include reduced costs of antiemetic medications and costs associated with nursing time spent managing PONV as well as the costs of delayed discharge or unplanned admission.