Word-Docs, Inc. website

http://www.world-docs.org/































































Facebook: http://www.facebook.com/







[search = "World-Docs"]































































Thursday, March 22, 2012

Special Request: Asked To Provide Anesthesia For Colleagues, Friends & Special Cases

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title: Special Request: Asked To Provide Anesthesia for Colleagues, Friends & Special Cases


Anesthesia Sphere (discussion) . . . .  On occasion you may be asked (special request)  . . . to provide/attend anesthesia for a special case . . . request may seem flattering, daunting and considered an honor; however, should these cases . . . .  Link:  http://boards.medscape.com/forums?128@610.JanTaRcfgkz@.2a306074!comment=1



Monday, March 12, 2012

Surgery is a Go: Yes, No, Maybe So?

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title:  Surgery is a Go: Yes, No, Maybe So?


Hypothetical case for Anesthesia Sphere:  . . .  as patient transfers to the OR table . . . they exclaim "I don't want surgery . . . I'm scared" . . .   Link: http://boards.medscape.com/forums?128@610.TCXPa1NNffW@.2a3017f3!comment=1

Combating Postoperative Shivering: Past, Present and Future

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title: Combating Postoperative Shivering: Past, Present and Future


Anesthesia Sphere (discussion) . . . . Over the years many medications have been . . .   Link: http://boards.medscape.com/forums?128@610.TCXPa1NNffW@.2a2fab9f!comment=1

AIRWAY BOWL 2012: Glidescope vs. Fiberoptic Bronchoscopy

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title: AIRWAY BOWL 2012: Glidescope vs. Fiberoptic Bronchoscopy


Anesthesia Sphere (discussion):  Is the Glidescope becoming the new airway device "SUPERCHAMP", in the OR/periphery for those challenging airway . . .   Link: http://boards.medscape.com/forums?128@610.TCXPa1NNffW@.2a2f1f33!comment=1

Follow-up blog: Location, location, location . . . where do YOU place the PAC/central line???

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title: Follow-up blog: Location, location, location . . . where do YOU place the PAC/central line???


Many thanks to the Anesthesia Sphere poll takers [180+] and commentators.  Definitely an election/debate year with twists and turns on the  . . .   Link: http://boards.medscape.com/forums?128@610.TCXPa1NNffW@.2a2e948f!comment=1

Location, location, location . . . where do YOU place the PAC/central line???

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title:  Location, location, location . . . where do YOU place the PAC/central line???


Case discussion (Anesthesia Sphere):  71 y/o male is being airlifted to your hospital for emergent heart (CABG x 5) surgery & . . .   Link:  http://boards.medscape.com/forums?128@610.TCXPa1NNffW@.2a2e1f49!comment=1

Mission reflections: Remembering the children of the world . . . on Xmas day

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title:  Mission Reflections: Remembering the children of the world . . . on Xmas day


. . . I'm reflecting, today, on the many hardships that the children of the world endure.  I'm disheartened as to how defenseless the . . .   Link:  http://boards.medscape.com/forums?128@610.TCXPa1NNffW@.2a2d4bc0!comment=1

Follow-up to blog: ST changes after induction . . .

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title:  Follow-up to blog: ST changes after induction . . .


Transpired events:  After much discussion (anesthesia & multiple cardiologists) it was felt that the most likely cause for the patient's ST changes . . .   Link:  http://boards.medscape.com/forums?128@610.TCXPa1NNffW@.2a2cfbc8!comment=1

ST changes after induction (w/ negative cardiac catheterization). Why???

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title:  ST changes after induction (w/ negative cardiac catheterizaton).  Why???


. . . presents for repeat lumbar surgery [L2-S1] with removal and replacement of hardware.  Case is scheduled for 5-6 hours.  Patient has received . . .   Link:  http://boards.medscape.com/forums?128@610.TCXPa1NNffW@.2a2cbb25!comment=1

OFIRMEV (acetaminophen): When And Where . . . In Your Practice?

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title:  OFIRMEV (acetaminophen): When And Where . . . In Your Practice?


We would like to get input from our Anesthesia Sphere colleagues as to when, where, how frequently and how much OFIRMEV (injectable acetaminophen) . . .    Link:  http://boards.medscape.com/forums?128@610.TCXPa1NNffW@.2a0f4422!comment=1&cat=All

Follow-up blog: Why is the patient so tremulous ("don't lose sight of the forest for the trees")

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title:  Follow-up blog: Why is the patient so tremulous ("don't lose sight of the forest for the trees")


. . . severe acute alcohol withdrawal [delerium tremens].  There was no mention of his quantity of alcohol use/abuse in the H & P, so we were curious as . . .    Link:  http://boards.medscape.com/forums?128@610.TCXPa1NNffW@.2a0f0448!comment=1

Why Is The Patient So Tremulous?

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title:  Why Is The Patient So Tremulous?


. . . specifics altered for HIPPA . . . . Case discussion for the Anesthesia Sphere, although this case discussion is focused more for residents/students, we'd like to hear input from . . .   Link:  http://boards.medscape.com/forums?128@610.TCXPa1NNffW@.2a0e12a9!comment=1

4+ hour spinal . . . what's your recipe?

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title:  4+ hour spinal . . . what's your recipe?


4+ hour spinal . . . what's your recipe?  Case discussion for the Anesthesia Sphere.  Lets say, for discussion,  that you are asked to give a single . . .    Link:  http://boards.medscape.com/forums?128@610.TCXPa1NNffW@.2a0e7126!comment=1

Medical & Humanitarian Mission: Tanzania

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title:  Medical & Humanitarian Mission: Tanzania


. . . to Tanzania, Africa.  My mission took me through the locales of Dar es Salaam, Kilimanjaro, rural areas of Arusha and Zanzibar.  The . . .   Link:  http://boards.medscape.com/forums?128@610.XCLsaUHufwm@.2a0de045!comment=1

Follow-up To Blog: TRAUMA CALL . . .

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title: Follow-up To Blog: TRAUMA CALL . . . 


. . . Air & blood "bubbles" noted from laceration site of neck [into trachea].  Next, patient underwent bedside emergent . . .   Link:  http://boards.medscape.com/forums?128@610.XCLsaUHufwm@.2a0d0eb9!comment=1

Follow-up to blog: "To Block . . . Or Not To Block" . . . That Is The Question

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title:  Follow-up to blog: "To Block . . . Or Not To Block" . . . That Is The Question 


As promised to the "Anesthesia Sphere", here is the anesthetic game plan that was implemented . . .   Link: http://boards.medscape.com/forums?128@610.XCLsaUHufwm@.2a0d6a2d!comment=1

TRAUMA CALL . . . your early morning "WAKE UP" call

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title: TRAUMA CALL . . . your early morning "WAKE UP" call


Your fast asleep (0200) when your Trauma Call pager . . . reads . . . "ER needs you here STAT" . . .
Link:  http://boards.medscape.com/forums?128@610.XCLsaUHufwm@.2a0cabae!comment=1

"To Block . . . Or Not To Block" . . . That Is The Question

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title:  "To Block . . . Or Not To Block" . . . That Is The Question 


An interesting case I thought I'd post to the "Anesthesia Sphere" . . . . I knew of a colleague headed into the hospital . . . .  Link:  http://boards.medscape.com/forums?128@610.XCLsaUHufwm@.2a0ce0b9!comment=1

When to paralyze . . . that is the conundrum

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title: When to paralyze . . . that is the conundrum


We, as anesthesia providers, are frequently confronted with the following (non-RSI) clinical scenario of a GETA induction, mask ventilation, paralysis (+/-) before or after attempted mask ventilation . . .  
Link:  http://boards.medscape.com/forums?128@610.FCXGaRprfyK@.2a0bc8c5!comment=1

The Lost Art of the Awake Blind Nasal Intubation (ABNI)

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title:  The Lost Art of the Awake Blind Nasal Intubation (ABNI)


The ABNI technique is becoming a lost art and rarely used/considered in today's age of . . .  Link: http://boards.medscape.com/forums?128@610.NhQCakJZflr@.2a0a5e4d!comment=1

Mission Nicaragua

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title:  Mission Nicaragua

The following is a brief chronological synopsis of our mission to Nicaragua.  Goals of mission:  1) meet leaders of USNS Comfort hospital ship . . .   Link:  http://boards.medscape.com/forums?128@610.FCXGaRprfyK@.2a0b17fe!comment=1

Medical Mission Possible (101)

Medscape WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of AnesthesiaAnesthesia Sphere; Title: Medical Mission Possible (101)

As I plan for an upcoming medical mission to Nicaragua, I'm reminded of lessons learned (some easy/some hard) from my past medical missions.  Should you decide to accept your next medical mission assignment . . . read on.  Link:  http://boards.medscape.com/forums?128@610.XCLsaUHufwm@.2a09e48b!comment=1