Medscape & WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of Anesthesia; Anesthesia Sphere; Title: Anesthesia Burnout . . . What's Left In Your Tank?
Anesthesia career burnout has been a hot button with the increasing stresses/demands . . . . With new healthcare demands & global economic stresses . . . anesthesia providers are dealing with increased pressures to manage sicker cases . . . with a "do it quicker/faster/more efficiently" . . . with less support/ backup/assistance . . . . After 25+ years of education/training, most anesthesiologists plan on a long(er) career [20-30+ years after residency] . . . but with increased work environment stresses/demands AND changing health care . . . What's left in your tank? Link: http://boards.medscape.com/forums?128@947.m1MSamDNiST@.2a34bb5e!comment=1
Tuesday, September 11, 2012
Saturday, August 18, 2012
What Is Your INR Target For Regional Blocks (i.e., AXB, ISB, FNB)??
Medscape & WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of Anesthesia; Anesthesia Sphere; Title: What Is Your INR Target For Regional Blocks (i.e., AXB, ISB, FNB)??
We often care for patients that require some sort of a regional block, OTHER than spinal/epidural, with an INR that is not "normal"/elevated . . . . Would you proceed, as in this example, with AXB with an elevated INR of 1.3 . . . given that you can apply compression? Link:http://boards.medscape.com/forums?128@@.2a342d57!comment=1
We often care for patients that require some sort of a regional block, OTHER than spinal/epidural, with an INR that is not "normal"/elevated . . . . Would you proceed, as in this example, with AXB with an elevated INR of 1.3 . . . given that you can apply compression? Link:http://boards.medscape.com/forums?128@@.2a342d57!comment=1
Tuesday, July 24, 2012
"Wet Tap" . . . Now What (Intrathecal VS. Epidural Catheter Placement)??
Medscape & WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of Anesthesia; Anesthesia Sphere; Title: "Wet Tap" . . . Now What (Intrathecal VS. Epidural Catheter Placement)??
Recently . . . discussing what to do when you have a "wet tap", while placing a lumbar labor epidural. Some colleagues would place the epidural catheter intrathecally . . . in contrast, other colleagues would simply start over and replace the epidural catheter . . . epidurally. We'd like to hear from the Anesthesia Sphere as to your experiences. Link: http://boards.medscape.com/forums?14@@.2a33ae98!comment=1
Recently . . . discussing what to do when you have a "wet tap", while placing a lumbar labor epidural. Some colleagues would place the epidural catheter intrathecally . . . in contrast, other colleagues would simply start over and replace the epidural catheter . . . epidurally. We'd like to hear from the Anesthesia Sphere as to your experiences. Link: http://boards.medscape.com/forums?14@@.2a33ae98!comment=1
Monday, July 9, 2012
Endovascular AAA Repair: Spinal vs. General Anesthesia
Medscape & WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of Anesthesia; Anesthesia Sphere; Title: Endovascular AAA Repair: Spinal vs. General Anesthesia
Today . . . we are primarily choosing to use a long acting spinal for our elective endovascular AAA repairs. This is a change . . . we have had very good success and have avoided complications that may appear with general anesthesia. We'd like to hear from the Anesthesia Sphere as to what is working best for you (spinal vs. general anesthesia). Link: http://boards.medscape.com/forums?128@848.LVcwark3eGD@.2a3327e2!comment=1
Today . . . we are primarily choosing to use a long acting spinal for our elective endovascular AAA repairs. This is a change . . . we have had very good success and have avoided complications that may appear with general anesthesia. We'd like to hear from the Anesthesia Sphere as to what is working best for you (spinal vs. general anesthesia). Link: http://boards.medscape.com/forums?128@848.LVcwark3eGD@.2a3327e2!comment=1
Monday, June 25, 2012
Dexmedetomidine: When And Where 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 Anesthesia; Anesthesia Sphere; Title: Dexmedetomidine: When And Where In Your Practice?
Anesthesia Sphere (Discussion) - Dexmedetomidine is becoming an anesthetic drug with a wide range of uses . . . sedation in ICU/MRI/CT . . . sedation for awake fiberoptic intubations . . . and as a component to general anesthesia. We would like to hear when and where you are using dexmedetomidine in your practice. Whate are your experiences with dexmedetomidine? Link: http://boards.medscape.com/forums?128@871.HbeeaDAdetK@.2a32ccc2!comment=1
Anesthesia Sphere (Discussion) - Dexmedetomidine is becoming an anesthetic drug with a wide range of uses . . . sedation in ICU/MRI/CT . . . sedation for awake fiberoptic intubations . . . and as a component to general anesthesia. We would like to hear when and where you are using dexmedetomidine in your practice. Whate are your experiences with dexmedetomidine? Link: http://boards.medscape.com/forums?128@871.HbeeaDAdetK@.2a32ccc2!comment=1
Sunday, June 3, 2012
Anesthetic Drug Shortages: How Is This Affecting 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 Anesthesia; Anesthesia Sphere; Title: Anesthesia Drug Shortages: How Is This Affecting Your Practice?
Anesthesia Sphere (Discussion) - in the US, we have experienced an increased incidence of anesthetic drug shortages. For example, . . . fentanyl, propofol, etomidate, succinylcholine and lately atropine . . . how the drug shortages have impacted your practice and how are you managing. Link: http://boards.medscape.com/forums?128@259.FPaqapWGccG@.2a3237a0!comment=1
Anesthesia Sphere (Discussion) - in the US, we have experienced an increased incidence of anesthetic drug shortages. For example, . . . fentanyl, propofol, etomidate, succinylcholine and lately atropine . . . how the drug shortages have impacted your practice and how are you managing. Link: http://boards.medscape.com/forums?128@259.FPaqapWGccG@.2a3237a0!comment=1
Thursday, May 10, 2012
"The Perfect Storm": OB Alert (Emergent GETA for C-section) - Unable to iintubate . . . now what???
Medscape & WebMD blog posted by anesthesiologist (Chief Medical Officer/President of World-Docs, Inc.) blogger Michael D. Sornson MD (drmike); Blog: Chronicles of Anesthesia; Anesthesia Sphere; Title: "The Perfect Storm": OB Alert (Emergent GETA for C-section) - Unable to iintubate . . . now what???
Anesthesia Sphere (discussion) . . . anesthesia team prepares for and induces RSI GETA . . . vocal cords VERY anterior . . . unable to intubate . . . patient starts to VOMIT! . . . what are your airway management options? Link: http://boards.medscape.com/forums?128@282.BzO5a36sbBf@.2a3165ec!comment=1
Anesthesia Sphere (discussion) . . . anesthesia team prepares for and induces RSI GETA . . . vocal cords VERY anterior . . . unable to intubate . . . patient starts to VOMIT! . . . what are your airway management options? Link: http://boards.medscape.com/forums?128@282.BzO5a36sbBf@.2a3165ec!comment=1
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