Abstract Purpose of Review This narrative review focuses on aging-related modifications in coagulation resulting increased thromboembolic and hemorrhagic risk the elderly. We further discuss current evidence emerging data relating perioperative treatment elderly patients with antithrombotic therapy. Recent Findings Relevant changes all elements Virchow’s triad can be found aging. Increased bloo...

Tracheoesophageal fistula (TEF) and associated esophageal atresia (EA) in the neonate, presents during the first week of life. This congenital defect can be complicated by aspiration, respiratory distress, and other congenital anomalies. The knowledge and ability of the anesthesiologist to anticipate the challenges in managing neonates presenting for repair, plays an important role in their tre...

In 2001 the Centers for Medicare and Medicaid Services (CMS) allowed states to opt out of the requirement for reimbursement that a surgeon or anesthesiologist oversee the provision of anesthesia by certified registered nurse anesthetists. By 2005, fourteen states had exercised this option. An analysis of Medicare data for 1999-2005 finds no evidence that opting out of the oversight requirement ...

• An evaluation of the parturient is recommended before any anesthetic or analgesic procedure. • An anesthesiologist or anesthesia resident performs this evaluation. • The entire parturient file must be available in due time to the attending anesthesiologist. • If the parturient has no significant medical (ASA Physical Status Classification 1 or 2), surgical or obstetrical history, the pre-anes...

APPROXIMATELY 6 per cent of the infants born at Sloane Hospital for Women in New York have severe respiratory depression at birth. To treat these babies successfully, everyone in the delivery room should be familiar with sound principles of resuscitation. “Everyone” includes the obstetrician, the anesthesiologist, the pediatrician, the medical students and the obstetric nurses, both graduate an...

Alcohol use poses a variety of health complications. Because alcohol consumption in the days prior to surgery can induce lower blood pressure, the anesthesiologist will need to monitor blood pressure very closely during surgery to prevent hypotension. Before surgery, it is important for anesthesiologist to be aware about the amount and timing of recent alcohol consumption. Less anesthesia shoul...

Ultrasound-based diagnostic techniques are now part of the cardiological patients’ chart, while echocardiography is used more often for intraoperative diagnostic as well, as monitoring practices by the anesthesiologist. This article will address the basic physical principles of the ultrasound waves and describe the interactions of ultrasound waves with tissues that lead to the generation of two...