BACKGROUND Improving perioperative efficiency and throughput has become increasingly important in the modern practice of anesthesiology. Fast-track surgery represents a multidisciplinary approach to improving perioperative efficiency by facilitating recovery after both minor (i.e., outpatient) and major (inpatient) surgery procedures. In this article we focus on the expanding role of the anesth...

physicians. In the United States, the supervisory model is used most often. Applying the metaphor in Warner’s editorial, we could say that in Canada older anesthesiologists are “in the driver’s seat,” whereas in the United States, they usually are “backseat drivers” – involved in the crucial parts of the anesthetic but otherwise leaving patient care to the individual actually “behind the wheel....

Aortic root surgical anatomy and knowledge of the various homograft implantation techniques is of paramount importance to the attending anesthesiologist for echocardiographic correlation, estimation and accurately predicting aortic annular dimensions for the valve replacement in a case of diseased homograft.

393 With great interest, I read the article written by Dr. Yadav about a bifid epiglottis.[1] He has presented a case with multiple congenital malformations that was taken for surgery many times. Dealing with a patient with syndrome is major concern for an anesthesiologist. Syndrome is a group of signs and symptoms that occur together and characterize a particular abnormality or a condition. Th...

BACKGROUND Emergent intubation is associated with a high complication rate. These intubations are often performed by resident physicians in teaching hospitals. The authors evaluated whether supervision by an anesthesia-trained intensivist decreases complications of emergent intubations. METHODS The authors performed a prospective cohort study in an Academic Tertiary Care Hospital. They enroll...

Context and Objective: Patients exposure to Anesthesiologist occure preoperatively and intraoperatively. This is the only opportunity to anesthesiologist to provide the correct information about anesthesia procedures and their work.The aim of this study is to evaluate patients view about anesthesiologist before anesthesia and to identify whether the anesthetic care would change such perceptions...

OBJECTIVE To characterize contemporary practice patterns in the use of transesophageal echocardiography during adult liver transplantation and to identify factors preventing more frequent use. DESIGN Online questionnaire. SETTING Liver transplantation centers in the United States performing 12 or more adult liver transplants in 2011. PARTICIPANTS One representative from each qualifying ce...

Recent events including the Sept. 11, 2001 attacks in New York, Washington, DC, and Pennsylvania have illustrated the vulnerability of the United States to terrorist activity. Many experts agree that a chemical or biological event is likely to occur within the continental United States during our lifetime. The anesthesiologist, as well as, emergency medicine provider and critical care specialis...

PURPOSE OF REVIEW The surgical management of patients partly determines the anesthetic management. A shift has taken place in thoracic surgery, with a large portion of procedures now being performed through a video-assisted thoracoscopic surgery (VATS) approach. This review is intended to provide the anesthesiologist with an update on the management of thoracic surgical patients presenting for ...

Anesthesia for microlaryngeal surgery creates many obstacles for the anesthesiologist and otolaryngologist. Anesthetic techniques developed to improve surgical exposure have been met with significant limitations and are difficult for the anesthesiologist to monitor. A new subglottic jet ventilation anesthesia system is introduced that meets the needs of the otolaryngologist and the anesthesiolo...