Abstract Background Dismissing the process of labor, postpartum neurological complications tend to implicate anesthetic interventions as cause, a predicament anesthesiologist mandating utmost periprocedural vigilance. Case presentation Two obstetric patients with no comorbidities received uneventful labor epidurals. They presented rare peripartum complications. Conclusions Unrecognized dural pu...

Narrative medicine has been well described as practiced with narrative competence. I illustrate its application in anesthesiology by exploring three discourses: the one between patient and provider, anesthesiologist surgical team, learner self. Furthermore, draw on my personal experiences, others’ research satisfaction, to examine impact of competence both patients providers.

PURPOSE OF REVIEW Surgical interventions, including video-assisted thoracoscopic surgeries, are increasingly being performed in the neonatal and pediatric populations. Thoracic anesthesia in infants and children poses special challenges for the anesthesiologist. These include assessment of the patient's clinical condition, obtaining and maintaining single lung ventilation, and maintaining adequ...

Cyanotic congenital heart disease presents an increased tendency to bleed in view of subtle coagulation defects. Airway bleeding can be particularly difficult to manage while maintaining an adequate ventilation. An isolated lung bleed with the exclusion of possible traumatic, medical and surgical causes of bleeding, should alert the attending anesthesiologist to the possibility of the collatera...

The perioperative care of infants and children requires a team approach. Surgeons must recognize potential risk factors for adverse perioperative events and work with the anesthesiologist and other consultants to reduce or eliminate these factors to optimize the child’s perioperative care. In the past decade, there has been considerable progress in perioperative management that now makes surger...

Fifty-two anesthesia-related claims filed with the Maryland Office of Health Claims Arbitration from January 1990 through February 1994 were analyzed in terms of patient care variables, types of anesthesia, surgical categories, legal causes of action, and patient outcomes to determine whether differences existed in the rate of filing of cases provided by CRNAs and anesthesiologists. In Maryland...