hen managing the airway of a pediatric patient, an anesthesiologist must have more than a practical familiarity with the anatomic differences between the airways of adults and children. It is crucial that the clinician take a proper medical history and perform a physical examination before selecting equipment for intubation. The clinician must also evaluate the patient for any potential congeni...

The anesthesiologist clearly caused this patient’s vision loss by letting the mean arterial blood pressure drop below 60 mmHg for more than 5 min. This patient is now blind because the anesthesiologist let the patient’s hematocrit level decrease to less than 24% during the case. The person providing the patient’s anesthesia failed to avoid prolonged pressure on the eye, leading to the patient’s...

236 January 2014 MMy childhood dream was to be a doctor. To fulfill it, I took a 5-year undergraduate degree in traditional Chinese medicine. But after all that training and education, I became an anesthesiologist instead. The great people, Mr. Sun Yat-sen and Mr. Lu Xun, both used to be doctors. They gave up the profession of medicine because they felt they were needed more in other places. In...

Percutaneous aortic valve implantation is an emergent technique alternative to surgical aortic valve replacement in high risk patients with aortic stenosis. Percutaneous aortic valve implantation techniques are undergoing rapid development and currently represent a dynamic field of research. Perioperative optimal strategies keep on evolving too. At a review of the literature, only three previou...

WE report a patient who presented with a large thoracic mass but who avoided a potentially catastrophic procedure when the anesthesiologist suggested a simple skin biopsy as an alternative to biopsy via a mediastinoscope. Maffucci syndrome is a rare cause of mediastinal mass, but the principles at play in this case report are common and important and highlight the role of the anesthesiologist a...

The anesthesiologist clearly caused this patient’s vision loss by letting the mean arterial blood pressure drop below 60 mmHg for more than 5 min. This patient is now blind because the anesthesiologist let the patient’s hematocrit level decrease to less than 24% during the case. The person providing the patient’s anesthesia failed to avoid prolonged pressure on the eye, leading to the patient’s...

conclusions good knowledges for renal function remain a hallmark of daily practice of the anesthesiologist, considering renal function as an important determinant factor in anesthesia practice. context pre-existing renal dysfunction presents specific features that anesthesiologists must deal with. anesthesia and renal function are connected and can interfere with each other. induced hypotension...