For patients undergoing cardiopulmonary bypass, measures of fibrinogen can guide hemostasis therapy. Typically, fibrinogen assays take 30-60 minutes, during which therapy may be delayed. Dr. Satoru Ogawa, Department of Anesthesiology, Kyoto Prefectural Un

Those of us in anesthesiology teaching programs supervise resident physicians. How well do we do? Dr. Franklin Dexter, Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City, Iowa, and colleagues from the Department of

The January issue of Anesthesia & Analgesia has just posted. Dr. Steven Shafer, editor-in-chief, Anesthesia & Analgesia: In 2008 Filho proposed an instrument for measuring faculty supervision. In this issue of Anesthesia & Analgesia De Oliveira Jr. and

There are many challenges for children requiring surgery, but to the extent possible pain should not be among them. In the current edition of A&A Case Reports, Drs. Michael R. King and T. Anthony Anderson, Department of Anesthesia, Critical Care and Pain

Intrathoracic pressure changes during ventilation. Widely appreciated, but less well understood, is how changes in intrathoracic pressure change preload and cardiac output. If you ask a resident what will happen when the ventilator gives a positive pressu

Regional anesthesia should come on more quickly when the local anesthetic spreads circumferentially around the nerve. There is evidence for this with popliteal blocks, but not for blocks of the proximal sciatic nerve. The proximal sciatic nerve is the lar

Although traditional pulse oximetry is a standard monitor in anesthesia, it is limited in its ability to detect tissue hypoxia. Typical interventions used to increase SpO2 may not necessarily improve tissue oxygenation, particularly in ischemic organs. Re

Is the elderly brain susceptible to potential neurotoxic effects of inhalational anesthetics? Clinical studies are inconclusive, but isoflurane can induce the accumulation of reactive oxygen species (ROS), mitochondrial dysfunction, and decrease in ATP va

Oxytocin is routinely administered during the third stage of labor for prophylaxis against postpartum hemorrhage, a leading cause of morbidity and mortality. If the uterus does not adequately contract in response to oxytocin administration, other drugs ca

Though we might think of resuscitation as being a purely modern phenomenon, there’s evidence that some of the concepts of resuscitation have been known for more than 1,000 years. Were some of the concepts of resuscitation known as early as during the ti