An elderly man with advanced esophageal cancer arrives in the operating room: his feeding tube has migrated out of his jejunum, spilling debris and bacteria into a previously sterile abdominal cavity. The OR clock fluoresces “2 AM.” With the patient’s immune system ringing alarm bells, his body has mobilized for biological warfare. His pulse races ... breathing hurries ... temperature climbs. A...

CHANGES in the healthcare system have promoted the evolution of anesthesia from an intraoperative to a perioperative practice. The growing emphasis on the reduction of costs, the improvement of medical outcomes, and the maintenance of high-quality care has created professional opportunities and intellectual challenges for anesthesiologists. Anesthesiologist involvement in the management of surg...

1. Bryson EO, Silverstein JH: Addiction and substance abuse in anesthesiology. ANESTHESIOLOGY 2008; 109:905–17 2. Berge KH, Seppala MD, Lanier WL: The anesthesiology community’s approach to opioidand anesthetic-abusing personnel: Time to change course. ANESTHESIOLOGY 2008; 109:762–4 3. Angres DH, Talbott GD, Bettinardi-Angres K: Anesthesiologist’s Return to Practice, Healing the Healer: The Add...

conclusions besides, there are some novel agents, yet under research, which could affect the future of anesthetic agents' fate regarding their hepatic effects. results however, we have evidence that there is some concern regarding their effects on the liver cells. fortunately not all the anesthetics are blamed and even some could be used safely, based on the available evidence. evidence acquisi...

The objective of this study was to assess whether resident exposure to liver transplantation anesthesia results in improved patient care during a simulated critical care scenario. Our hypothesis was that anesthesia residents exposed to liver transplantation anesthesia care would be able to identify and treat a simulated hyperkalemic crisis after reperfusion more appropriately than residents who...