Anesthesiology Pearls
Articles, Reviews, Links, Pearls of Wisdom
Residents and staff of this department contributed various helpful sources of information. You may navigate this collection via table of contents below. Alternatively, scroll down and see what we've got.
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8 reviews - highlights from 8 lectures at the PGA, New York 2009. (BJA 2009). Download all eight lectures here. Submitted by Linda Wynne, December 2009.
Seven Stages of Ignorance - humorous and insightful look at the evolution of ignorance by Dr. M.W.Enkin (Birth 35:3 September 2008). Which stage are you at? Submitted by webmaster, June 2009.
Euro Anesthesia - www.euroanesthesia.org has hundreds of review articles on various topics. Go Education --> Refresher Courses. Submitted by Dr. Amy Rodgers, May 2009.
International Anesthesia Research Society - online education portal. Access to IARS educational programs.
Anaesthesia UK - educational site with training resources for anaesthetic professionals. Useful resource for board prep exams.
The Answer Page -concise and informative Question of the Day format covering anesthesia, pain management, critical care, Obs/Gyne, and neonatology. Complete with a peer-reviewed, referenced answer by faculty from Harvard Medical School.
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Retrograde Intubation - great review by Dhara. Anaesthesia, 2009, 64, pages 1094–1104. Submitted by Dr. Linda Wynne (September 2009)
Difficulty in advancing - a tracheal tube over a fiberoptic bronchoscope: incidence, causes and solutions, T. Asai and K. Shingu, British Journal of Anesthesia, 2004.
Mechanisms of Failure - Endoscopic Study of Mechanisms of Failure of Endotracheal Tube Advancement into the Trachea during awake Fiberoptic Orotrachial Intubation, British Journal of Anesthesia, 2004, Dana M.Johnson et al
Airway Management in Adults after C-spine Trauma - Anesthesiology 2006, Dr. Edward Crosby
Upper Lip Bite Test - A Comparison of the Upper Lip Bite Test (a Simple New Technique) with Modified Mallampati Classification iPredicting Difficulty in Endotracheal IntubationA Prospective Blinded Study, A&s;A, Vol. 95, 2003. Submitted by Dr. K. Walton (MD), Summer 2008
Dental Trauma - associated with Anaesthesia (Scanned article, Review from Australia), H.Owen, I. Waddell-Smith, Anaesth Intensive Care 2000; 28: 133-145
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Virtual Anesthesia Machine - neat anesthesia machine resource. Submitted by Dr. A. Chaput (MD, FRCPC), Summer 2008.
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Predicting cardiac
risk - Want to identify a patient at risk for perioperative cardiac morbidity?
Would you like to quantify that risk? Try this simplified, 6-item, version
of the original Goldman index by Lee et al.
Preoperative cardiac
testing - AHA algorithm combines urgency of surgery, surgical risk, and
functional capacity to determine who needs noninvasive cardiac testing
before noncardiac surgery.
CHF - Perioperative Management of Congestive Heart Failure. A&s;A, Vol. 103, no.3, Sept 2006. Submitted by Dr. K. Shinkaruk (MD), Summer 2008.
Indications and regimens for SBE prophylaxis - 2007 AHA update.
Periop ICD Management - 2007 AHA update.
Implementing ACC/AHA
Guidelines: Effect on Perioperative Outcome - 181 pateints meeting ACC/AHA (2002) criteria for non-invasive cardiac testing
were followed. Ischemia was present in only 15% of those tested. Only 9%
were received angiography and 5% were revascularized.
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How to apologize - when disclosing adverse events to patients (scanned article) CMPA information letter Sept 2006.
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Surviving Sepsis - Campaign (SSC), an initiative of the European Society of Intensive Care Medicine, the International Sepsis Forum, and the Society of Critical Care Medicine, was developed to improve the management, diagnosis, and treatment of sepsis. Solid and authoratative reference. Submitted by webmaster, April 2009.
Critical Care at U of O - ICU website in University of Ottawa, Faculty of Medicine.
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Anesthesia for Electroconvulsive Therapy - review in Anesthesia and Analgesia, 2002;94:1351�64. Submitted by Dr. Linda Wynne, Winter 2007
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Hydroxyethyl starches review - Anesthesiology 2009, submitted by Dr. Alan Chaput, July 2009.
Relevance of albumin in modern critical care medicine - Best Practice & Research Clinical
Anaesthesiology, 23 (2009) 183–191, submitted by Dr. Alan Chaput, June 2009.
Influence of fluid therapy on the haemostatic system
of intensive care patients - Best Practice & Research Clinical
Anaesthesiology, 23 (2009) 183–191, submitted by Dr. Alan Chaput.
Infusion therapy in anaesthesia and intensive care:
Let’s stop talking about ‘wet’ and ‘dry’! - Best Practice & Research Clinical
Anaesthesiology, 23 (2009) 183–191, submitted by Dr. Alan Chaput.
Isotonic and hypertonic crystalloid solutions
in the critically ill - Best Practice & Research Clinical
Anaesthesiology, 23 (2009) 183–191, submitted by Dr. Alan Chaput.
Monitoring fluid therapy - Best Practice & Research Clinical
Anaesthesiology, 23 (2009) 183–191, submitted by Dr. Alan Chaput.
Relevance of non-albumin colloids in intensive care
medicine - Best Practice & Research Clinical
Anaesthesiology, 23 (2009) 183–191, submitted by Dr. Alan Chaput.
Pharmacokinetic aspects of fluid therapy - Best Practice & Research Clinical
Anaesthesiology, 23 (2009) 183–191, submitted by Dr. Alan Chaput.
The ‘third space’ – fact or fiction? - Best Practice & Research Clinical
Anaesthesiology, 23 (2009) 183–191, submitted by Dr. Alan Chaput.
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Ankylosing spondylitis - review article in Anaesthesia 2009, submitted by Dr. Alan Chaput.
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Transsphenoidal Pituitary Surgery - Perioperative Management, A&A, Vol. 101, 2005. Submitted by Dr. D. Persaud (MD, FRCPC) and Dr. Shawn Hicks (MD), Summer 2008
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NRP update - NRP Guidelines (Canada).
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Non-obstetrical surgery - in parturient. " ... the best summary you'll ever read about nonobstetric surgery during pregnancy". (IARS review 2006). Submitted by Dr. Shawn Hicks, April 2009.
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Memantine for neuropathic pain - Early Use of Memantine for Neuropathic Pain. Suggested by Dr. John Penning (MD, FRCPC). July 2009.
Phantom pain reduction - with memantine. suggested by Dr. John Penning (MD, FRCPC). July 2009.
Low dose ketamine and memantine - in opioid tolerant oncology. Suggested by Dr. John Penning (MD, FRCPC). July 2009.
The Pain Institute - resource for pain management: "I stumbled across this great new site, that promises to get even better with time. It is industry sponsored but still looks very good".. Suggested by Dr. John Penning (MD, FRCPC). Note, requires free registration with Medscape. If you are weary of sharing your personal info, consider how many of you might actually have birthday on January 1, 1980 and graduated from Harvard school of Medicine in 2000 ... May 2009.
Pregabalin - Wednesday morning rounds presentation by Dr. John Penning (MD, FRCPC). Submitted by Dr. Ilia Charapov, Summer 2008. (Password-protected presentation)
Acute Pain Management - compilation of the highest levels of evidence available relevant to acute pain management by Auastralian and New Zealand College of Anaesthetitcs
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Anaesthesia in the prone position - British Journal of Anaesthesia 100 (2): 165�83 (2008). Submitted by Dr. Linda Wynne, Spring 2008.
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The undesirable effects of neuromuscular blocking drugs -
review article submitted by Dr. Alan Chaput.
See complete reference articles list, Winter 2009
Pharmacology 2000 -
"this site is pretty much a summary in point form of everything that i never understood about pharmacology and all the agents we use ... maybe a tad outdated.. but, overall, really really good ... wish i would've had this 5yrs ago (or 5mths ago for that matter)... . Submitted by one of PGY5's, March 2009.
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Essential Readings - for rotation in PAU. Please note, this page will be updated to include latest articles of interest over the course of 2009.
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Perioperative Management of Pulmonary Hypertension - covering all aspects from risk assessment to postoperative considerations. Suggested by Dr. Linda Wynne, July 2009
Preoperative Evaluation of the Patient With Pulmonary Disease - undergoing elective cardiothoracic or noncardiothoracic surgery, CHEST 2007; 132:1637�1645. Suggested by Dr. Claudia Gomez, May 2009
Preoperative
pulmonary evaluation - A narrative review of the etiology of postoperative pulmonary
complications and the preoperative evaluation of the patient with pulmonary disease.
Ferguson et al - another narrative review of pulmonary complications, this one focusing
on individual surgical procedures (ie thoracotomy, laparotomy).
Obstructive sleep
apnea - A good narrative review of the perioperative management of OSA with a
focus on the airway.
Predicting postoperative pneumonia - a
mulitfactorial risk index was derived on 160 000 patients in the Veterans
Administration hospital system.
Bronchoscopy.org - a
mulitfactorial risk index was derived on 160 000 patients in the Veterans
virtual bronchoscopy.
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TAP block - video. Winter 2010
Upper Extremity Regional Anesthesia -
Essentials of Our Current Understanding, 2008. Submitted by Dr. D. Persaud (MD, FRCPC), Spring 2009
Ultrasound guidance in regional anaesthesia -
The first review article that really highlighted the true power of U/S and regional blocks. BJA 2005, 94. Submitted by Dr. D. Persaud (MD, FRCPC), Summer 2008
Major complications of central neuraxial block -
report on the Third National Audit Project of the Royal College of AnaesthetistsProduced by World Anaesthesia (WA) & the World Federation of Societies of Anaesthesiologists, British Journal of Anaesthesia 102 (2): 179�90 (2009).
What Is Ultrasound's Role in Peripheral Nerve Blocks? -
as featured in Regional Anesthesia Series Braun: Sharing Expertise in Regional Anesthesia by Dr. Desiree Persaud, MD, FRCPC (direct link)
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Update in Anaesthesia -
practicing in challenging environments. Produced by World Anaesthesia (WA) & the World Federation of Societies of Anaesthesiologists (WFSA).
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Stat Pages - webpage that perform stat calculations for you. Submitted by Dr. A. Chaput (MD, FRCPC), Summer 2008
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You may also post your own pearls of wisdom, articles, websites, reviews, etc. you find useful related to the practice of Anesthesiology. Email to Dr. ILIA Charapov, icharapov@toh.on.ca.
Please note, that few of the presentations are password protected and restricted to the The Ottawa Area practising anesthesiologists. If you practice in the Ottawa area, please contact webmaster to obtain login instructions.
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