Main Written Summaries Listing Audio-Digest Foundation: Archived Written Summaries: Anesthesiology: 2008 REGIONAL ANESTHESIA IN ADULTS Audio-Digest Anesthesiology Volume 50, Issue 24 December 21, 2008 Regional techniques for orthopedic surgery – Gregory A. Liguori, MD Upper–extremity blocks: making them work and preventing complications – Joseph M. Neal, MD Click here to read an abstracted written summary of this program. From Regional Anesthesia 2008, Sponsored By Virginia Mason Medical Center, Seattle, WA ISSUES IN SURGICAL ANESTHESIA Audio-Digest Anesthesiology Volume 50, Issue 23 December 7, 2008 The role of epidural analgesia in thoracic surgery – Michael S. O'Connor, DO, MPH Sedation and agitation in the intensive care unit – Steven R. Insler, DO Click here to read an abstracted written summary of this program. From Survey Of Current Issues In Surgical Anesthesia, Sponsored By The Cleveland Clinic Foundation, Division Of Anesthesiology, Critical Care Medicine, And Comprehensive Pain Management, Naples, FL QUALITY METRICS/MALPRACTICE Audio-Digest Anesthesiology Volume 50, Issue 22 November 21, 2008 Making quality metrics work for your patients and you – Daniel R. Brown, MD, PhD Malpractice issues – Joseph A. Camarra, JD Click here to read an abstracted written summary of this program. TRAUMA CARE Audio-Digest Anesthesiology Volume 50, Issue 21 November 7, 2008 Transporting the trauma patient – Chester C. "Trip" Buckenmaier III, MD Closed head injury: anesthetic considerations – C. Thomas Wass, MD Click here to read an abstracted written summary of this program. DEPENDENCY AND ANESTHESIA CARE Audio-Digest Anesthesiology Volume 50, Issue 20 October 21, 2008 Smoking during the perioperative period – David O. Warner, MD Perioperative care of the opioid–dependent patient – Terrence L. Trentman, MD Click here to read an abstracted written summary of this program. From The Mayo Clinic Symposium On Anesthesia And Perioperative Medicine, Sponsored By Mayo School Of Continuing Medical Education, College Of Medicine REGIONAL ANESTHESIA IN CHILDREN Audio-Digest Anesthesiology Volume 50, Issue 19 October 7, 2008 Continuous perineural catheter techniques – Kathleen Larkin, MD The surgeon's perspective on regional anesthesia; Question and answer – Gregory A. Schmale, MD Click here to read an abstracted written summary of this program. From Regional Anesthesia In Children, Sponsored By Children’s Hospital And Regional Medical Center INFECTION: THE PATIENT AND ANESTHESIA PROVIDER Audio-Digest Anesthesiology Volume 50, Issue 18 September 21, 2008 Infectious complications associated with regional anesthesia – James R. Hebl, MD Infections and the anesthesia provider – Jeanine P. Wiener–Kronish, MD Click here to read an abstracted written summary of this program. BLOODSTREAM INFECTION/TRANSFUSION MEDICINE Audio-Digest Anesthesiology Volume 50, Issue 17 September 7, 2008 Preventing catheter–related bloodstream infection: the role of the anesthesiologist – Michael A. Gropper, MD, PhD Current concepts in transfusion medicine – Charles S. Brudney, MB, BCh Click here to read an abstracted written summary of this program. MORE ON DRUGS IN CLINICAL PRACTICE Audio-Digest Anesthesiology Volume 50, Issue 16 August 21, 2008 Local anesthetic drugs, additives, and controversies – John F. Butterworth, IV, MD An update on α2–agonists in pediatric anesthesia practice – Linda J. Mason, MD Click here to read an abstracted written summary of this program. CONTROVERSIAL DRUGS IN CLINICAL PRACTICE Audio-Digest Anesthesiology Volume 50, Issue 15 August 7, 2008 Droperidol: black box warning revisited – Philip W. Lebowitz, MD Succinylcholine: a marvel whose time has passed? – Aaron F. Kopman, MD Click here to read an abstracted written summary of this program. From The 61st Postgraduate Assembly In Anesthesiology, Sponsored By The New York State Society Of Anesthesiologists, December 7-11, 2007, New York, NY TOPICS IN OB ANESTHESIA Audio-Digest Anesthesiology Volume 50, Issue 14 July 21, 2008 What’s new in obstetric anesthesia – Joy L. Hawkins, MD Fever, wet taps, and intralipid therapy – Sandra L. Kopp, MD Click here to read an abstracted written summary of this program. AIRWAY ISSUES IN ANESTHESIA Audio-Digest Anesthesiology Volume 50, Issue 13 July 7, 2008 Obstructive sleep apnea and the difficult airway – Jonathan L. Benumof, MD Asthma management in the OR – Randall C. Wetzel, MB,BS Click here to read an abstracted written summary of this program. ARDS/CARDIOPULMONARY RESUSCITATION Audio-Digest Anesthesiology Volume 50, Issue 12 June 21, 2008 Management of acute respiratory distress syndrome: An Update – Marc J. Popovich, MD New evidence for cardiopulmonary resuscitation – John E. Tetzlaff, MD Click here to read an abstracted written summary of this program. From Survey Of Current Issues In Surgical Anesthesia, Sponsored By The Cleveland Clinic Foundation, Division Of Anesthesiology, Critical Care Medicine, And Comprehensive Pain Management, November 28 To December 2, 2007, Naples, FL HOT TOPICS IN PERIOPERATIVE OUTCOMES AND PATIENT MANAGEMENT Audio-Digest Anesthesiology Volume 50, Issue 11 June 7, 2008 Perioperative cognitive dysfunction – Mark F. Newman, MD What’s new in geriatric anesthesia – Terri G. Monk, MD, MSc Click here to read an abstracted written summary of this program. HOT TOPICS IN PERIOPERATIVE OUTCOMES AND PATIENT MANAGEMENT: PART 1 Audio-Digest Anesthesiology Volume 50, Issue 10 May 21, 2008 Managing perioperative bleeding and medications – Linda J. Shore–Lesserson, MD Glycemic control – Judy R. Kersten, MD Click here to read an abstracted written summary of this program. From The 61st Postgraduate Assembly In Anesthesiology, Sponsored By The New York State Society Of Anesthesiologists, December 7-11, 2007, New York, NY UROLOGIC ANESTHESIA/RENAL DISEASE Audio-Digest Anesthesiology Volume 50, Issue 09 May 7, 2008 Use of local anesthetics for urologic anesthesia – John E. Tetzlaff, MD Caring for the patient with end–stage renal disease – Mark Stafford–Smith, MD Click here to read an abstracted written summary of this program. ESOPHAGECTOMY ANESTHESIA Audio-Digest Anesthesiology Volume 50, Issue 08 April 21, 2008 Case 1: 52–yr–old man, underwent several months of neoadjuvant chemoradiation for adenocarcinoma of esophagus, scheduled for Ivor Lewis esophagectomy – John E. Ellis, MD (Moderator); David Amar, MD; Eric Jacobsohn, MBChB, MHPE Click here to read an abstracted written summary of this program. From The American Society Of Anesthesiologists' Annual Meeting, October 13-17, 2007, San Francisco, CA INFECTION PREVENTION/DRUG IMPAIRMENT Audio-Digest Anesthesiology Volume 50, Issue 07 April 7, 2008 Nonpharmacologic prevention of surgical–site infection – Daniel I. Sessler, MD The drug–impaired anesthesia provider – Ashish C. Sinha, MD, PhD Click here to read an abstracted written summary of this program. From The 57th Annual Postgraduate Symposium On Anesthesiology, Sponsored By The University Of Kansas Medical Center, April 13-15, 2007, Kansas City, MO ANESTHESIA PRACTICE MANAGEMENT Audio-Digest Anesthesiology Volume 50, Issue 06 March 21, 2008 Trends in anesthesia department economics – William J. Mazzei, MD Incentives – David B. Glick, MD, MBA Click here to read an abstracted written summary of this program. STRATEGIES FOR OUTPATIENT CARE Audio-Digest Anesthesiology Volume 50, Issue 05 March 7, 2008 Challenges in pediatric ambulatory anesthesia – Linda J. Mason, MD Pain management for ambulatory surgical patients – Peter S.A. Glass, MB, ChB Click here to read an abstracted written summary of this program. Points of Care– Risk for respiratory-related adverse events: children whose parents say they have cold, who snore, who are exposed to passive smoke, or who have nasal congestion have higher risk for anesthetic complications; risk for complications increased with intubation, decreased with LMA or face mask; propofol safest induction agent; muscle relaxants should be reversed; cancel nonemergency surgery if child febrile, wheezing, has lower respiratory tract infection, or <1 yr of age AMBULATORY SURGICAL PATIENTS– opioid hyperalgesia and tolerance– opiates can worsen sense of pain; treat hyperalgesia by decreasing amount of opioid, not pushing opioid; peripheral hypersensitization-tissue damage stimulates release of adenosine triphosphate (ATP) or hydrogen ions; causes nociceptor to fire, signals gene regulation to produce substance P, and initiates inflammatory process; this leads to accumulation of mast cells and macrophages, followed by neurotransmitter release (eg, 5-hydroxy tryptamine [5HT], histamine, prostaglandin, bradykinin) and upregulation of peripheral receptors; any painful stimulus further exacerbates pain; central hypersensitization Conclusion: consider incorporating preventive analgesic regimen for pain management; multimodal therapy important; use long-acting maintenance therapy and short-acting therapy for breakthrough pain (plan carefully) From the International Anesthesia Research Society's 81st Clinical and Scientific Congress, March, 2007, Orlando, FL SEVERE PREECLAMPSIA/CONTINUOUS SPINAL ANESTHESIA Audio-Digest Anesthesiology Volume 50, Issue 04 February 21, 2008 Severe preeclampsia: anesthetic implications of the disease and therapies – Judi A. Turner, MD, PhD Continuous spinal anesthesia – James Moore, MD Click here to read an abstracted written summary of this program. From Anesthesiology Update 2007, Sponsored By The David Geffen School Of Medicine At The University Of California, Los Angeles, November 17, 2007 THE OPHTHALMIC PATIENT Audio-Digest Anesthesiology Volume 50, Issue 03 February 7, 2008 The team concept for ophthalmic surgery – Don R. Hirschman, CRNA, MHA, ND Strabismus complications from local anesthetics – David L. Guyton, MD Click here to read an abstracted written summary of this program. From The 21st Annual Scientific Meeting Of The Ophthalmic Anesthesia Society, September 28-30, 2007, Chicago, IL PREOPERATIVE PROCESSING OF THE AMBULATORY PATIENT Audio-Digest Anesthesiology Volume 50, Issue 02 January 21, 2008 Alternative practice locations, alternative processing patterns – Meena S. Desai, MD Filtering and countering the disinformation from the media, a new preoperative task – Douglas R. Bacon, MD, MA Phones, families, and other threats to the privacy of patients – Thomas W. Cutter, MD, MA Click here to read an abstracted written summary of this program. From the American Society of Anesthesiologists' Annual Meeting, October 13-17, 2007, San Francisco, CA PROFESSIONAL LIABILITY Audio-Digest Anesthesiology Volume 50, Issue 01 January 7, 2008 Case 1: 70–yr–old woman, total knee replacement under epidural anesthesia – Karen B. Domino, MD, MPH (Moderator); Robert A. Caplan, MD; Mark A. Warner, MD; Michael A. Kelly, Esq; Dominique A. Pollara, Esq Case 2: 40–yr–old man, gastric bypass surgery under general anesthesia – Karen B. Domino, MD, MPH (Moderator); Robert A. Caplan, MD; Mark A. Warner, MD; Michael A. Kelly, Esq; Dominique A. Pollara, Esq Click here to read an abstracted written summary of this program. From The American Society Of Anesthesiologists’ Annual Meeting, October 13-17, 2007, San Francisco, CA