Antifibrinolytic Agents: Spare the Clot But Spoil the Thrombus Ala Nozari MD, PhD Theodore A. Alston MD, PhD PHYSIOLOGY OF FIBRINOLYSIS The fibrinolytic system has evolved to dissolve intravascular thrombus…
On the Cusp of Disaster: Distinguish between the Anesthetic Management of Stenotic and Regurgitant Cardiac Valves George A. Mashour MD, PhD Theodore A. Alston MD, PhD The initial approach to…
Remember that It Is Not Possible to Completely Avoid Myocardial Ischemia Associated with Cardiopulmonary Bypass and the Delivery of Cardioplegia—The Goal Is to Minimize It Amy C. Lu MD, MPH…
Remember to Ask About A History of Esophageal Disease if Transesophageal Echocardiography is Planned (or Possible) Thomas R. Elsass MD Robert W. Kyle DO Fortunately, there are relatively few complications…
Cannulation for Cardiopulmonary Bypass—Be Careful Where You Point that Thing! Jason Z. Qu MD Edwin G. Avery IV MD A 64-year-old female insulin-dependent diabetic with severe aortic atheromatous disease and…
Remember that Loss of Vision is One of the Most Feared and Devastating Complications of Spine Surgery Laurel E. Moore MD It is the first day of your first neuroanesthesia…
Don’t Be Caught Unprepared for a Wake-Up Test Sarah Merritt MD Peter Rock MD, MBA Laurel E. Moore MD You are about to induce anesthesia on a 15-year-old girl for…
Awake Craniotomy Can Be Done Humanely Alexis Bilbo MD Laurel E. Moore MD It’s 7:00 AM when you learn that your supposedly routine craniotomy for tumor resection is actually an…
Don’t Treat Hypertension in Neurosurgery Cases Before Considering the Cause(s) and Risks, and Always Recognize that An Abrupt Change in the Patient’s Blood Pressure Needs to Be Investigated John S….
Evoked Potentials: Don’t Approach the Surgeon and Neurophysiologist Until You Know These Principles Alan C. Finley MD Anthony Passannante MD Laurel E. Moore MD Intraoperative neurophysiological monitoring is used to…
