“Renal Dose” Dopamine Must Die
“Renal Dose” Dopamine Must Die Todd J. Smaka MD Michael P. Hutchens MD, MA Dopamine (DA) is an endogenous catecholamine that influences receptors in a concentration-dependent manner. For >20 years,…
Avoid a 70% Mortality Rate: Do Everything You Can to Prevent Perioperative Renal Failure
Avoid a 70% Mortality Rate: Do Everything You Can to Prevent Perioperative Renal Failure Michael P. Hutchens MD, MA Acute renal failure in the postoperative period is appallingly common and…
Do Not Disregard an Elevated Partial Thromboplastin Time When the Prothrombin Time Is Normal
Do Not Disregard an Elevated Partial Thromboplastin Time When the Prothrombin Time Is Normal Lisa Marcucci MD The consensus on preoperative laboratory screening in moving toward fewer tests being performed…
A Positive Troponin Is Not Necessarily a Myocardial Infarction
A Positive Troponin Is Not Necessarily a Myocardial Infarction Michael P. Hutchens MD, MA Bradford D. Winters MD, PhD A common scenario in the preoperative evaluation of an acutely ill…
Perioperative Beta-Blocker Therapy is Indicated for High-Risk Patients Who Are Having Noncardiac Surgery, But Specific Questions Remain Unanswered
Perioperative Beta-Blocker Therapy is Indicated for High-Risk Patients Who Are Having Noncardiac Surgery, But Specific Questions Remain Unanswered Esther Sung MD Richard F. Davis MD, MBA Perioperative adverse cardiovascular events…
Understand the Utility of Preoperative Stress Testing in Suspected Heart Disease
Understand the Utility of Preoperative Stress Testing in Suspected Heart Disease Matthew V. DeCaro MD, FACC Although stress testing is quite useful in preoperative cardiac risk stratification, it is a…
Never Fail to Report a Needlestick Injury
Never Fail to Report a Needlestick Injury Vidya K. Rao MD Shawn T. Beaman MD According to the World Health Organization (WHO), an estimated 3 million people worldwide suffer from…
The Same Simple Mistakes at Induction (and Emergence) Happen Over and Over Again—So Develop a Checklist, and Make it Ironclad
The Same Simple Mistakes at Induction (and Emergence) Happen Over and Over Again—So Develop a Checklist, and Make it Ironclad Brandon C. Dial MD Randal O. Dull MD, PhD For…
Recognize that Transport Is One of the Most Hazardous Intervals in the Perioperative Period and Prepare Accordingly
Recognize that Transport Is One of the Most Hazardous Intervals in the Perioperative Period and Prepare Accordingly Mohammed Ojodu MD Charles D. Boucek MD Anesthesiology management includes the transport of…
Preoperative Anxiolysis: It’s Not Just “Two of Midaz”
Preoperative Anxiolysis: It’s Not Just “Two of Midaz” Michael P. Hutchens MD, MA William Thomas Green Morton did not meet his patient before their encounter in the Ether Dome on…
