Consider the Use of Tris-Hydroxymethyl Aminomethane (THAM) to Treat Refractory or Life-Threatening Metabolic Acidosis Leander L. Moncur MD Elliott R. Haut MD, FACS You just assumed care of a 35-year-old…
Do Not Treat Lactic Acidosis with Bicarbonate Prasert Sawasdiwipachai MD Lactic acidosis is one type of anion-gap metabolic acidosis (AGMA). It occurs when the tissue metabolism has to undergo anaerobic…
Protect the Kidneys, Not the “UOP” Michael P. Hutchens MD, MA It is axiomatic in anesthesiology that abundant, or at least physiologically normal, intraoperative urine output (UOP) is essential to…
Remember that the Synthetic Colloid Solutions Have Distinct Properties and Risk/Benefit Ratios Ivan V. Colaizzi MD Raymond M. Planinsic MD Before an anesthesia provider can consider the colloid solutions in…
Hypertonic Saline: the “Solution” to the Solution Problem? Lavinia M. Kolarczyk MD Patrick J. Forte MD Analogous to the variety of beverages in your supermarket’s soda aisle, there exist numerous…
Remember that Loss of a Patent Hemodialysis Fistula in the Perioperative Period is a Serious Event for the Patient and Requires Immediate Communication with the Surgeons Anagh Vora MD Steven…
Avoid Errors in Invasive Blood Pressure Measurement Michael S. N. Hogan MB, BCh Juraj Sprung MD, PhD Monitoring of a patient’s blood pressure (BP) is crucial to the safe conduct…
Remember that Inadvertent Intra-Arterial Injection is Not Rare Michael S. N. Hogan MB, BCh Surjya Sen MD Juraj Sprung MD, PhD The estimated incidence of iatrogenic complication from accidental intra-arterial…
Do Not Use the Subclavian Vein for Central Access of Any Type in a Patient Planned for Dialysis Michael J. Moritz MD Catherine Marcucci MD There are about 300,000 hemodialysis…
Don’t Overflush Lines Julie Marshall MD Peter Rock MD, MBA Anesthesiologists become experts at the placement of lines for access and monitoring, but the routine care and maintenance of these…
