Bkadry

322 Page 1 Jonathan B. Mark, M.D. Monitoring With CVP and PAC Durham, North Carolina Complications of Central Venous Catheterization Central venous catheterization (CVC) remains a common procedure for the care of intensive care and highrisk surgical patients. The complications are well recognized, and the more common include: 1. 2. 3. 4. 5. 6. Bleeding (adjacent arterial injury, hematoma form...

321 Page 1 Acute Pain Pathophysiology Timothy J. Brennan, M.D., Ph.D. Iowa City, Iowa As anesthesiology expands its role perioperative medicine, our knowledge in acute pain management is highly regarded. In order to continue to in the front of acute pain management, mechanisms of acute pain must be explored and new analgesic drugs must be evaluated. Although many new discoveries are being mad...

320 Page 1 Recent Developments in Oxygen Monitoring Steven J. Barker, Ph.D., M.D. Tucson, Arizona In this lecture we shall review recent advances in the monitoring of patient oxygenation. We summarize the transport of oxygen from the atmosphere to the cell, and then describe monitors that function at four stages of the O2 transport process. Oxygen Transport in the Human Body At rest we consum...

319 Page 1 Key Issues in Negotiating Hospital Contracts Judith Jurin Semo, Esq. Washington, District of Columbia This lecture will review priority areas in negotiating anesthesiology services agreements with hospitals and ambulatory surgical centers (“ASCs”), highlight problematic provisions frequently proposed by hospitals, and suggest strategies to deal with the problem areas. For ease of r...

318 Page 1 Medical Decision Making: Evidence Based or Expert Opinion? Avery Tung, M.D. Chicago, Illinois 1. Introduction “I don’t believe in that study” Recent studies have established that physician compliance with the results of clinical studies, externally promulgated guidelines, and recommended practices, is poor. In the non-anesthesia domain, examples of noncompliance include below-optim...

317 Page 1 Julia E. Pollock, M.D. Regional Anesthesia - How to Make It Work Seattle, Washington Regional anesthesia has enjoyed a tremendous increase in popularity over the past two decades. The expanding involvement of anesthesiologists in the treatment of pain syndromes, the financial motivation to decrease hospitalization times, and the satisfaction for both patient and anesthesiologist ar...

316 Page 1 Inflammatory Response: Current Concepts Edward R. Sherwood, M.D., Ph.D. Galveston, Texas Introduction. Inflammation plays an important role in many pathophysiological processes encountered by anesthesiologists on a daily basis. Surgery, major trauma, sepsis and critical illness all have major inflammatory components. This review will address the basic mechanisms of inflammation and...

315 Page 1 Chronic Opioid Therapy for Non-Cancer Pain: An Evidence Based Look at the Issue Jane C. Ballantyne, M.D. Boston, Massachusetts Introduction Our question is whether the evidence available in the medical literature supports long-term opioid therapy for the treatment of non-cancer or non-terminal pain. Is the therapy efficacious, and does its efficacy outweigh its liabilities? A real ...

314 Page 1 Linda Shore-Lesserson, M.D. Hematologic Aspects of Cardiac Surgery Bronx, New York Introduction The hematologic management of the cardiac surgical patient entails a complex balance between extreme degrees of anticoagulation and the restoration of normal hemostasis after the procedure. These two opposing processes must be managed carefully and modified with respect to preoperative d...

313 Page 1 Current Controversies in Obstetric Anesthesia William R. Camann, M.D. Boston, Massachusetts In 1847, the Scottish obstetrician James Simpson administered ether to a woman during labor to treat the pain of childbirth. He was impressed with the degree of analgesia associated with the use of the drug. Nevertheless, he expressed concern about the possible adverse effects of anesthesia:...