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August 18, 2023
A 2-year-old undergoing dental rehab was intubated orally with a Covidien (Mansfield, MA) Shiley Hi-Lo Oral Tracheal 4.0 cuffed ETT. After confirmation of ETT placement, we attempted to adjust the leak to 20 cmH20…
July 26, 2023
Recently our pharmacy replaced remifentanil 2 mg/ml vials with 1 mg/ml vials. To provide uniformity, syringe pumps used in our perioperative areas are programmed to default to 40 mcg/ml of remifentanil…
July 16, 2023
As a result of sharing the airway with the endoscopist, airway management challenges can occur during gastrointestinal (GI) endoscopy. Hypoxemia occurrence during an upper endoscopy is multifactorial…
June 13, 2023
Multiple myeloma is a plasma cell malignancy often presenting with severe anemia. These patients are at risk of developing new antibodies to red cell antigens because of frequent blood transfusions…
May 17, 2023
One morning, as I prepared for my first carotid case, I retrieved a 2 ml vial of lidocaine 2% from my Anesthesia Pyxis (an automatic medication dispenser) and administered it without incident. However, while getting…
May 2, 2023
In 1986, Sir Archie Brain patented the Laryngeal Mask Airway (LMA©).1 Four decades later, supraglottic airway devices (SADs) have evolved to include esophageal ports (called second-generation devices) and changed angulation to facilitate tracheal intubation…