Dr Anesthesia

Physical Properties SEVOFLURANE is halogenated with fluorine.  SEVOFLURANE’s blood/gas partition coefficient is 0.65 .  It's non-pungency & rapid increase in alveolar concentration make SEVOFLURANE an excellent choice for smooth & rapid inhalation inductions in peds & adult patients.  In fact, you can achieve inhalation induction w/ 4% to 8% SEVOFLURANE in a 50% mixture of NITROUS OXIDE & O2 within 1 min.  It has a low blood solubility thus a rapid decrease in alveolar concentration upon discontinuation & quicker emergence compared w/ ISOFLURANE (although not an earlier discharge from the PACU).  SEVOFLURANE’s modest vapor P permits the use of a conventional variable bypass vaporizer. Effects on Organ Systems Cardiovascular SEVOFLURANE mildly ↓ myocardial contractility. SVR & BP decrease slightly less than w/ ISOFLURANE or DESFLURANE. Because SEVOFLURANE causes little if any increase in HR, CO is not maintained as well as with ISOFL...

With the remarkable speed that this new Coronavirus is spreading across the globe, anesthesiologists, anesthesia nurses, PACU nurses and other members of the anesthesia team shouldn't fall back on taking the utmost precautions with the patients they encounter on a daily. As healthcare providers, we are urged to be as informed and as readily equipped to face this pandemic that is taking over. From preop evaluation to airway manipulation once sedated one should take all measures to avoid contracting the virus or contaminating the surrounding environment. With the emerging evidence that a person can be a carrier of the virus and still be asymptomatic one should approach their patients wisely. I found this concise Recommendation sheet from the Anesthesia Patient Safety Foundation, with clear messages on which PPE to adopt and minor details to pay attention to perioperatively. Stay informed, Stay safe and Fight Coronavirus!

Hello, and Welcome to my Blog, I'm E a PGY-1 anesthesiology resident. I thought I'd tell you a bit more about how I took my decision in choosing anesthesia as my specialty. I’ll be quite honest It took me until my last few months of medical school to finally make up my mind and choose a residency program. I will guide you through the 5 main reasons why I took this path: 1.      Lifestyle It might sound shallow as a newly graduating MD to say: Well, I chose Lifestyle first. But I'm not ashamed to say, after my 7 years of hard and consistent studying in medical school and being someone who has a multitude of interests, I thought 10 years from now I would probably thank myself had I chosen a specialty that won't constrict my time as much as others and allows me to focus on the many areas I enjoy besides medicine. In anesthesia, I was attracted to how organized one's life can be: Come early, do your cases, go home and be at peace from non-remitting ...