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...

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 ...