perioperative– category –
-
☝️ Midline Catheters: An Evidence-Based Review of the “Middle” Option Between PIV and PICC
Midline catheters occupy a practical middle ground between peripheral IVs and PICC lines, suited for short-to-mid-term intravenous therapy (commonly ~5–14 days). This article summarizes definitions, indications/contraindications, ultrasound-guided insertion and management tips, complication recognition and response, and practical decision rules for choosing PIV vs midline vs PICC — all referenced to recent trials, systematic reviews, and INS guidance. Useful for perioperative teams and trainees preparing for perioperative management team and anesthesiology board exam scenarios. -
🚨 Local Anesthetic Systemic Toxicity (LAST): What to Do When It Happens -Based on ASRA guidelines and current clinical reviews (2020–2024)-
A step-by-step ASRA-based guide to treating Local Anesthetic Systemic Toxicity (LAST) with early lipid emulsion therapy, seizure control, and modified ACLS. -
💉 That “Tingling” Might Be LAST — Recognizing the Early Signs of Local Anesthetic Systemic Toxicity😳🚨
A conversational and practical overview of Local Anesthetic Systemic Toxicity (LAST)—how it starts, what to look for, and how to act fast. This article explains early CNS and cardiovascular signs, key risk factors, and first-line management, presented in a real clinical dialogue style for residents and perioperative staff. -
🔴 When “Red Man Syndrome” Became “Vancomycin Infusion Reaction”— Understanding the renamed reaction and why it matters —
The term “Red man syndrome” is now replaced by Vancomycin infusion reaction (VIR)—a non-IgE histamine-release reaction important in perioperative care. -
🤢 Designing an “Anti-Emetic Anesthetic”: How to Prevent Postoperative Nausea and Vomiting (PONV)
Postoperative nausea and vomiting (PONV) remains one of the most unpleasant experiences after anesthesia. This article explains how to predict, prevent, and treat PONV based on the Apfel risk score and the Fourth Consensus Guidelines (2020) — including evidence-based anesthetic techniques, pharmacologic prophylaxis, and rescue strategies for both adults and children. -
💨 Sevo vs Desflurane — Practical Tips for Faster Wakeups and Smoother Mask Inductions🤔
Sevo vs Des: a concise, practical comparison of induction, emergence, low-flow cautions, and environmental impact. -
🌍 Is Inhaled Anesthesia Really “Green”? 😳 ~ Environmental Impact of Anesthetic Gases ~
"Did you know that inhaled anesthetics contribute to climate change and ozone depletion? 🌍 This article explains the environmental impact of sevoflurane, isoflurane, desflurane, and nitrous oxide, why desflurane is being banned in the EU, and how low-flow anesthesia can be both safe and eco-friendly. Perfect for anesthesiology board exam prep and perioperative team training." -
💨 Oxygen Saturation – What Many Residents and Nurses Don’t Really Understand😳 –
Oxygen saturation (SpO₂ / SaO₂) shows how fully hemoglobin is loaded with oxygen. Think of hemoglobin as a car with four seats — the “occupancy rate” makes the concept much easier to grasp. A core concept for anesthesia board exams and perioperative management team training. -
🚭 Why Quit Smoking Before Surgery!?🤔
Smoking before surgery? 🚬 Find out why anesthesiologists strongly recommend quitting—even a few days of abstinence can lower complications.
