Anesthesiology

      PTEeXAM data courtesy of Stanton K. Shernan, M.D., National Board of Echocardiography, Raleigh, North Carolina, with historical events as previously described.1 ACGME = Accreditation Council for Graduate Medical Education; PTEeXAM = perioperative transesophageal echocardiography examination; TEE = transesophageal echocardiograpy.n Infographic created by Jonathan P. Wanderer, Vanderbilt University School of Medicine, and James […]

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Impact Assessment of Perioperative Point-of-Care Ultrasound Training on Anesthesiology Residents

ABSTRACT Background: The perioperative surgical home model highlights the need for trainees to include modalities that are focused on the entire perioperative experience. The focus of this study was to design, introduce, and evaluate the integration of a wholebody point-of-care (POC) ultrasound curriculum (Focused periOperative Risk Evaluation Sonography Involving Gastroabdominal Hemodynamic and Transthoracic ultrasound) into […]

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Why Anesthesiologists Must Incorporate Focused Cardiac Ultrasound Into Daily Practice

The size, availability, cost, and quality of modern ultrasound devices have, for the first time in modern medicine, enabled point-of-care ultrasound by the noncardiologist physician. The appropriate application of focused cardiac ultrasound (FoCUS) by anesthesiologists has the potential to alter management and affect outcomes for a wide range of patients. In this article, the indications, […]

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Phrenic Nerve Palsy and Regional Anesthesia for Shoulder Surgery

Regional anesthesia has an established role in providing perioperative analgesia for shoulder surgery. However, phrenic nerve palsy is a significant complication that potentially limits the use of regional anesthesia, particularly in high-risk patients. The authors describe the anatomical, physiologic, and clinical principles relevant to phrenic nerve palsy in this context. They also present a comprehensive […]

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Ultrasound-Guided Interventional Procedures in Pain Medicine: A Review of Anatomy, Sonoanatomy, and Procedures

ABSTRACT Application of ultrasound in pain medicine is a rapidly growing medical field in interventional pain management. Ultrasound provides direct visualization of various soft tissues and real-time needle advancement and avoids exposing both the health care provider and the patient to the risks of radiation. The machine itself is more affordable than a fluoroscope, computed […]

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Ultrasound-Guided Interscalene Block Reevaluation of the “Stoplight” Sign and Clinical Implications

Background and Objectives The “stoplight” sign is a frequently described image during ultrasound-guided interscalene block, referring to 3 hypoechoic structures found between the anterior and middle scalene muscles. This study was designed to establish the ultrasound-anatomy correlation of this sign and to find any other anatomical features within the roots that could help with the […]

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