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2002 Article List by Date Posted
Here is a list of all articles from calendar year 2202. They are posted in reverse chronological order, so you'll see the most recent articles listed first.
Go instead to MOST RECENT articles...
December 9, 2002: Retrobulbar Block
A discussion of the technique of retrobulbar block, common complications, contraindications, etc.
November 22, 2002: Physiologic Changes in Pregnancy and Anesthetic Concerns
A look at some of the normal physiologic changes of pregnancy and how those affect the anesthesiologist.
November 5, 2002: Subcutaneous Water Blocks for Back Pain in Labor
The use of some simple subcutaneous injections of water is extremely effective for back pain associated with labor.
October 20, 2002: Epidurals and Maternal Fever
Is the association between maternal fever and epidurals a cause for concern? A look at some of the evidence...
October 3, 2002: Anesthesia for Cesarean Section
A discussion of anesthetic options for cesarean section, advantages and disadvantages, post-operative pain relief, etc.
September 15, 2002: Combined Spinal-Epidural (CSE) for Labor Analgesia: The Walking Epidural
Discussion of the technique of combined spinal-epidural including advantages, disadvantages and possible complications.
September 1, 2002: Intrathecal Narcotics for Labor Analgesia
The use of intrathecal (or spinal) narcotics is one option for labor analgesia for patients that do not want an epidural.
August 15, 2002: Systemic Medications for Labor Analgesia (Part 2)
In part 2 of this article, the focus is on the use of narcotics for the relief of labor pain. These drugs are, by far, the most commonly used intravenous agents during labor for analgesia.
August 1, 2002: Systemic Medications for Labor Analgesia (Part 1)
Although regional techniques such as epidural are used more and more for labor these days, systemic medications given through an intravenous line still are a viable option.
July 16, 2002: Labor Epidurals and Childbirth Education
An anesthesiologist explains why you should consider taking childbirth education classes, even if you are positive that you want a labor epidural.
June 25, 2002: Complications of Blood Transfusion - Part 2 of 2: Massive Transfusion and Infectious Complications
In the second of two parts to this article, we discuss the infectious complications of blood transfusion as well as problems associated with massive transfusion.
June 23, 2002: Complications of Blood Transfusion - Part 1 of 2: Immune Complicatiosn, Hemolytic and Non-Hemolytic
In the first of two parts to this article, we discuss the immune complications of blood transfusion which can be hemolytic or non-hemolytic.
June 1, 2002: Treating Pain Before It Starts: Pre-emptive Analgesia
Is the concept of pre-emptive analgesia real or just a pipe dream? Here is a short discussion. Includes bibliography for further research.
May 12, 2002: Narcotics and Muscle Rigidity
Muscle rigidity is a strange and not-well defined complication associated with the administration of narcotics. Here is a short summary of what it is, why it occurs and how to treat it.
April 23, 2002: Hepatic Disease and Biliary Tract Problems in Anesthesia - Part 3 of 3: Anesthetic Management for Cirrhosis, Cholecystectomy and Liver Transplant
Part three of three parts. This is an extended version of a lecture I gave in 1998. Part three deals with some anesthetic concerns related to specific surgeries including a brief discussion of liver transplants.
April 22, 2002: Hepatic Disease and Biliary Tract Problems in Anesthesia - Part 2 of 3: Differential Diagnosis of Postoperative Hepatic Dysfunction and Specific Disorders
Part two of three parts. This is an extended version of a lecture I gave in 1998. Part two deals with post-operative hepatic dysfunction compared to other disorders.
April 21, 2002: Hepatic Disease and Biliary Tract Problems in Anesthesia - Part 1 of 3: Normal Physiology, Laboratory Tests
Part one of three parts. This is an extended version of a lecture I gave in 1998. Part one deals with normal physiology and laboratory tests.
April 10, 2002: Local Anesthesia for Inguinal Hernia Repair
While there are a number of options for anesthesia when it comes to having a hernia fixed, many patients do not think about having this surgery done under local anesthesia. Here is a short summary of the advantages and disadvantages of that technique.
March 15, 2002: Anesthesia for Urological Surgery
General discussion of anesthetic concerns for urological surgery including regional anesthesia techniques and common complications to look for.
February 6, 2002: ASA Practice Advisory: Peripheral Neuropathy
The American Society of Anesthesiologists has released a practice advisory on prevention of peripheral neuropathy in the perioperative period. What is a practice advisory? What does this mean for your practice?
February 5, 2002: Anterior Approach to the Sciatic Nerve Block
The anterior approach is perhaps the least utilized of the four classic approaches. Lack of familiarity with the technique and the fact that it requires a long needle and use of the nerve stimulator may account for a higher failure rate. However, the approach is useful in selected patients.
February 4, 2002: Epidurals: A Cause of Long Term Back Pain?
The question often arises as to whether epidurals cause long-term back pain in patients. Recent study results show that the risk of long term backache is not increased after epidural anesthesia.
February 3, 2002: Hemopure Obtains Approval for Use in Patients
Hemopure has become the first blood product to be approved for use in humans with the specific indication of acute anemia related to surgery. The company expects that it will be available in South Africa in early 2002.
February 2, 2002: Women Recover From Anesthesia Faster Than Men
As reported in the British Medical Journal, women apparently awaken from general anesthesia faster than men do. However, at the same time, they are slower to return to their before surgery health status after surgery and anesthesia.
February 1, 2002: Trigeminal Neuralgia
Trigeminal neuralgia is a common disorder that results in pain in the face or headache. Anesthesiologists are often involved in treating these patients either during the initial workup of headache, in pain clinics for chronic therapy or to give anesthesia for surgical intervention.
January 31, 2002: The BIS Monitor and Automatic Infusion
Almost as soon as the BIS monitor was introduced, people have been wondering if a feedback loop using the data from the BIS to control an intravenous infusion could be developed. Now Japanese researchers have "closed the loop" and developed just such a system.
January 30, 2002: Ankle Block for Foot Surgery
Ankle block is commonly used for surgery on the foot. While there are other options that can be used, ankle block offers a high degree of effectiveness combined with very low risk to the patient.
January 29, 2002: Is Regional Anesthesia Better Than General Anesthesia?
The debate about whether regional anesthesia is better than general anesthesia in terms of morbidity and mortality continues to be a topic of great interest and fervent debate. A recent meta-analysis gives us some food for thought.
January 28, 2002: Amiodarone Should Not Be Used for Pediatric Patients
Off-label use of this drug in pediatric patients has been common - but now the FDA and the company that manufactures this drug are warning of two potentially serious side effects.
January 27, 2002: Phantom Limb Pain
Phantom limb syndrome has been intriguing to doctors and irritating to patients throughout the history of medicine. Now new research may shed some light on the problem.
January 26, 2002: Oxygen Reduces Surgical Infection
Another study points to oxygen as a useful and important drug. This one shows that it seems to reduce infection rates after surgery.
January 25, 2002: Pain: Basic Principles
Discusses the basic mechanisms, pathways, assessment and treatment principles of pain.
January 24, 2002: Herbal Medications and Anesthesia
A new study published in July 2001 adds its voice to those warning about the dangers of herbal medications during the period of surgery and anesthesia. Read about some specific recommendations.
January 20, 2002: Herbal Agents and Anesthesia
Interest in and use of these agents and supplements is becoming widespread. Here are some of the problems and anesthetic concerns associated with these products.
January 18, 2002: The Cuffed Oropharyngeal Airway (COPA) Made Ridiculously Simple
The Cuffed Oropharyngeal Airway (COPA) is a supra-glottic airway control device, much like the more popular Laryngeanl Mask Airway (LMA). The COPA consists of a modified Guedel-type airway with an inflatable cuff - which makes placement of the device easy to learn and to teach.
January 17, 2002: Spinal Anesthesia Increases In-Vitro Fertilization Success
It has long been considered true that anesthesia technique influences the success rate of in-vitro fertilization. Now a recent study suggests that spinal anesthesia may be better than general anesthesia in terms of patient satisfaction and pregnancy success rates.
January 15, 2002: Postoperative Nausea and Vomiting Can Be Abolished
A new study shows that this is possible in ambulatory surgery patients. Is it practical? Is it desirable?
January 12, 2002: Before Your Surgery...
Things to consider, questions to ask, etc. before your surgery and anesthesia. A comprehensive guide to the things that you should know BEFORE you make your plans and visit your anesthesiologist.
January 11, 2002: Lateral Approach to the Popliteal Block
The classic posterior approach to popliteal block is reliable and relatively easy to perform. However, it is hard to do if the patient cannot be positioned prone because the landmarks are hard to access. The lateral approach provides an alternative in these situations.
January 10, 2002: Dexamethasone for Postoperative Nausea and Vomiting
The use of steroids to prevent nausea and vomiting is gaining more support as evidence appears to support both its efficacy and safety. Read about recent study results concerning dosing guidelines and the effect of this practice on wound healing.
January 9, 2002: Office Based Surgery and Anesthesia
There is a growing trend toward surgery in the surgeon's office. This raises some concerns for anesthesiologists and makes it prudent for patients to ask some serious questions before surgery.
January 8, 2002: Infraclavicular Approach to the Brachial Plexus Block
The classic brachial plexus block is done from an axillary approach - offering safety and efficacy. However, some patients do not allow access to the axilla (because of functional limitations or pain) - which makes the infraclavicular approach an important alternative.
January 7, 2002: Intravenous Anesthetics
From the opioids to the barbiturates to the benzodiazepines and more... intravenous anesthetics comprise a large category of anesthetics. Here is some information about how they work.
January 6, 2002: How Does Anesthesia Work?
Unbelievable as it may seem, it is indeed true that much is still not known about how anesthesia works. The mechanisms of anesthesia appear diverse and very complex. Here is a discussion about some of the things that we do know.
January 5, 2002: Breastfeeding and Anesthesia
Mothers that need anesthesia while breastfeeding their babies are often told to stop. While this is certainly a safe and conservative answer, is it the best or only option?
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