Friday, October 17, 2014
The Department is pleased to report that this year's Annual Meeting of the American Society of Anesthesiologists (ASA), held in the beautiful city of New Orleans, was well-attended by our faculty and residents. Congratulations to all of our presenters, lecturers and panelists!
Cerebral Oxygen Saturation Monitoring: Why and How to Use It
This session is an interactive panel discussion with featured presentations outlining the pathophysiology of cerebral blood flow and concepts of static and dynamic autoregulation and the impact of cardiopulmonary bypass, reviewing the principles and limitations of current cerebral oximetry technologies and evidence for their clinical utility and how to intervene clinically, and exploring new developments in cerebral oximetry technology and how this can impact clinical outcomes with an open forum to discuss whether further technical developments, mechanistic evidence and/or clinical trials are needed to support widespread utilization.
Hilary Grocott M.D., The Physiology of Cerebral Blood Flow
Charles Hogue M.D., Cerebral Oximetry: Newer Developments and Their Clinical Impact
Measuring and Improving the Quality of Pre-Procedural Assessments
This study aimed to collect quality ratings from anesthesia providers on the quality of pre-procedural evaluations and identify recurring deficiencies. Over an 8-week period, 20.5% were rated as “exemplary”, 77.6% as “satisfactory”, and 1.8% as “unsatisfactory”. The most common categories for an “unsatisfactory” rating were missing information, incomplete/missing assessments, and inadequate assessments. This data enabled assessment of the outcome of our pre-operative process and the ability to shape targeted improvements of our assessments and development of best practices.
Farah N. Manji, M.D., Kelsey McCarty, M.S., M.B.A., Eden Brand, M.P.H., James P. Rathmell, M.D., Adam J. Carinci, M.D., Aalok Agarwala, M.D.,M.B.A.; Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA.
Sedation, Analgesia and Anesthesia Variability in Laboratory Based Cardiac Procedures - An International Survey
This study describes the use of anesthesia during non-surgical cardiac procedures. The use of sedation is more common in North America. Perception of the need for sedation varied by region and medical profession. There is a need for procedural sedation training.
Farah N. Manji, M.D., Shahar Lavi, M.D., Daniel Bainbridge, M.D., Sanjit Jolly, M.D., Varinder Randhawa, M.D., Ph.D., Ronit Lavi, M.D.; Department of Anesthesia & Perioperative Medicine, Division of Cardiology, London Health Sciences Centre and Western University, London, ON, Canada, Hamilton Health Sciences and McMaster University, Hamilton, ON, Canada.