Innovation in sedation and analgesia training.

Purpose Of Review: We reviewed evidence of recent innovations in sedation education and discuss experiences with sedation training in Taiwan.

Recent Findings: Current Status of Sedation Training: Didactic training and supervised clinical mentoring are common methods of sedation training. Although training course designed by professional societies to meet individual hospital credentialing requirements, the course content and training expectations vary and are likely inadequate to non-anesthesiologist sedation practitioners.

An iatrogenic complication of radial artery cannulation.

Here, we report a potentially serious iatrogenic complication of arterial cannulation, and discuss the management and prevention of accidental arterial cannula transection. A 73-year-old man suffered from accidental cannula transection after removal of a radial arterial cannula. Three-dimensional computed tomography was used to confirm and locate the retained catheter.

Ultrasonic cardiac output monitor provides accurate measurement of cardiac output in recipients after liver transplantation.

Background: The ultrasonic cardiac output monitor (USCOM; USCOM Pty. Ltd., Sydney, NSW, Australia) has been accepted as a noninvasive device for measuring cardiac function in various clinical conditions.

Accuracy of a new body length-based formula for predicting tracheal tube size in Chinese children.

Background: Variations in body weight and length (height) in children in the same age group have increased. Traditional age-based formulas often fail to predict the correct endotracheal tube (ETT) size. In our previous study, we devised a new length-based formula as follows: ETT internal diameter (ID) (mm) = 2 + (body length in cm/30).

Reliability of a new ultrasonic cardiac output monitor in recipients of living donor liver transplantation.

The ultrasonic cardiac output monitor (USCOM) is a new Doppler device for noninvasive hemodynamic monitoring. The aim of this prospective nonrandomized study was to test the feasibility, perioperative reliability, and clinical applicability of using USCOM as an alternative to pulmonary artery catheterization in recipients of living donor liver transplantation. Thirteen patients scheduled to receive living donor liver transplants were initially recruited.

Protection against large-volume regurgitated fluid aspiration by the ProSeal laryngeal mask airway.

The ProSeal laryngeal mask airway (PLMA) is designed to protect the airway from regurgitated fluid. However, successful channeling of large volumes of regurgitated fluid by PLMA is rarely reported. This case report states that a large volume of regurgitated fluid was successfully channeled by a PLMA.

Delayed onset of sevoflurane-induced juvenile malignant hyperthermia after second exposure.

Malignant hyperthermia (MH) is a rare condition consisting of increased temperature and rigidity with mild to fulminant manifestation during anesthesia. Sevoflurane was thought to be a less potent triggering agent of MH; however, in literature review, the onset of MH after exposure to sevoflurane may be associated with calcium release from the sarcoplasmic reticulum. We present here a case of rarely-seen delayed MH induced by an inhalation agent of low-inducing probability, sevoflurane, after the second exposure to which within a short period of time.