Evaluation of a Novel Multidisciplinary Preoperative Workup Strategy for Geriatric Hip Fractures.

Objective: To determine the financial and clinical impact of a standardized, multidisciplinary team for surgical clearance and optimization in geriatric hip fracture patients.

Design: Retrospective case series.

Setting: Level-1 trauma center.

Hypoxemia Requiring Venovenous Extracorporeal Membrane Oxygenation after Tricuspid Valvulectomy for Infective Endocarditis.

• TEE is essential in the diagnosis and management of IE related to IVDU. • Tricuspid valvulectomy is performed to manage IVDU-associated IE involving the TV. • Intracardiac shunt is possible if refractory hypoxemia occurs after cardiac surgery.

Role of the anesthesiologist-intensivist outside the ICU: opportunity to add value for the hospital or an unnecessary distraction?

Purpose Of Review: Given the extremely expensive nature of critical care medicine, it seems logical that intensivists should play an active role in designing efficient systems of care. The true value of intensivists, however, is not well defined.

Recent Findings: Anesthesiologists have taken key roles in improving patient safety in the operating room.

Early Paralysis for the Management of ARDS.

The use of neuromuscular blocking agents (NMBAs) early in the development of ARDS has been a strategy of interest for many years. The use of NMBAs with a concomitant deep sedation strategy can increase oxygenation and possibly decrease mortality when used in the early stages of ARDS. The mechanism by which this occurs is unclear but probably involves a combination of factors, such as improving patient-ventilator synchrony, decreasing oxygen consumption, and decreasing the systemic inflammatory response associated with ARDS.