Anesthesiology Malpractice Premiums Considerations.

Medical malpractice insurance coverage and considerations in the United States remain focal points of substantial discourse, particularly for anesthesiology. This study provides a structured and comprehensive overview of malpractice insurance plan coverage and costs in anesthesiology practice while focusing on two pivotal aspects of the financial elements of medical malpractice: shifting trends in medical malpractice insurance costs and transitions in the medical malpractice liability insurance market. By incorporating new empirical data from a survey by the American Society of Anesthesiologists, which targeted medical malpractice insurers, this review exposes new dimensions within the arena of medical malpractice insurance.

Outcome analysis of continuous intraoperative renal replacement therapy in the highest acuity liver transplant recipients: A single-center experience.

Background: Orthotopic liver transplantation is the definitive treatment modality for patients with end-stage liver disease. Pre-orthotopic liver transplantation renal dysfunction has a significant negative influence on outcomes post-orthotopic liver transplantation. Intraoperative renal replacement therapy is an adjunctive therapy to address the metabolic challenges during orthotopic liver transplantation in patients with a high acuity of illness.

Rapid sequence induction and intubation: current controversy.

The changing opinion regarding some of the traditional components of rapid sequence induction and intubation (RSII) creates wide practice variations that impede attempts to establish a standard RSII protocol. There is controversy regarding the choice of induction drug, the dose, and the method of administration. Whereas some prefer the traditional rapid injection of a predetermined dose, others use the titration to loss of consciousness technique.

Inhalation anesthesiology and volatile liquid anesthetics: focus on isoflurane, desflurane, and sevoflurane.

Clinical pharmacists rarely are involved in the selection and dosing of anesthetic agents. However, when practicing evidence-based medicine in a cost-conscious health care system, optimizing drug therapy is imperative in all areas. Thus, we provide general information on anesthesiology, including the different types of breathing systems and the components of anesthesia machines.

Acetazolamide reduces referred postoperative pain after laparoscopic surgery with carbon dioxide insufflation.

Background: Carbon dioxide is the preferred insufflating gas for laparoscopy because of greater safety in the event of intravenous embolism, but it causes abdominal and referred pain. Acidification of the peritoneum by carbonic acid may be the major cause of pain from carbon dioxide insufflation. Carbonic anhydrase is an enzyme that increases the rate of carbonic acid formation from carbon dioxide.