Cardiac Emboli Documented by Intraoperative Transesophageal Echocardiogram During Administration of a Topical Hemostatic Agent Prior to Pedicle Subtraction Osteotomy.

Study Design: This is a case report.

Objective: Describe the occurrence of cardiac emboli recorded on transesophageal echocardiogram (TEE) after the injection of a topical hemostatic agent into a vertebra prior to performing a pedicle subtraction osteotomy (PSO).

Summary Of Background Data: Hemostasis during spinal surgery is critical for adequate visualization and to reduce the risk of perioperative complications.

Anesthesia preparation time is not affected by the experience level of the resident involved during his/her first month of adult cardiac surgery.

Objective: This study was designed to answer the question of whether the experience level of the resident on his/her first month of adult cardiothoracic anesthesiology has an impact on operating room efficiency in a large academic medical center. Traditionally, the resident's 1st month of cardiac anesthesia had been reserved for the clinical anesthesia (CA)-2 year of training. This study analyzed the impact on operating room efficiency of moving the 1st month of cardiac anesthesia into the CA-1 year.

A retrospective comparison of two very low energy diets on weight loss and health status in obese women completing a 26-week program.

Aim: To retrospectively compare the effects of two very low energy diets (VLED) on weight, girths, and health status by auditing clinic database.

Methods: Obese women (n = 150) who consumed either 420 kcal/day (n = 75) or 800 kcal/day (n = 75) were retrospectively matched for age, height and entry weight. The 26-week program comprised 12 weeks of 420 or 800 kcal/day energy intake then 12 weeks of reintroduction of normal food, with behavioural management.