Perioperative Efficiency of Sugammadex Following Laparoscopic Cholecystectomy in Clinical Practice.

Studies have proposed that the routine use of the modified gamma-cyclodextrin, sugammadex, could provide perioperative time savings. However, these investigations have been limited to small group analyses. The purpose of this study was to test the effectiveness of sugammadex on perioperative times when compared to neostigmine under general clinical practice conditions following rocuronium-induced neuromuscular blockade for laparoscopic cholecystectomy.

Developing a Standardized and Sustainable Resident Sign-Out Process: An AIAMC National Initiative IV Project.

Background: Duty hour restrictions imposed upon training physicians have led to increased handoffs and the potential for discontinuity in patient care. Research has demonstrated a significant opportunity for decreasing errors with a standardized handoff process. Thus, we designed a project to implement a standardized approach to handoffs, specifically resident-to-resident handoffs.

Urgent cesarean section in a patient with a spinal cord stimulator: implications for surgery and anesthesia.

Background: Spinal cord stimulation used in the treatment of chronic pain is offered to women of child-bearing age. This practice warrants special consideration on the part of the obstetricians and anesthesiologists charged with their care.

Case Report: We report the instance of a parturient with a spinal cord stimulator who presented for urgent cesarean section.

Onset of lone atrial fibrillation during labor under epidural analgesia.

Background: Practice standards recommend that the induction of epidural analgesia for labor begin with a test dose of local anesthetic with epinephrine. During the test dose period and following anesthetic administration, the anesthesiologist measures the parturient's pulse with continuous pulse oximetry to help detect the intravascular placement of the epidural catheter as evidenced by the abrupt onset of tachycardia.

Case Report: We report the onset of tachycardia in a healthy parturient following induction of continuous epidural analgesia.

Core program education: tracking the progression toward excellence in an anesthesiology residency program over 60 years.

The Ochsner Clinic Foundation Anesthesiology Residency Program is the oldest continuously accredited anesthesiology residency program in the state of Louisiana. As the American College of Graduate Medical Education has developed residency training requirements, so has the Ochsner training program evolved from a structure- and process-based program to an outcomes-based program. The author, associated with the program since 1983, reviewed Program Information Forms from 1971 to the present to track the evolution of the anesthesiology residency training program.