Anesthesia Wise Guys

Resuscitation, pH management, POCUS, and more....

May 1, 2025
Engaging discussions cover the intricacies of volume resuscitation and the challenges of blood transfusions in emergencies. The speakers share personal anecdotes about navigating chaotic medical situations and the ethics of using cocaine as an anesthetic. Insights into point-of-care ultrasound reveal its critical role in patient assessment. With humor and heartfelt stories, they explore pH management and the significance of communication in healthcare, all while paying tribute to influential figures in anesthesia.
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ANECDOTE

Beaten Patient Survives Severe Injury

  • A patient was severely beaten and left in a barn for three days, developing extreme rhabdomyolysis and bilateral fasciotomies.
  • Despite catastrophic injury and kidney damage, the young man survived against the odds.
ANECDOTE

Silent Pre-op Stroke Detection

  • A pre-op patient silently developed a stroke, which was detected by attentive staff and stroke alert called.
  • Quick recognition prevented potential disaster despite initial patient denial of symptoms.
ADVICE

Use Ultrasound for Volume Assessment

  • Use point-of-care ultrasound (POCUS) to evaluate stomach contents and volume status preoperatively.
  • Gain comfort with basic TTE for volume and cardiac function assessment but avoid overreliance without full expertise.
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