Push it. Examine all things intensely and relentlessly. Annie Dillard I Epidemiology A Mortality Trauma is the third leading cause of death in the United States for all ages and the leading cause of deaths in persons younger than 45…
Development in most fields of medicine appears to occur according to sound scientific principles. However, exceptions can be found, and the development of mechanical ventilatory support is one of them. J. Rasanen The goal of mechanical ventilation is to facilitate…
In the event of a cardiac arrest, the first procedure is to take your own pulse. Samuel Shem The goal of cardiopulmonary monitoring is to assess the adequacy of the cardiac and pulmonary systems in meeting the metabolic needs of…
The person, although severely injured, congratulates himself upon having made an excellent escape, and flatters himself that he is not only in no danger, but that he will soon be well; in fact, to look at him one would hardly…
For the life of the flesh is in the blood. Leviticus 17:11 I General Topics A Normal Blood Volume and Composition 1. Total blood volume (TBV) = 70 mL/kg total body weight (80 mL/kg for newborns) 2. Total volume red…
Within one linear centimeter of your lower colon, there lives and works more bacteria than all humans who have ever been born. Yet many people continue to assert that it is we who are in charge of the world. Neil…
Although an anesthesiologist plays a critical role in the perioperative management of patients, it is important that the surgeon be familiar with the general principles of anesthesia and their potential impact on the surgical patient. Surgical care of the patient…
Some of you say that religion makes people happy. So does laughing gas. Clarence Darrow The ability to understand and administer conscious sedation to perform invasive procedures is a necessity for the practicing surgeon. It is no longer solely the…
The safest sedation is no sedation. Anonymous Local anesthesia is not only a common adjunct to higher levels of sedation but may also be an effective stand-alone method of anesthesia in many situations. When used appropriately, local anesthesia can simplify…
Give us the tools, and we will finish the job. Winston Churchill Despite sufficient knowledge of anatomy, pathophysiology, and disease processes, a surgeon will be lost in the operating room without a comprehensive knowledge of the surgical tools at his…