Tag Taras Grosh

Perioperative Cardiac Risk Assessment in Noncardiac Surgery

Introduction Anesthesia has become increasingly safer. According to the Anesthesia Quality Institute’s National Anesthesia Clinical Outcomes Registry, comprising over 30 million cases, perioperative mortality has significantly decreased in high-income countries despite a population increasingly burdened by severe comorbidities. Nevertheless, cardiac…

Perioperative Hypoxia

Case Synopsis A 42-year-old, 70-inch-tall, 95-kg man with chronic obstructive pulmonary disease and hypertension is undergoing a laparoscopic appendectomy. A satisfactory rapid-sequence induction with propofol and succinylcholine is performed, appropriate antibiotics are administered, and the abdomen is insufflated. Fifteen minutes…

Chronic Opioid Use

Case Synopsis A 38-year-old woman is transported to the emergency department (ED) via ambulance following a motor vehicle crash. Her medical history is notable for hypothyroidism, as well as a history of an intravenous (IV) opioid use disorder diagnosed at…