Anesthesiology and Critical Care Morning Report

Paul Frank, MD, is Assistant Professor of Anesthesiology at UC Davis Medical Center in Sacramento, CA. He completed residency, where he was chief resident, and adult cardiothoracic anesthesiology fellowship at Cedars-Sinai Medical Center. He earned the Cedars-Sinai Anesthesiology Award for Excellence in Teaching in 2019 and the UC Davis Outstanding Teaching Award for Cardiothoracic Anesthesiology in 2021 and 2022. Raj Dasgupta is Raj Dasgupta is associate professor of clinical medicine, division of pulmonary, critical care and sleep medicine and is the associate program director of Internal Medicine residency program. He actively teaches USMLE Step 1, 2, 3, and Internal Medicine Board Review around the world for the past 15 years through Kaplan and other organizations and institutions. He has appeared on various media outlets and television shows such as The Doctors, KTLA and Larry King Now.

Regional Anesthesia ? Shoulder Replacement: 62-year-old man with history of COPD having shoulder replacement ? Knee Replacement: 75-year-old woman having a total knee arthroplasty. ? Hip Fracture: 92-year-old man with aortic stenosis fractures his hip after falling at home and is undergoing repair. ? Carpal Tunnel Release: 40-year-old female with carpal tunnel undergoes release surgery. Pediatric Anesthesia ? Hydrocele: 5-year-old boy is having repair of a hydrocele. ? Tonsillectomy & Adenoidectomy: 2-year-old girl with recent URI and OSA having tonsillectomy and adenoidectomy. ? Strabismus: An 8-year-old boy with strabismus and a history of asthma is having corrective surgery. ¦ MAC, blood:gas partition coefficient Obstetric Anesthesia ? Labor epidural: 26-year-old primigravida has prolonged labor. ? Preeclampsia: 36-year-old primagravida at 38 weeks gestation presents with severe abdominal pain ? Uterine Abruption: 24-year-old female at 30 weeks gestation is passenger in a T-bone car accident. General Anesthesia ? Laparoscopy: 32-year-old female having laparoscopic ovarian cystectomy. ? Gunshot Wound to Abdomen: 21-year-old man with gunshot wound to abdomen having emergency exploratory laparotomy. ? Endoscopy: A 64-year-old man with end-stage liver disease is having an endoscopy as part of work-up for a liver transplant. ? Bariatric Surgery: A 50-year-old man with morbid obesity (BMI 53) undergoes gastric bypass for weight loss. ? Burn: A 42-year-old man is rescued from a burning building but has sustained massive burns to his face, neck, and chest. Cardiothoracic Anesthesia ? Mitral Valve Repair: 45-year-old woman with severe mitral regurgitation is having mitral valve repair. ? Coronary Artery Bypass Grafting: 51-year-old male with angina on exertion presents for coronary artery bypass grafting. ? Lobectomy: 73-year-old man with right upper lobe squamous cell carcinoma undergoing resection. ? Thymectomy: A 30-year-old woman with myasthenia gravis is undergoing thymectomy. Neurologic Anesthesia ? Sitting Craniotomy: 60-year-old man with a pineal gland tumor undergoes craniotomy in the sitting position. ? Anterior and Posterior Cervical Fusion: 34-year-old woman is hypotensive after being hit by a car while riding her bike. ? Thoracolumbar Fusion Revision: 54-year-old man with DM2 and chronic back pain and 5 prior operations having reinstrumentation. ? Pituitary Adenoma: A 48-year-old woman is undergoing transsphenoidal resection of a pituitary adenoma. ? Epidural Hematoma: A 26-year-old man is in a motor vehicle accident at high speed and is undergoing evacuation of an epidural hematoma. ENT Anesthesia ? Thyroidectomy: 63-year-old female with papillary thyroid cancer having total thyroidectomy. ? Functional Endoscopic Sinus Surgery: 25-year-old man with recurrent sinusitis having functional endoscopic sinus surgery. ? Laryngeal Papilloma Ablation: 43-year-old singer is having laser ablation of laryngeal papillomatosis. ? COVID trach: 65-year-old man with covid and prolonged mechanical ventilation is undergoing tracheostomy. ? Abdominal Aortic Aneurysm: 70-year-old man a pacemaker and a 5.6cm abdominal aortic aneurysm is having open repair. ? Arteriovenous Fistula Placement: 68-year-old woman with end-stage renal disease having arteriovenous fistula placed for hemodialysis access. ? Carotid Endarterectomy: 55-year-old man had a stroke 1 week ago and is undergoing carotid endarterectomy. Urologic Anesthesia ? Transurethral Resection of the Prostate: 75-year-old man with benign prostatic hyperplasia causing urinary obstruction is undergoing TURP. ? Lithotripsy: 46-year-old woman paraplegic from a motorcycle accident 20 years ago undergoes lithotripsy for a kidney stone causing pyelonephritis.

Regional Anesthesia ? Shoulder Replacement: 62-year-old man with history of COPD having shoulder replacement ? Knee Replacement: 75-year-old woman having a total knee arthroplasty. ? Hip Fracture: 92-year-old man with aortic stenosis fractures his hip after falling at home and is undergoing repair. ? Carpal Tunnel Release: 40-year-old female with carpal tunnel undergoes release surgery. Pediatric Anesthesia ? Hydrocele: 5-year-old boy is having repair of a hydrocele. ? Tonsillectomy & Adenoidectomy: 2-year-old girl with recent URI and OSA having tonsillectomy and adenoidectomy. ? Strabismus: An 8-year-old boy with strabismus and a history of asthma is having corrective surgery. ¦ MAC, blood:gas partition coefficient Obstetric Anesthesia ? Labor epidural: 26-year-old primigravida has prolonged labor. ? Preeclampsia: 36-year-old primagravida at 38 weeks gestation presents with severe abdominal pain ? Uterine Abruption: 24-year-old female at 30 weeks gestation is passenger in a T-bone car accident. General Anesthesia ? Laparoscopy: 32-year-old female having laparoscopic ovarian cystectomy. ? Gunshot Wound to Abdomen: 21-year-old man with gunshot wound to abdomen having emergency exploratory laparotomy. ? Endoscopy: A 64-year-old man with end-stage liver disease is having an endoscopy as part of work-up for a liver transplant. ? Bariatric Surgery: A 50-year-old man with morbid obesity (BMI 53) undergoes gastric bypass for weight loss. ? Burn: A 42-year-old man is rescued from a burning building but has sustained massive burns to his face, neck, and chest. Cardiothoracic Anesthesia ? Mitral Valve Repair: 45-year-old woman with severe mitral regurgitation is having mitral valve repair. ? Coronary Artery Bypass Grafting: 51-year-old male with angina on exertion presents for coronary artery bypass grafting. ? Lobectomy: 73-year-old man with right upper lobe squamous cell carcinoma undergoing resection. ? Thymectomy: A 30-year-old woman with myasthenia gravis is undergoing thymectomy. Neurologic Anesthesia ? Sitting Craniotomy: 60-year-old man with a pineal gland tumor undergoes craniotomy in the sitting position. ? Anterior and Posterior Cervical Fusion: 34-year-old woman is hypotensive after being hit by a car while riding her bike. ? Thoracolumbar Fusion Revision: 54-year-old man with DM2 and chronic back pain and 5 prior operations having reinstrumentation. ? Pituitary Adenoma: A 48-year-old woman is undergoing transsphenoidal resection of a pituitary adenoma. ? Epidural Hematoma: A 26-year-old man is in a motor vehicle accident at high speed and is undergoing evacuation of an epidural hematoma. ENT Anesthesia ? Thyroidectomy: 63-year-old female with papillary thyroid cancer having total thyroidectomy. ? Functional Endoscopic Sinus Surgery: 25-year-old man with recurrent sinusitis having functional endoscopic sinus surgery. ? Laryngeal Papilloma Ablation: 43-year-old singer is having laser ablation of laryngeal papillomatosis. ? COVID trach: 65-year-old man with covid and prolonged mechanical ventilation is undergoing tracheostomy. ? Abdominal Aortic Aneurysm: 70-year-old man a pacemaker and a 5.6cm abdominal aortic aneurysm is having open repair. ? Arteriovenous Fistula Placement: 68-year-old woman with end-stage renal disease having arteriovenous fistula placed for hemodialysis access. ? Carotid Endarterectomy: 55-year-old man had a stroke 1 week ago and is undergoing carotid endarterectomy. Urologic Anesthesia ? Transurethral Resection of the Prostate: 75-year-old man with benign prostatic hyperplasia causing urinary obstruction is undergoing TURP. ? Lithotripsy: 46-year-old woman paraplegic from a motorcycle accident 20 years ago undergoes lithotripsy for a kidney stone causing pyelonephritis.