You're Wrong, I'm Right (eBook)

Corey Scher, MDClinical Professor of AnesthesiologyDepartment of Anesthesiology, Perioperative Care and Pain Medicine New York University School of MedicineNew York, New York, USA, 10016Anna Clebone, MDAssistant ProfessorDepartment of Anesthesia and Critical CareThe University of Chicago 5841 S. Maryland Ave. MC-4028Chicago, Illinois, USA, 60637Sanford M. Miller, MDClinical Professor of Anesthesiology (Emeritus), New York University School of MedicineFormer Assistant Director of Anesthesiology, Bellevue Hospital CenterRetired from Department of Anesthesiology, Bellevue Hospital CenterJ. David Roccaforte MDClinical Associate Professor of Anesthesiology and Surgery Department of Anesthesiology, Perioperative Care and Pain Medicine New York University School of Medicine Surgical Intensive Care Unit, Bellevue Hospital Center560 First AvenueNew York, New York, USA, 10016Levon M. Capan, M.D.ProfessorDepartment of Anesthesiology, Perioperative Care and Pain MedicineVice Chair Faculty PromotionAssociate Director Anesthesia ServiceBellevue Hospital Center560 First AvenueNew York, New York, USA, 10016

Table of Contents You’re Wrong, I’m Right - Dueling Authors Reexamine Classic Teachings in AnesthesiaEditors: Corey S. Scher, Anna Clebone, Sanford M. Miller, David Roccaforte, Levon M. CapanPrefaceContributorsSection I: GeneralChapter 1.Should Recent Clinical Trials Change Perioperative Management in Patients with Cardiac Risk Factors?Corey ScherChapter 2.Should Real-Time Ultrasound Guidance Be Routinely Used for Central Venous Catheter Placement?James LeonardChapter 3.A Patient with Chronic Kidney Disease Is Coming to the Operating Room for an Emergent Procedure, which Intravenous Fluid Do You Plan to Give Her?Jacob Tiegs and Arthur AtchabahianChapter 4.Just say NO to Nitrous!Corey ScherChapter 5.Closed Loop Anesthesia: Wave of the Future or No Future?Cedar J. Fowler and Howard ChingChapter 6.Should Acute Respiratory Distress Syndrome (ARDS) Preventative Ventilation Be Standard in the Adult Operating Room?Samir KendaleChapter 7. I Gave Rocuronium 3 Hours Ago, Do I Need to Reverse?Daniel Kohut and Kevin TurezynChapter 8.How Do You Recognize and Treat Perioperative Anaphylaxis?Amit Prabhakar, Melville Wyche III, Paul Delahoussaye, and Alan David KayeChapter 9.Is Monitored Anesthesia Care (MAC) Safe for All Cases?Kenneth SutinChapter 10.Does Electrophysiology Really Have to Reprogram My Patient’s Pacemaker Prior to Electroconvulsive Therapy?Ethan O. BrysonChapter 11.When Can Transesophageal and Trans-Thoracic Echocardiography Be Useful in a Non-Cardiac Case?Lisa RongChapter 12.Should Antifibrinolytics Be Used in Patients Undergoing Total Joint Replacements?Suzuko SuzukiChapter 13.Will Operating Rooms Run More Efficiently when Anesthesiologists Get Involved in Their Management?Steven D. Boggs, Mitchell Tsai, and Mohan Tanniru Chapter 14.Are Outcomes Better for Trauma Patients Who Are Treated Early with Clotting Factors?Steven D. Boggs and Ian H. BlackChapter 15. Should Cerebral Oximetry Be Employed in Morbidly Obese Patients Undergoing Bariatric Surgery?David PorbunderwalaChapter 16.Is Normal Saline Solution the Best Crystalloid for Intravascular Volume Resuscitation?Saad RasheedSection II: Cardiac Chapter 17.Should Local Anesthesia with Conscious Sedation Be Considered the Standard of Care over General Anesthesia for Transcatheter Aortic Valve Replacement via the Transfemoral Approach? Glen D. Quigley and Jennie NgaiChapter 18.Should Antiplatelet Therapy Be Stopped Preoperatively in a Patient with Coronary Artery Stents?Caitlin Guo and Katherine ChuyChapter 19.Is Extubating My Cardiac Surgery Patient Postoperatively in the Operating Room a Good Idea?Joseph Kimmel and Peter Neuburger Chapter 20.Is a Pulmonary Artery Catheter Needed if You Have Transesophageal Echocardiography in a Routine Coronary Artery Bypass Graft?Christopher Y. Tanaka and John HuiChapter 21.When Should You Transfuse a Patient Who Is Bleeding After Cardiopulmonary Bypass?Cindy Wang Chapter 22.Neuraxial Versus General Anesthesia in a Patient with Asymptomatic Severe Aortic StenosisPatrick B. Smollen and Arthur AtchabahianChapter 23.Should High-Risk Cardiac Patients Receive Perioperative Statins?Himani V. BhattChapter 24.Cardiopulmonary Bypass Cases: To Hemodilute or Not?Nicole R. GuinnChapter 25.Are Seizures Really a Problem After the Use of Antifibrinolytics?Dmitry Rozin and Madelyn KahanaChapter 26.Is Regional Anesthesia for Cardiac Surgery a Good Idea?M. Megan ChaconChapter 27.Are Surgical and Anesthesia Medical Missions in Developing Countries Helping or Hurting?: The Evolving Fields of Global Anesthesia and Global SurgeryJamey SnellSection III: ThoracicChapter 28. Can Oxygenation in Single-Lung Thoracic Surgery Be Affected by Inhibition of Hypoxic Pulmonary Vasoconstriction?

Rebekah NamChapter 29.Is a Bronchial Blocker Just as Good as a Double-Lumen Tube for Achieving Adequate Lung Isolation?Alexandra Lewis and David AmarChapter 30.Your Thoracic Epidural Is Not Working: How Do You Provide Analgesia Post-Thoracotomy?Angela Renee Ingram and Anuj MalhotraSection IV: PediatricChapter 31.Pediatric Upper Respiratory Infection: You Cancelled the Case and Told the Parents to Reschedule, Right? Brian BlasioleChapter 32.Does a Low Mean Blood Pressure in the Neonate Under Anesthesia Lead to Cognitive Deficits?Anna Clebone and Corey ScherChapter 33.Does Rapid Sequence Induction Have a Role in Pediatric Anesthesia?Michale SoferChapter 34.Anesthetic Neurotoxicity: Is Anesthesia Toxic to the Developing Brain? Should I Cancel My Baby’s Surgery?Misuzu Kameyama and Corey ScherChapter 35.Should an Anxious Parent Be Allowed to Be Present for the Induction of Anesthesia in Her Child?Paul Tripi and Mark GoldfingerChapter 36.What Is the Role of Premedication in the Pediatric Patient?Elliot Schwartz and Anna CleboneChapter 37.Presence of Family Members in the Operating Room: Is This Really Helpful?Michelle Gonta and Misuzu KameyamaChapter 38.Is it Appropriate for Complicated Pediatric Surgical Patients to Receive Care Outside of Specialized Pediatric Centers?Mark Goldfinger and Paul TripiChapter 39.Are the Transfusion Goals for a Premature Infant the Same as for a Seven-Year-Old?Olga AlbertChapter 40.How Should You Get the Autistic Child into the Operating Room when the Mother Objects to Intramuscular Ketamine?Glenn Mann and Jerry Chao Chapter 41.Is “Deep” Extubation Preferable in Patients at Risk for Bronchospasm?Manoj DalmiaChapter 42.What Is the Best Approach to a Pediatric Patient with an Unexplained Intraoperative Cardiac Arrest?Sherryl Adamic and Anna CleboneChapter 43.Malignant Hyperthermia: “It Certainly Is” versus “It Certainly Is Not!”Corey Scher Chapter 44.Is There a “Right” Drug to Choose When the Blood Pressure Is Low and More Volume Is Not the Answer in a Pediatric Patient?Jennifer Liedel and Madelyn Kahana Section V: ObstetricChapter 45.Which Is Safer: a Traditional Epidural or a Combined Spinal-Epidural? Juan Davila-Velazquez and Jeffrey BernsteinChapter 46.When Should a Patient Undergoing Dilation and Evacuation of Products of Gestation Be Intubated?Barbara Orlando, Agnes Lamon, and Migdalia Saloum Chapter 47.Two Blood Patches Have Failed. Now What?Alexander Sinofsky and Arthur AtchabahianChapter 48.Should a Spinal Be Used for Surgical Anesthesia After a Failed Labor Epidural?Antonio Gonzalez Fiol and Suzanne K. W. MankowitzChapter 49.Accidental Dural Puncture: Should an Intrathecal Catheter Be Threaded?Katherine Chuy and Shruthima ThangadaChapter 50.Should Intraoperative Cell Salvage Be Used During Cesarean Delivery?Alaeldin A. Darwich and Sharon E. AbramovitzChapter 51.Should Damage Control or Traditional Resuscitation Be Used for Abnormal Placentation Cases?Anna Korban, Antonio Gonzalez Fiol, and Stephanie GoodmanChapter 52.Managing the Noncompliant HIV-Positive Mother: A Pro/Con DebateSimon Kim and Corey ScherSection VI: NeuroanesthesiaChapter 53.At What Hematocrit Should a Patient Who Is Undergoing Craniotomy for Tumor Be Transfused?Mark BurbridgeChapter 54.Traumatic Brain Injury: Where Do We Stand with Ketamine and Hyperventilation?Corey ScherChapter 55.Is General Anesthesia or Conscious Sedation More Appropriate for Patients Undergoing Endovascular Clot Retrieval for Acute Ischemic Stroke?Elina Abramchayeva and Jinu KimChapter 56.Tranexamic Acid for Major Spine Surgery Sergey PisklakovChapter 57.Should Major Spine Surgery Patients Be Extubated in the Operating Room?A. Elisabeth AbramowiczChapter 58.General Anesthesia for Intra-Arterial Stroke Treatment (Endovascular Mechanical Thrombectomy): Still Needed or a Thing of the Past?A. Elisabeth AbramowiczChapter 59.Is it Better to Perform a Craniotomy for Brain Tumor Resection Awake?John L. Ard Jr and Irene KimChapter 60.Nitrous Oxide in Neuroanesthesia: Does it Have a Place?Elizabeth A. M. FrostChapter 61.Should We Treat Hypertension Immediately Before Electroconvulsive Therapy?Elana B. LubitSection VII: TransplantChapter 62.Viscoelastic Testing in Liver TransplantationCynthia WangChapter 63.Antifibrinolytics in Liver TransplantationCynthia WangChapter 64.Would You Recommend Accepting a “Donation After Cardiac Death” Liver?Corey ScherChapter 65.Should Only Patients Who Are Medically Optimized Receive a Liver Transplant?Corey ScherChapter 66.Is the Model for End-Stage Liver Disease (MELD) Score the Best Way to Evaluate Liver Transplant Patients Preoperatively?Benjamin Heller and Jeron ZerilloChapter 67.A Small Bowel Transplant for a Patient with Scleroderma: Once Again on the Slippery Slope Both Clinically and EthicallyCorey ScherSection VIII: Critical CareChapter 68.Should Steroids Be Used in Septic Shock?Samion ShabashevChapter 69.Should Extracorporeal Membrane Oxygenation Be Used for the Early Treatment of Acute Respiratory Distress Syndrome?Melissa M. Anastacio and Scott A. FalkChapter 70.What Is the Most Effective Initial Resuscitation for the Septic Shock Patient?Howard NearmanChapter 71.Should Patients with Acute Respiratory Distress Syndrome Be Placed in the Prone Position to Improve Ventilation?Arati PatilChapter 72.What Is the Best Strategy for Ventilation in Acute Respiratory Distress Syndrome?Lee SteinChapter 73.Is a Single Dose of Etomidate for Rapid Sequence Intubation (RSI) Safe in the Critically Ill Patient?Matt BilbilyChapter 74.Should Intensive Care Unit Patients Be Deeply Sedated?Caitlin GuoChapter 75.Is There Any Advantage to Albumin over Crystalloid for Volume Resuscitation?Michael NasoChapter 76.There Is Nothing Dexmedetomidine Does that Cannot Be Done Old SchoolHersh PatelChapter 77.Does Treating Systemic Inflammatory Response Syndrome Lead to Better Outcomes in Surgical Patients? Nader SolimanChapter 78.Should Mechanically Ventilated Intensive Care Unit Patients Receive Physical Therapy?Jonathan FeldsteinSection IX: AmbulatoryChapter 79.Should Persistent Postoperative Nausea and Vomiting Delay Discharge of an Ambulatory Surgery Patient from the Post-Anesthesia Care Unit?David Shapiro and Andrew GoldbergChapter 80.Should We Postpone Surgery in Patients with Uncontrolled Preoperative Hypertension?Kristina Natan and Arthur AtchabahianChapter 81.Should the Morbidly Obese Patient Be Allowed to Leave the Day of Surgery? Christopher Curatolo and Andrew GoldbergChapter 82.Should Complementary and Alternative Medicine (CAM) Be Used for the Treatment of Postoperative Pain Following Ambulatory Surgery?Dennis Grech, David Kam, and Preet PatelChapter 83.Pros and Cons of a Freestanding Ambulatory Surgery Center (ASC) Versus a Hospital-Based Operating RoomDennis Grech, Preet Patel, and David KamSection X: Acute Pain Chapter 84.Can a Regional Anesthetic Affect the Development of Phantom Limb Pain?Christopher DeNataleChapter 85.Charcot-Marie-Tooth Disease and Regional Anesthesia/Analgesia: Is Perioperative Neuraxial Analgesia Really Contraindicated?Magdalena AnitescuChapter 86.Positional Headache Without a Previous Lumbar Puncture: Would a Blood Patch Be Useful?Magdalena AnitescuChapter 87.Single-Dose Epidural Morphine or Patient-Controlled Epidural Analgesia (PCEA) for Post-Cesarean Pain Control?Lucia Daiana Voiculescu, Olga Eydlin, and Joseph LargiChapter 88.Is Opioid Avoidance Warranted for a Patient with Obstructive Sleep Apnea in the Postoperative Period?Lucia Daiana Voiculescu and Olga EydlinSection XI: RegionalChapter 89.Is Spinal or Epidural Anesthesia Contraindicated in a Patient with Multiple Sclerosis?Uchenna UmehChapter 90.The Scanner, the Twitcher, or Both: How Best to Perform Peripheral Nerve Blocks?Junping ChenChapter 91.Do We Know the Mechanism of Intravenous Lipid Emulsion (ILE) Therapy for High Blood Levels of Local Anesthetics?Olga MartinsChapter 92.Secrets Behind Keeping Your Block Catheter WorkingMinda L. Patt Chapter 93.Is an Indwelling Neuraxial or Peripheral Nerve Regional Anesthesia Catheter Safe in a Trauma Patient Who Needs Twice Daily Low Molecular Weight Heparin?Brooke Trainer and Robert TrainerChapter 94.Awake or Asleep: Can Regional Nerve Blocks Be Safely Performed in the Heavily Sedated or Asleep Patient?Shawna DormanChapter 95.Intraneural Injection: A Good Idea or Not?Jan Boublik Chapter 96.Is a Transversus Abdominis Plane (TAP) Block Better than Surgical Field Infiltration?Beamy Sharma, Uchenna Umeh, and Shruthima ThangadaChapter 97.Is Point-of-Care (POC) Coagulation Testing Worthwhile Before Regional or Neuraxial Anesthesia? Paul ShekaneChapter 98.Should a Peripheral Nerve Block Be Placed in an Anticoagulated Patient?Kiwon Song and Katherine ChuyChapter 99.Are the Benefits of Stimulating Peripheral Nerve Block Catheters Worth the Risks?Agathe Streiff and Junping ChenSection XII: Chronic Pain Chapter 100.Epidural Steroid Injection or Physical Therapy for Lumbosacral Radiculopathy Due to Disc Herniation?Ryan GualtierChapter 101.Should a Trial of Epidural Steroid Injections Be Done Before Considering Spine Surgery?Lori RussoChapter 102.Epidural Steroid Injection for Unilateral Radicular Pain: Is the Transforaminal Approach Superior to Interlaminar Injection?Lucia Daiana Voiculescu, Tomas Kucera, and Angela ZangaraChapter 103.Is a Tricyclic Antidepressant the Best First-Line Agent in Treating Neuropathic Pain?Dalia ElmoftyChapter 104.What Are the Risks and Benefits of Spinal Cord Stimulators and Intrathecal Pumps?Magdalena Anitescu and Nirali Shah-DoshiChapter 105.How Do You Determine if a Patient Has Opioid-Induced Hyperalgesia?Dalia ElmoftyChapter 106.Can Acute and Chronic Post-Surgical Pain Be Decreased with Perioperative Neuropathic Agents?Omar Qureshi and Sheetal PatilChapter 107.Is Urine Drug Testing a Good Idea for Patients on Chronic Opioid Therapy?Chirag D. Shah, M. Fahad Khan, and David S. ChengChapter 108.Dexamethasone: To Use or Not To Use—That Is the QuestionLucia Daiana Voiculescu and Rahul PathakChapter 109.Should Opioid Analgesics Be Used for Managing Pain in a Patient with a Drug Addiction?Tiffany SouChapter 110.Is Sympathetic Blockade Useful in Complex Regional Pain Syndrome (CRPS)?Tomas Kucera and Floria ChaeSection XIII: TraumaChapter 111.Is Pulse Pressure Variation More Accurate than Central Venous Pressure (CVP) or Pulmonary Artery Pressure (PAP) for Volume Resuscitation?Corey ScherChapter 112.What Is the Best Management Strategy for Venous Air Embolism?Amit Prabhakar and James RiopelleChapter 113.Does Cerebral Oximetry Have an Important Role in Trauma?Corey ScherChapter 114.Should New Trauma Paradigms Be Used in the Care of the Severe Trauma Patient? Corey ScherSection XIV: PerioperativeChapter 115.Do Herbal Supplements Create Unnecessary Risk for Patients?Mark Jones, Francisco Calixto, and Alan David KayeChapter 116.How Much Evaluation of the Airway Is Essential Prior to Anesthesia?Levon Capan, Sanford Miller, and Corey ScherChapter 117.Are There Concerns with Using Droperidol for Sedation for an Awake Fiberoptic Intubation?Corey ScherChapter 118.Do Special Measures—Such as Postoperative CPAP, a Prolonged PACU Stay, and PACU EtCO2 Monitoring—Improve the Outcome in a Patient with Obstructive Sleep Apnea?Brent LuriaSection XV: ProfessionalismChapter 119.Do Not Resuscitate: What Does that Mean Perioperatively?Elizabeth A. M. FrostChapter 120.Should a Trainee Be Allowed to Return to Anesthesiology After Narcotic Diversion and Presumed Addiction? Corey ScherChapter 121.Should Anesthesia Personnel Be Subject to Mandatory Drug Testing?Thor Lidasan and Judy ChangChapter 122.Does Returning a Recovered Addicted Physician to Active Anesthesiology Practice Do More Harm Than Good?Judy Chang and Thor LidasanChapter 123.Does Disruptive Behavior Among Anesthesia Care Providers Decrease Patient Safety?Sergey PisklakovChapter 124.Is Burnout Among Anesthesiologists a Humbug or a Real Entity?Sergey PisklakovChapter 125.The Tumor Is Inoperable: Tell the Patient or Punt to the Surgeon?Elizabeth A. M. FrostChapter 126.What Is the Role of Pain Physicians in the Opioid Epidemic?Nicholas Bremer