GLP1s and SGLT2s and Anesthesia

Preoperative Cessation of SGLT2i From American College of Cardiology When caring for patients being referred for surgery it is important to advise patients to stop their SGLT2-inhibitors 3-4 d...

Nov 5, 2023 Anesthesia, Diabetes

Cyanokit and Methylene Blue for Hypotension

Cyanokit (Hydroxocobalamin) Dose 5g over 15min (full vial) mixed in 200cc NS Mechanism Nitric oxide scavenger General Administration Guide Increase pressers Give dose Watch for...

Nov 5, 2023 Anesthesia, Complications

Anatomy and Physiology Pearls

Airway Innervation Alpha 1 Antitrypsin Deficiency Made in liver and stops enzyme alveolar elastase Deficiency causes destruction of pulmonary connective tissue resulting in panlobular em...

Nov 5, 2023 Anesthesia, Anatomy

Goal Directed Fluid Therapy

General Goals Map > 65 SVI > 35 CI > 2.5 Hypoperfusion Signs/Symptoms Hypotension Low/Decreasing SVI Metabolic Acidosis (base deficit or low HCO3) Increasing PPV Olig...

Nov 5, 2023 Anesthesia, Fluids

Corneal Abrasion Treatment

Diagnosis From symptoms alone in many cases: Unilateral foregin body sensation Lacrimation Photophobia Redness Scratchy eye feeling Treatment Consider sterile flush for foreign b...

Nov 5, 2023 Anesthesia, Complications

Perioperative Insulin

Subcutaneous vs IV If emergency surgery use IV insulin drip If elective surgery AND: Case is < 4 hours Patient is not critically ill Patient does not have poor gluco...

Nov 5, 2023 Anesthesia, Diabetes

Cephalosporin Cross Reactivity

Nov 5, 2023 Anesthesia, Antibiotics

Perioperative Antibiotic Protocol

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Oct 31, 2023 Anesthesia, Antibiotics

Cardiac Arrest in the OR

Oct 31, 2023 Anesthesia, Cardiac

Antibiotic Review

Stanford School of Medicine Antibiotic Guide ANTIBACTERIALS BETA-LACTAMS = PCNs, Cephalosporins, Carbapenems, Monobactam(Aztreonam) Cell wall inhibitors: bind PBPs (Penicillin-binding protein...