https://ccme.osu.edu/RSSeriesBrochure/27546-Regional%20Grand%20Rounds.pdf

The Heart Rhythm Society (HRS)/American Society of Anesthesiologists (ASA) Expert Consensus Statement on the Perioperative Management of Patients with Implantable Defibrillators, Pacemakers and Arrhythmia Monitors: Facilities and Patient Management This document was developed as a joint project with the American Society of Anesthesiologists (ASA), and in collaboration with the American Heart Association (AHA), and the Society of Thoracic Surgeons (STS)

The journal of maternal-fetal & neonatal medicine

https://rapm.bmj.com/content/rapm/22/1/3.full.pdf

Identification of the Epidural Space: Is Loss of Resistance to Air a Safe Technique? A Review of the Complications Related to the Use of Air

This article has been selected for the ANESTHESIOLOGY CME Program. Learning objectives and disclosure and ordering information can be found in the CME section at the front of this issue.

/pdf/practice-advisory-for-the-perioperative-management-of-1uyeypgdba.pdf

Practice Advisory for the Perioperative Management of Patients with Cardiac Implantable Electronic Devices: Pacemakers and Implantable Cardioverter-Defibrillators An Updated Report by the American Society of Anesthesiologists Task Force on Perioperative Management of Patients with Cardiac Implantable Electronic Devices

Background:  There has been no consensus on the best catheterization strategy for the management of postoperative urinary retention. A prospective randomized trial was undertaken to establish the best practice guidelines for the management of postoperative urinary retention. The authors also evaluated the contemporary incidence of urinary retention following different categories of general surgery and examined risk factors associated with its occurrence.

Methods:  All patients who underwent elective inpatient surgery between January 2002 and June 2003 were recruited into the study. Patients who developed postoperative urinary retention were randomized to either having in−out catheterization or placement of an indwelling catheter for 24 h after surgery.

Results:  A total of 1448 patients was recruited. The overall incidence of urinary retention was 4.1% (n = 60). Significant risk factors associated with postoperative urinary retention included old age, anorectal procedures and use of spinal anaesthesia. Comparison of re-catheterization and urinary tract infection rates between patients who were treated with in−out versus overnight catheterization found no significant differences.

Conclusions:  Postoperative urinary retention should be managed by in−out catheterization. Indwelling catheterization for 24 h appeared to bestow no additional benefits. The incidence of urinary retention increases with age, anorectal procedures and the use of spinal anaesthesia.

Management of postoperative urinary retention: a randomized trial of in-out versus overnight catheterization.

Edward Tuohy: the man, his needle, and its place in obstetric analgesia.

Pneumocephalus following the treatment of a postdural puncture headache with an epidural saline infusion

Epidural Hematoma Associated with Epidural Anesthesia: Complications of Anticoagulant Therapy

A LIPOMYELOCELE is an intraspinal lipoma that is associated with disruption of the meninges, displacement of neural elements, and spina bifida. Similar to other disorders of the lumbar spine, it may represent a relative contraindication to neuraxial anesthesia and analgesia. 1 We report a case of successful epidural blockade for labor analgesia and later cesarean section in a parturient with a lipomyelocele.

Epidural blockade for labor and cesarean section with associated L4-5 lipomyelocele.

We describe two cases where we attempted to reduce the adverse effects of inadvertent spinal anaesthesia by aspirating local anaesthetic-contaminated cerebrospinal fluid (CSF). Analysis of this CSF for its local anaesthetic concentration revealed that we were able to recover 51% and 39% of the administered lignocaine. It is suggested that such aspiration may be a helpful additional measure to the supportive management of this complication.

Reducing the potential morbidity of an unintentional spinal anaesthetic by aspirating cerebrospinal fluid.

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