A&A practice
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Holistic review of applications may optimize recruitment of residents by seeking out characteristics best aligned with program culture. The goals of this mixed methods research were to engage residency recruitment stakeholders to develop a holistic scoring rubric, measure the correlation between the rubric score and the final global rating used to rank applicants for the National Resident Matching Program Match, and qualitatively analyze committee discussions at the end of the interview day about applicants for potential unconscious biases. ⋯ Stakeholder-driven holistic review that more broadly emphasizes an applicant's experiences and attributes can be successfully implemented in evaluating residency applicants. Committee discussions revealed various biases that warrant further investigation and mitigation strategies.
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Case Reports
An Unusual Incident of "Cannot Ventilate" Situation Due to a Broken Soda Lime Canister: A Case Report.
The circle breathing system enables rebreathing using a carbon dioxide absorbent. This case report presents a rare incident of ventilation failure in a 30-year-old male patient due to a broken unidirectional valve in a soda lime canister. Despite the anesthesia machine passing automated checks, a mechanical blockage from caked soda lime in the inner inspiratory chamber led to insufficient tidal volume delivery. The incident underscores the importance of performing manual breathing circuit checks after replacing the soda lime canister, as well as the need for heightened vigilance in detecting equipment malfunctions to maintain patient safety during anesthesia.
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Case Reports
Anesthesia for Cesarean Delivery in a Patient With Spondylocostal Dysostosis: A Case Report.
Spondylocostal dysostosis (SCD) is an inherited skeleton growth disorder characterized by abnormalities of the vertebrae and ribs. Individuals are susceptible to kyphoscoliosis and pulmonary complications, which may be exacerbated by respiratory physiologic changes in pregnancy. We present a case of a parturient with severe kyphoscoliosis and restrictive lung disease who received a modified rapid sequence induction and transabdominal plane blocks for cesarean delivery. Our case describes the safe administration of general anesthesia for cesarean delivery and reviews the anesthetic considerations for managing patients with SCD.