The Mount Sinai journal of medicine, New York
-
Airway management is a critical component of modern anesthetic care. Advances in airway management, as well as the recent history of airway management teaching at The Mount Sinai Hospital, are reviewed.
-
Approximately two-thirds of all women in the United States receive analgesia for labor and delivery. The ideal labor analgesic technique would confer complete pain relief without side effects to either the mother or the neonate. ⋯ Modern obstetric analgesia techniques and medications come close to achieving these goals. The following article will review current labor analgesia techniques and medications used during labor and delivery.
-
Endovascular aortic repair is a new alternative to conventional surgical techniques. A variety of devices available for endovascular aortic repair are discussed and the outcomes after repair are reviewed. Anesthetic considerations during endovascular repair are dictated by the device being used, as well as the site of device deployment. ⋯ Patients undergoing repair of thoracic aortic pathology may be candidates for perioperative transesophageal echocardiographic monitoring. Since a subgroup of these patients may be at risk for postoperative paraplegia, aggressive spinal cord protection should be considered. Patients with large aneurysms may be at risk for "post-implantation syndrome," which is characterized by hyperpyrexia, hypotension, and coagulopathy.
-
Historical Article
The Mount Sinai Hospital's role in the development of anesthesia safety standards.
The Department of Anesthesiology of The Mount Sinai Hospital was closely involved in introducing anesthesia safety standards for anesthesia breathing systems, the introduction of the first disposable plastic anesthesia breathing system, the layout of the controls on gas machines, nontoxic airways, safe ethylene oxide sterilization and safe obstetrical anesthesia.
-
Historical Article
Anesthesiologists and surgeons at Mount Sinai: a partnership in excellence.
Although anesthesia was available to patients when the doors of The Jews Hospital opened in 1855, "professional anesthetists" were not appointed to the staff until 1902. This article traces the history of the anesthesiology staff and department, and documents their accomplishments over the past century.