Anesthesia Presentation topic ideas

[Andrologist2MD]

Hey Folks.
I am a MS4. I have to give a presentation on an Anesthesia topic in a few days. The presentation has to be b/t 20 - 30 minutes long. I would like to present on something interesting. What are some good and unique topics in clinical anesthesiology? I appreciate your help! Thanks.

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[imfrankie]

hey folks.
I am a ms4. I have to give a presentation on an anesthesia topic in a few days. The presentation has to be b/t 20 - 30 minutes long. I would like to present on something interesting. What are some good and unique topics in clinical anesthesiology? I appreciate your help! Thanks.

nirs

 

[psychbender]

Perioperative Abx (what are we really covering, and are we dosing correctly?)
Pediatric OSA (and how to deal with outpatient surgery)

Are you at BAMC, by chance?

 

[Navyanesdoc]

try Trali...

 

[epidural man]

Hey Folks.
I am a MS4. I have to give a presentation on an Anesthesia topic in a few days. The presentation has to be b/t 20 - 30 minutes long. I would like to present on something interesting. What are some good and unique topics in clinical anesthesiology? I appreciate your help! Thanks.

Present on intraoperative use of methadone. Not a single person in your deparment will know much about it - AND - it may change practices, because it really is a phenomenal drug to use peripoeratively - so says the data.

 

[imfrankie]

Hey Folks.
I am a MS4. I have to give a presentation on an Anesthesia topic in a few days. The presentation has to be b/t 20 - 30 minutes long. I would like to present on something interesting. What are some good and unique topics in clinical anesthesiology? I appreciate your help! Thanks.

I think the PRx Pressure Reactivity Index stuff by Ken Brady and the Hopkin's group is exciting, very interesting, cutting edge work and potentially generalizable to other applications. Excellent journal club material IMHO.

 

[btbam]

Theories on mechanisms of action for inhaled anesthetics.

 

[DreamLover]

Present on intraoperative use of methadone. Not a single person in your deparment will know much about it - AND - it may change practices, because it really is a phenomenal drug to use peripoeratively - so says the data.

I do find this interesting. Methadone is cheap. It has the Mu + NMDA. Seemingly a dream for the chronic pain pt. But it seems a bit tricky. The dosages are not easily made equivalent to the other opioids and the titration is different in every patient and even the same patient on a day to day basis. Plus it seems that the research has been done in ASA 1-2 with no psych issues and my personal Patient population is the antithesis to that...I just don't think it's pheasible in my practice-even though I really like the concept.

 

[kidthor]

How about the use of intra/post-op Ketamine for Opiod tolerant patients?

 

[turkeyjerky]

Not going into Gas, but during my rotation somebody did a talk on the acute coagulopathy of trauma that I found pretty interesting.

 

[BLADEMDA]

Not going into Gas, but during my rotation somebody did a talk on the acute coagulopathy of trauma that I found pretty interesting.

CRASH-2 Study.

Ketamine as an adjunct to reduce post op pain

Nerve Blocks to reduce post op pain

The use of Factor 7A for trauma, Intracranial bleeds, etc.

Spinals to reduce the risk of total joint infection

Stop-Bang questions/protocol for Sleep Apnea

 

[DrBeaker]

Present on intraoperative use of methadone. Not a single person in your deparment will know much about it - AND - it may change practices, because it really is a phenomenal drug to use peripoeratively - so says the data.

+1

Only 2 or 3 attendings use it where I am. One showed me a paper on it. I try and use it for big back whacks now. Once only gave 20mg to a fairly opiate naive patient getting a T10-pelvis fusion. Besides fentanyl for induction, that was the only pain med I gave for the whole case.

Kidthor- this place ain't big enough for the two of us

 

[BLADEMDA]

One of the more interesting observations in this study is that there was no difference in postoperative opioid consumption during the first 24 hours; patients who received methadone seemed to derive the greatest benefit between 48 and 72 hours. Although there are few studies examining the perioperative use of methadone, we did not expect this result based on the pharmacokinetics of the drug. If the opioid agonist effect of methadone was directly responsible for improved analgesia and decreased opioid requirements, one would have expected the greatest difference during the first 24 hours (as noted above, methadone has a median half-life of 22 hours). Instead, the opposite was observed. This suggests that the primary advantage of methadone might not be its ability to provide analgesia, but rather its ability to attenuate opioid tolerance and hyperalgesia. It is also possible that methadone possesses a preemptive effect; however, this is obviously speculative.


http://www.ncbi.nlm.nih.gov/pubmed/20418538

Maybe, low dose Methadone PO preop/holding then low dose Ketamine in the O.R.

http://www.ncbi.nlm.nih.gov/pubmed/20693876