Yale Anesthesiology

In this episode, Dr. Yavor Metodiev delves into the anesthetic considerations that should be taken when caring for a patient with oncological disease during pregnancy. Dr. Metodiev and colleagues concisely summarize the complexities of treating patients with oncological disease, emphasizing the crucial balance between maternal and fetal safety. With the increasing incidence of oncological disease in pregnant women (1 in 2000), anesthetists are expected to encounter more of these cases, and we play a pivotal role in managing these patients during the peripartum period. https://pubmed.ncbi.nlm.nih.gov/39775436/

In this episode, Dr. Blake Mergler, Dr. Reid Mergler, and Dr. Caoimhe Duffy examine the crucial role of anesthesiologists in recognizing and addressing trauma during labor. Their thorough narrative review highlights the importance of trauma-informed care, which shifts the focus from “what is wrong with the patient” to “what has happened to the patient.” The trio discusses how anesthesiologists can embrace this mindset, promoting empathy and understanding without judgment. https://pubmed.ncbi.nlm.nih.gov/39231043/ https://pubmed.ncbi.nlm.nih.gov/39897428/

In this episode, we explore the concept of a highly functional team, its characteristics, and the importance of fostering interdisciplinary teamwork among healthcare professionals such as anesthesiologists, obstetricians, nurses, and others. Dr. Girnius emphasizes that such collaboration enhances communication and efficiency and improves patient outcomes. Additionally, we discuss the process of identifying and implementing what needs to change while addressing the challenges associated with introducing change within our healthcare system. Improving Obstetric Anesthesia Care Through Teaming and Improvement Science https://pubmed.ncbi.nlm.nih.gov/39325012/ Preoperative Multidisciplinary Team Huddle Improves Communication and Safety for Unscheduled Cesarean Deliveries: A System Redesign Using Improvement Science https://pubmed.ncbi.nlm.nih.gov/39269911/

In this episode, we discuss the importance of following intravenous access recommendations for cesarean deliveries with Dr. Scott Seki at his institution. How do Dr. Seki and his colleagues define adequate intravenous access? Which patients are more or less likely to receive the recommended IV access? What are the patient implications if we fail to provide the recommended IV access? These are some of the questions we explored during this podcast. By the end of the episode, I began reevaluating the significance and sometimes implicit implications of not adhering to the recommended IV access standards.

In this episode, Dr. Landau, a renowned expert and researcher in the topic of pain, delves into the evolution of our understanding of this topic. We explore how the research and its definition have changed over the past few decades. Additionally, we discuss her study titled “Pain during cesarean delivery: a patient-related prospective observational study assessing the incidence and risk factors for intraoperative pain and intravenous medication administration.”