AnestBlog

Educational content about anesthesiology, app updates, and practical tips to elevate your clinical practice.

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The "two flights of stairs" rule: why preoperative functional capacity is more than a binary test
PreoperativeEvidence
6 min
Jonas SantanaJonas Santana
5 days ago

The "two flights of stairs" rule: why preoperative functional capacity is more than a binary test

The "two flights of stairs" question aims to estimate METs, and the 4-MET threshold has long served as a decision driver...

#functional capacity#METs#preoperative assessment
Point-of-care gastric ultrasound: how to proceed when the exam is inconclusive
ClinicalIntraoperative
9 min
Jonas SantanaJonas Santana
23 days ago

Point-of-care gastric ultrasound: how to proceed when the exam is inconclusive

Point-of-care gastric ultrasound (gastric PoCUS) has gained prominence in the perioperative setting, especially when fas...

#gastric ultrasound#PoCUS#point-of-care
ASA 2026 Guideline: Regional Blocks in Abdominal, Cardiothoracic, and Mastectomy Surgeries
ClinicalRegional Anesthesia
10 min
Jonas SantanaJonas Santana
27 days ago

ASA 2026 Guideline: Regional Blocks in Abdominal, Cardiothoracic, and Mastectomy Surgeries

The American Society of Anesthesiologists published a guideline (2026) focused on perioperative analgesia with local and...

#regional blocks#fascial plane blocks#cardiothoracic surgery
Anesthesia in the Breastfeeding Patient: From "Pump and Dump" to "Sleep and Keep"
ClinicalPreoperative
12 min
Jonas SantanaJonas Santana
about 1 month ago

Anesthesia in the Breastfeeding Patient: From "Pump and Dump" to "Sleep and Keep"

The patient can breastfeed or express milk without discarding it as soon as she is awake and alert after anesthesia. The...

#breastfeeding#lactation#perioperative
PeRLS 2025 (ASA): What's New in Perioperative Resuscitation Guidelines
IntraoperativeCritical Patient
14 min
Jonas SantanaJonas Santana
about 1 month ago

PeRLS 2025 (ASA): What's New in Perioperative Resuscitation Guidelines

The PeRLS 2025 guideline organizes perioperative resuscitation as a set of rapid decisions, anchored in reversible cause...

#resuscitation#cardiac arrest#perioperative
Local Anesthetic Mixtures with Adjuvants: Risks, Benefits, and Insights from the Anesthesiology Review
Intraoperative
12 min
Jonas SantanaJonas Santana
about 2 months ago

Local Anesthetic Mixtures with Adjuvants: Risks, Benefits, and Insights from the Anesthesiology Review

Recent in vitro evidence has demonstrated microscopic crystallization/precipitation in routinely used combinations, incl...

#local anesthetics#adjuvants#crystallization
Is HES 6% Back as a Fluid Therapy Option in Major Surgery? Insights from the PHOENICS Trial
IntraoperativeFluid Therapy
6 min
Jonas SantanaJonas Santana
about 2 months ago

Is HES 6% Back as a Fluid Therapy Option in Major Surgery? Insights from the PHOENICS Trial

In well-selected patients and within the labeled dose/indication, HES 6% returns as a viable tool for intraoperative vol...

#HES#fluid therapy#colloids
B-APNEIC: A New Screening Tool for Severe Obstructive Sleep Apnea in the Preoperative Setting
PreoperativeAirway
5 min
Jonas SantanaJonas Santana
about 2 months ago

B-APNEIC: A New Screening Tool for Severe Obstructive Sleep Apnea in the Preoperative Setting

A more objective screening for severe OSA, with less self-report and greater reproducibility.

#sleep apnea#STOP-BANG#B-APNEIC
Etomidate vs Ketamine for Rapid Sequence Intubation in Critical Patients: What the RSI Trial Reveals
ResearchAirway
7 min
Jonas SantanaJonas Santana
about 1 year ago

Etomidate vs Ketamine for Rapid Sequence Intubation in Critical Patients: What the RSI Trial Reveals

What the largest pragmatic trial to date suggests about mortality and hemodynamic stability during induction for intubat...

#etomidate#ketamine#RSI
Remote Ischemic Preconditioning (RIPC) in Non-Cardiac Surgery: What the PRINCE Trial Revealed
ResearchCardioprotection
6 min
Jonas SantanaJonas Santana
about 1 year ago

Remote Ischemic Preconditioning (RIPC) in Non-Cardiac Surgery: What the PRINCE Trial Revealed

The PRINCE Trial, a large, multinational, double-blind study, found no reduction in perioperative myocardial injury (MIN...

#RIPC#PRINCE Trial#cardioprotection
Perioperative Management of GLP-1 and GIP Receptor Agonists (Including Tirzepatide): Current Guidelines
PreoperativePharmacology
8 min
Jonas SantanaJonas Santana
about 1 year ago

Perioperative Management of GLP-1 and GIP Receptor Agonists (Including Tirzepatide): Current Guidelines

The key is to stratify risk of delayed gastric emptying (GI symptoms and patient factors) and mitigate when necessary (2...

#GLP-1#tirzepatide#perioperative

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