You’re Wrong, I’m Right

Part I. General

1. Should Recent Clinical Trials Change Perioperative Management in Patients with Cardiac Risk Factors?
Corey S. Scher

2. Should Real-Time Ultrasound Guidance Be Routinely Used for Central Venous Catheter Placement?
James Leonard

3. A Patient with Chronic Kidney Disease Is Coming to the Operating Room for an Emergent Procedure, Which Intravenous Fluid Do You Plan to Give Her?
Jacob Tiegs, Arthur Atchabahian

4. Just Say NO to Nitrous!
Corey S. Scher

5. Closed-Loop Anesthesia: Wave of the Future or No Future?
Cedar J. Fowler, Howard Ching

6. Should Acute Respiratory Distress Syndrome (ARDS) Preventative Ventilation Be Standard in the Adult Operating Room?
Samir Kendale

7. I Gave Rocuronium 3 Hours Ago, Do I Need to Reverse?
Daniel Kohut, Kevin Turezyn

8. How Do You Recognize and Treat Perioperative Anaphylaxis?
Amit Prabhakar, Melville Q. Wyche III, Paul Delahoussaye, Alan David Kaye

9. Is Monitored Anesthesia Care (MAC) Safe for All Cases?
Kenneth M. Sutin, Jonathan Teets

10. Does Electrophysiology Really Have to Reprogram My Patient’s Pacemaker Prior to Electroconvulsive Therapy?
Ethan O. Bryson

11. When Can Transesophageal and Trans-Thoracic Echocardiography Be Useful in a Non-Cardiac Case?
Lisa Q. Rong

12. Should Antifibrinolytics Be Used in Patients Undergoing Total Joint Replacements?
Suzuko Suzuki

13. Will Operating Rooms Run More Efficiently When Anesthesiologists Get Involved in Their Management?
Steven D. Boggs, Mitchell H. Tsai, Mohan Tanniru

14. Are Outcomes Better for Trauma Patients Who Are Treated Early with Clotting Factors?
Steven D. Boggs, Ian H. Black

15. Should Cerebral Oximetry Be Employed in Morbidly Obese Patients Undergoing Bariatric Surgery?
David Porbunderwala

16. Is Normal Saline Solution the Best Crystalloid for Intravascular Volume Resuscitation?
Saad Rasheed

Part II. Cardiac

17. Should Local Anesthesia with Conscious Sedation Be Considered the Standard of Care Over General Anesthesia for Transcatheter Aortic Valve Replacement via the Transfemoral Approach?
Glen D. Quigley, Jennie Y. Ngai

18. Should Antiplatelet Therapy Be Stopped Preoperatively in a Patient with Coronary Artery Stents?
Caitlin J. Guo, Katherine Chuy

19. Is Extubating My Cardiac Surgery Patient Postoperatively in the Operating Room a Good Idea?
Joseph Kimmel, Peter J. Neuburger

20. Is a Pulmonary Artery Catheter Needed If You Have Transesophageal Echocardiography in a Routine Coronary Artery Bypass Grafting?
Christopher Y. Tanaka, John Hui

21. When Should You Transfuse a Patient Who Is Bleeding After Cardiopulmonary Bypass?
Cindy J. Wang

22. Neuraxial Versus General Anesthesia in a Patient with Asymptomatic Severe Aortic Stenosis
Patrick B. Smollen, Arthur Atchabahian

23. Should High-Risk Cardiac Patients Receive Perioperative Statins?
Himani V. Bhatt

24. Cardiopulmonary Bypass Cases: To Hemodilute or Not?
Nicole R. Guinn

25. Are Seizures Really a Problem After the Use of Antifibrinolytics?
Dmitry Rozin, Madelyn Kahana

26. Is Regional Anesthesia for Cardiac Surgery a Good Idea?
M. Megan Chacon

27. Are Surgical and Anesthesia Medical Missions in Low- and Middle-Income Countries Helping or Hurting? The Evolving Fields of Global Anesthesia and Global Surgery
Jamey Jermaine Snell

Part III. Thoracic

28. Can Oxygenation in Single-Lung Thoracic Surgery Be Affected by Inhibition of Hypoxic Pulmonary Vasoconstriction?
Rebekah Nam

29. Is a Bronchial Blocker Just as Good as a Double-Lumen Tube for Achieving Adequate Lung Isolation?
Alexandra Lewis, David Amar

30. Your Thoracic Epidural is Not Working: How Do You Provide Analgesia Post-thoracotomy?
Angela Renee Ingram, Anuj Malhotra

Part IV. Pediatric

31. Pediatric Upper Respiratory Infection: You Cancelled the Case and Told the Parents to Reschedule, Right?
Brian Blasiole

32. Does a Low Mean Blood Pressure in the Neonate Under Anesthesia Lead to Cognitive Deficits?
Anna Clebone, Corey S. Scher

33. Does Rapid Sequence Induction Have a Role in Pediatric Anesthesia?
Michale Sofer

34. Anesthetic Neurotoxicity: Is Anesthesia Toxic to the Developing Brain? Should I Cancel My Baby’s Surgery?
Misuzu Kameyama, Corey S. Scher

35. Should an Anxious Parent Be Allowed to Be Present for the Induction of Anesthesia in Her Child?
Paul A. Tripi, Mark M. Goldfinger

36. What Is the Role of Premedication in the Pediatric Patient?
Elliot S. Schwartz, Anna Clebone

37. Presence of Family Members in the Operating Room: Is This Really Helpful?
Michelle N. Gonta, Misuzu Kameyama

38. Is It Appropriate for Complicated Pediatric Surgical Patients to Receive Care Outside of Specialized Pediatric Centers?
Mark M. Goldfinger, Paul Tripi

39. Are the Transfusion Goals for a Premature Infant the Same As for a 7-Year-Old?
Olga N. Albert

40. How Should You Get the Autistic Child into the Operating Room When the Mother Objects to Intramuscular Ketamine?
Glenn E. Mann, Jerry Y. Chao

41. Is “Deep” Extubation Preferable in Patients at Risk for Bronchospasm?
Manoj Dalmia

42. What Is the Best Approach to a Pediatric Patient with an Unexplained Intraoperative Cardiac Arrest?
Sherryl Adamic, Anna Clebone

43. Malignant Hyperthermia: “It Certainly Is” Versus “It Certainly Is Not!”
Corey S. Scher

44. Is There a “Right” Drug to Choose When the Blood Pressure Is Low and More Volume Is not the Answer in a Pediatric Patient?
Jennifer L. Liedel, Madelyn Kahana

Part V. Obstetric

45. Which Is Safer: A Traditional Epidural or a Combined Spinal Epidural?
Juan Davila-Velazquez, Jeffrey Bernstein

46. When Should a Patient Undergoing Dilation and Evacuation of Products of Gestation Be Intubated?
Barbara Orlando, Agnes McNamara Lamon, Migdalia Saloum

47. Two Blood Patches Have Failed. Now What?
Alexander Sinofsky, Arthur Atchabahian

48. Should a Spinal Be Used for Surgical Anesthesia After a Failed Labor Epidural?
Antonio Gonzalez Fiol, Suzanne K. W. Mankowitz

49. Accidental Dural Puncture: Should an Intrathecal Catheter Be Threaded?
Katherine Chuy, Shruthima Thangada

50. Should Intraoperative Cell Salvage Be Used During Cesarean Delivery?
Alaeldin A. Darwich, Sharon E. Abramovitz

51. Should Damage Control or Traditional Resuscitation Be Used for Abnormal Placentation Cases?
Anna Korban, Antonio Gonzalez Fiol, Stephanie R. Goodman

52. Managing the Noncompliant HIV-Positive Mother: A PRO/CON Debate
Simon Kim, Corey S. Scher

Part VI. Neuroanesthesia

53. At What Hematocrit Should a Patient Who is Undergoing Craniotomy for Tumor be Transfused?
Mark Burbridge

54. Traumatic Brain Injury: Where Do We Stand with Ketamine and Hyperventilation?
Corey S. Scher

55. Is General Anesthesia or Conscious Sedation More Appropriate for Patients Undergoing Endovascular Clot Retrieval for Acute Ischemic Stroke?
Elina Abramchayeva, Jinu Kim

56. Tranexamic Acid for Major Spine Surgery
Sergey Pisklakov

57. Should Major Spine Surgery Patients Be Extubated in the Operating Room?
A. Elisabeth Abramowicz

58. General Anesthesia for Intra-arterial Stroke Treatment (Endovascular Mechanical Thrombectomy): Still Needed or a Thing of the Past?
A. Elisabeth Abramowicz

59. Is It Better to Perform a Craniotomy for Brain Tumor Resection Awake?
John L. Ard, Irene Kim

60. Nitrous Oxide in Neuroanesthesia: Does It Have a Place?
Elizabeth A. M. Frost

61. Should We Treat Hypertension Immediately Before Electroconvulsive Therapy?
Elana B. Lubit

Part VII. Transplant

62. Viscoelastic Testing in Liver Transplantation
Cynthia Wang

63. Antifibrinolytics in Liver Transplantation
Cynthia Wang

64. Would You Recommend Accepting a “Donation After Cardiac Death” Liver?
Corey S. Scher

65. Should Only Patients Who Are Medically Optimized Receive a Liver Transplant?
Corey S. Scher

66. Is the Model for End-Stage Liver Disease (MELD) Score the Best Way to Evaluate Liver Transplant Patients Preoperatively?
Benjamin Heller, Jeron Zerillo

67. A Small Bowel Transplant for a Patient with Scleroderma: Once Again on the Slippery Slope Both Clinically and Ethically
Corey S. Scher

Part VIII. Critical Care

68. Should Steroids Be Used in Septic Shock?
Samion Shabashev

69. Should Extracorporeal Membrane Oxygenation Be Used for the Early Treatment of Acute Respiratory Distress Syndrome?
Melissa M. Anastacio, Scott A. Falk

70. What Is the Most Effective Initial Resuscitation for the Septic Shock Patient?
Howard Nearman

71. Should Patients with Acute Respiratory Distress Syndrome Be Placed in the Prone Position to Improve Ventilation?
Arati Patil

72. What Is the Best Strategy for Ventilation in Acute Respiratory Distress Syndrome?
Lee Stein

73. Is a Single Dose of Etomidate for Rapid Sequence Intubation (RSI) Safe in the Critically Ill Patient?
Matt Bilbily

74. Should Intensive Care Unit Patients Be Deeply Sedated?
Caitlin J. Guo

75. Is There Any Advantage to Albumin Over Crystalloid for Volume Resuscitation?
Michael J. Naso

76. There Is Nothing Dexmedetomidine Does that Cannot Be Done Old School
Hersh Patel

77. Does Treating Systemic Inflammatory Response Syndrome Lead to Better Outcomes in Surgical Patients?
Nader Soliman

78. Should Mechanically Ventilated Intensive Care Unit Patients Receive Physical Therapy?
Jonathan V. Feldstein

Part IX. Ambulatory

79. Should Persistent Postoperative Nausea and Vomiting Delay Discharge of an Ambulatory Surgery Patient from the Post-anesthesia Care Unit?
David Shapiro, Andrew Goldberg

80. Should We Postpone Surgery in Patients with Uncontrolled Preoperative Hypertension?
Kristina Natan, Arthur Atchabahian

81. Should the Morbidly Obese Patient Be Allowed to Leave the Day of Surgery?
Christopher J. Curatolo, Andrew Goldberg

82. Should Complementary and Alternative Medicine (CAM) Be Used for the Treatment of Postoperative Pain Following Ambulatory Surgery?
Dennis Grech, David Kam, Preet Patel

83. Pros and Cons of a Freestanding Ambulatory Surgery Center (ASC) Versus a Hospital-Based Operating Room
Dennis Grech, Preet Patel, David Kam

Part X. Acute Pain

84. Can a Regional Anesthetic Affect the Development of Phantom Limb Pain?
Christopher DeNatale

85. Charcot–Marie–Tooth Disease and Regional Anesthesia: Is Perioperative Neuraxial Analgesia Really Contraindicated?
Magdalena Anitescu

86. Positional Headache Without a Previous Lumbar Puncture: Would a Blood Patch Be Useful?
Magdalena Anitescu

87. Single-Dose Epidural Morphine or Patient-Controlled Epidural Analgesia (PCEA) for Post-Cesarean Pain Control?
Lucia Daiana Voiculescu, Olga Eydlin, Joseph Thomas Largi

88. Is Opioid Avoidance Warranted for a Patient with Obstructive Sleep Apnea in the Postoperative Period?
Lucia Daiana Voiculescu, Olga Eydlin

Part XI. Regional

89. Is Spinal or Epidural Anesthesia Contraindicated in a Patient with Multiple Sclerosis?
Uchenna O. Umeh

90. The Scanner, the Twitcher, or Both: How Best to Perform Peripheral Nerve Blocks?
Junping Chen

91. Do We Know the Mechanism of Intravenous Lipid Emulsion (ILE) Therapy for High Blood Levels of Local Anesthetics?
Olga Ferreira Martins

92. Secrets Behind Keeping Your Block Catheter Working
Minda L. Patt

93. Is an Indwelling Neuraxial or Peripheral Nerve Catheter Safe in a Trauma Patient Who Needs Twice-Daily Low Molecular Weight Heparin?
Brooke Albright-Trainer, Robert Trainer

94. Awake or Asleep: Can Regional Nerve Blocks Be Safely Performed in the Heavily Sedated or Asleep Patient?
Shawna Dorman

95. Intraneural Injection: A Good Idea or not?
Jan Boublik

96. Is a Transversus Abdominis Plane (TAP) Block Better Than Surgical Field Infiltration?
Beamy Sharma, Uchenna O. Umeh, Shruthima Thangada

97. Is Point-of-Care (POC) Coagulation Testing Worthwhile Before Regional or Neuraxial Anesthesia?
Paul Shekane

98. Should a Peripheral Nerve Block Be Placed in an Anticoagulated Patient?
Kiwon Song, Katherine Chuy

99. Are the Benefits of Stimulating Peripheral Nerve Block Catheters Worth the Risks?
Agathe Streiff, Junping Chen

Part XII. Chronic Pain

100. Epidural Steroid Injection or Physical Therapy for Lumbosacral Radiculopathy Due to Disc Herniation?
Ryan T. Gualtier

101. Should a Trial of Epidural Steroid Injections Be Done Before Considering Spine Surgery?
Lori Russo

102. Epidural Steroid Injection for Unilateral Radicular Pain: Is the Transforaminal Approach Superior to Interlaminar Injection?
Lucia Daiana Voiculescu, Tomas J. Kucera, Angela Zangara

103. Is a Tricyclic Antidepressant the Best First-Line Agent in Treating Neuropathic Pain?
Dalia H. Elmofty

104. What are the Risks and Benefits of Spinal Cord Stimulators and Intrathecal Pumps?
Magdalena Anitescu, Nirali Shah-Doshi

105. How Do You Determine If a Patient has Opioid-Induced Hyperalgesia?
Dalia H. Elmofty

106. Can Acute and Chronic Postsurgical Pain Be Decreased with Perioperative Neuropathic Agents?
Omar Rashid Qureshi, Sheetal Patil

107. Is Urine Drug Testing a Good Idea for Patients on Chronic Opioid Therapy?
Chirag D. Shah, M. Fahad Khan, David S. Cheng

108. Dexamethasone: To Use or Not To Use—That is the Question
Lucia Daiana Voiculescu, Rahul Pathak

109. Should Opioid Analgesics Be Used for Managing Pain in a Patient with a Drug Addiction?
Tiffany Sou

110. Is Sympathetic Blockade Useful in Complex Regional Pain Syndrome (CRPS)?
Tomas Kucera, Floria Chae

Part XIII. Trauma

111. Is Pulse Pressure Variation More Accurate Than Central Venous Pressure (CVP) or Pulmonary Artery Pressure (PAP) for Volume Resuscitation?
Corey S. Scher

112. What Is the Best Management Strategy for Venous Air Embolism?
Amit Prabhakar, James Riopelle

113. Does Cerebral Oximetry Have an Important Role in Trauma?
Corey Scher

114. Should New Trauma Paradigms Be Used in the Care of the Severe Trauma Patient?
Corey S. Scher

Part XIV. Perioperative

115. Do Herbal Supplements Create Unnecessary Risk for Patients?
Mark R. Jones, Francisco Calixto, Alan David Kaye

116. How Much Evaluation of the Airway Is Essential Prior to Anesthesia?
Levon M. Capan, Sanford M. Miller, Corey S. Scher

117. Are There Concerns with Using Droperidol for Sedation for an Awake Fiberoptic Intubation?
Corey S. Scher

118. Do Special Measures—Such as Postoperative CPAP, a Prolonged PACU Stay, and PACU EtCO2 Monitoring—Improve the Outcome in a Patient with Obstructive Sleep Apnea?
Brent J. Luria

Part XV. Professionalism

119. Do not Resuscitate: What Does that Mean Perioperatively?
Elizabeth A. M. Frost

120. Should a Trainee Be Allowed to Return to Anesthesiology After Narcotic Diversion and Presumed Addiction?
Corey S. Scher

121. Should Anesthesia Personnel Be Subject to Mandatory Drug Testing?
Thor Lidasan, Judy Chang

122. Does Returning a Recovered Addicted Physician to Active Anesthesiology Practice Do More Harm Than Good?
Judy Chang, Thor Lidasan

123. Does Disruptive Behavior Among Anesthesia Care Providers Decrease Patient Safety?
Sergey Pisklakov

124. Is Burnout Among Anesthesiologists a Humbug or a Real Entity?
Sergey Pisklakov

125. The Tumor Is Inoperable: Tell the Patient or Punt to the Surgeon?
Elizabeth A. M. Frost

126. What Is the Role of Pain Physicians in the Opioid Epidemic?
Nicholas J. Bremer

Keywords: Medicine & Public Health, Anesthesiology, Intensive / Critical Care Medicine, Pain Medicine