Anesthesia for the Patient Undergoing Knee Procedures.

Anesthesia for patients undergoing knee procedures encompasses a large patient population with significant variation in patient age, comorbidities, and type of surgery. In addition, these procedures are performed in vastly different surgical environments, including large academic hospitals, private hospitals, and out-patient surgical centers. These variabilities require a thoughtful and individualized anesthetic approach tailored toward the medical and surgical needs of each patient. This article discusses anesthetic approaches to patients with acute, subacute, and chronic knee-related pathology requiring surgery. We will also review pertinent knee anatomy and innervation and discuss regional nerve blocks and their applications to knee-related surgical procedures.

Assessment of the Educational and Training Modalities in Point-of-Care Ultrasound (POCUS) for Anesthesiologists.

Point-of-care ultrasound (POCUS) has been developed as a critical tool for diagnostic patient evaluation and clinical management. Its transcendence into anesthesiology necessitates appropriate and effective educational strategies to assist in the development of anesthesia POCUS learners. Several professional societies, including the American Society of Anesthesiologists (ASA), American Society of Regional Anesthesia (ASRA), and Accreditation Council for Graduate Medical Education (ACGME) for anesthesiology have established minimum training standards for POCUS education for anesthesiologists, residents, and fellows.1,4 The article at hand aims to summarize and provide insight into the various educational modalities utilized in POCUS training, incorporate these strategies in the established "Indication, Acquisition, Interpretation, and Medical decision-making" (I-AIM) framework, and include recommendations on the minimum number of POCUS exams to aid in achieving competency. 3.

Artificial intelligence software can generate residency application personal statements that program directors find acceptable and difficult to distinguish from applicant compositions.

STUDY OBJECTIVE: Create personal statements using an artificial intelligence program for anesthesiology residency applications that residency program directors rate as acceptable. STUDY DESIGN: Generate two personal statements and survey program directors. SETTING: Anesthesiology residency training programs. INTERVENTIONS: We instructed ChatGPT, a new artificial-intelligence software program, to generate two 400-word personal statements using the common applicant experiences of involvement in athletics or gourmet cooking. METHODS: We sent the generated personal statements to anesthesia program directors and asked them if the statements were acceptable for application to their individual programs, to rate them as poor, good, or excellent, and determine if they could detect anything in the statements that indicated they were not written by an applicant. MEASUREMENTS: Ninety-four program directors received and opened the survey, and 31 responded. Twenty-eight (90%) responding directors found the personal statement with athletic experience acceptable, with 22 (74%) rating it as good or excellent. Nineteen (61%) program directors did not detect anything in the statement to distinguish it from an applicant-written composition. Twenty-nine (97%) program directors found the personal statement with cooking experience acceptable, with 19 (63%) finding it good or excellent. Twenty-four (80%) directors did not detect anything in the statement to distinguish it from an applicant-written composition. CONCLUSIONS: ChatGPT can create personal statements for residency applications that program directors find acceptable and difficult to differentiate from personally crafted statements. Applicants may stop using expensive contractor application services and start using artificial intelligence software to create their personal statements because of its quickness, low cost, and high quality.

Anesthesia for the Patient Undergoing Knee Procedures.

Anesthesia for patients undergoing knee procedures encompasses a large patient population with significant variation in patient age, comorbidities, and type of surgery. In addition, these procedures are performed in vastly different surgical environments, including large academic hospitals, private hospitals, and out-patient surgical centers. These variabilities require a thoughtful and individualized anesthetic approach tailored toward the medical and surgical needs of each patient. This article discusses anesthetic approaches to patients with acute, subacute, and chronic knee-related pathology requiring surgery. We will also review pertinent knee anatomy and innervation and discuss regional nerve blocks and their applications to knee-related surgical procedures.

Hematoma After Continuous Erector Spinae Plane Block With Catheter Placement: A Case Report.

The erector spinae plane block (ESPB) is described as a safe and effective alternative when epidural or paravertebral blocks are contraindicated by anticoagulation therapy. We present a case of subcutaneous hematoma after ESPB catheter placement. The patient received bilateral ESPB catheters for perioperative pain control. Postoperatively, the patient developed tenderness to palpation at the left catheter site. Physical examination revealed a well circumscribed, fluctuant mass that produced bloody material during incision and drainage. This case report describes hematoma as a potential complication of the ESPB. After the procedure, patients should be closely monitored for complications, including hematoma.