Vermont Anesthesia Services

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Vermont Anesthesia Services Vermont Anesthesia Services provides comprehensive perioperative care, with the goal of improving pa

Body weight is a fundamental variable in anesthetic practice, influencing drug dosing, ventilator settings, fluid therap...
10/19/2026

Body weight is a fundamental variable in anesthetic practice, influencing drug dosing, ventilator settings, fluid therapy, and perioperative risk assessment. However, actual body weight (ABW) does not always represent the physiologic compartment that determines the pharmacokinetics or pharmacodynamics of a medication.

Consequently, anesthesia providers and other clinicians may use ideal body weight (IBW), lean body weight (LBW), adjusted body weight...

Unplanned postoperative reintubation is an uncommon but serious complication that occurs when a patient requires invasiv...
09/23/2026

Unplanned postoperative reintubation is an uncommon but serious complication that occurs when a patient requires invasive ventilation after an initially successful extubation at the end of surgery.

The conditions requiring reintubation after surgery are diverse. Early reintubation is frequently related to airway obstruction...

Neuraxial anesthesia, encompassing spinal, epidural, and combined spinal-epidural techniques, remains a cornerstone of m...
08/18/2026

Neuraxial anesthesia, encompassing spinal, epidural, and combined spinal-epidural techniques, remains a cornerstone of modern anesthetic practice. The success and efficiency of these techniques are influenced not only by pharmacologic variables but also by patient positioning during the procedure.

Among the most commonly used positions for neuraxial anesthesia are the lateral decubitus and sitting positions. Each approach...

Total knee arthroplasty is one of the most commonly performed orthopedic procedures, with spinal anesthesia being an eff...
07/13/2026

Total knee arthroplasty is one of the most commonly performed orthopedic procedures, with spinal anesthesia being an effective anesthetic technique for the procedure.

Total knee arthroplasty is one of the most commonly performed orthopedic procedures, with spinal anesthesia being an effective anesthetic...

Ambulatory surgery centers (ASCs) continue to expand the complexity of procedures performed in outpatient settings, incl...
06/09/2026

Ambulatory surgery centers (ASCs) continue to expand the complexity of procedures performed in outpatient settings, including orthopedic, spine, vascular, and gynecologic operations with potentially significant blood loss.

Anesthesiologists play a central role in ASC blood transfusion readiness through preoperative assessment, intraoperative monitoring, and...

Surgical site infections (SSIs) are one of the most common and troublesome complications of surgery, significantly affec...
05/05/2026

Surgical site infections (SSIs) are one of the most common and troublesome complications of surgery, significantly affecting mortality, recovery, surgical outcomes, hospital length-of-stay, and healthcare costs.

Surgical site infections (SSIs) are one of the most common and troublesome complications of surgery, significantly affecting mortality...

The ulnar nerve originates from the brachial plexus and travels down the arm, passing posterior to the medial epicondyle...
04/07/2026

The ulnar nerve originates from the brachial plexus and travels down the arm, passing posterior to the medial epicondyle of the humerus at the elbow. At this location, the nerve is relatively superficial and lacks significant protective tissue. Impact in this area is what produces the sensation commonly referred to as the hitting the “funny bone.”

Ulnar nerve injury most commonly occurs in the perioperative period as a result of compression, stretch, or ischemia due to improper...

Colonoscopy is a central tool for colorectal cancer prevention because it allows direct visualization of the colon and r...
03/03/2026

Colonoscopy is a central tool for colorectal cancer prevention because it allows direct visualization of the colon and removal of precancerous polyps. The success of colonoscopy depends on how effectively these lesions are identified, a concept commonly described as polyp or adenoma detection sensitivity.

Sedation is frequently used to improve comfort, but its effect on polyp detection sensitivity remains an important and debated issue...

Peripheral nerve block catheters for continuous nerve block have become an essential component of modern perioperative a...
01/05/2026

Peripheral nerve block catheters for continuous nerve block have become an essential component of modern perioperative and acute pain management, offering prolonged and titratable analgesia that is particularly valuable for procedures associated with significant postoperative discomfort.

Peripheral nerve block catheters for continuous nerve block have become an essential component of modern perioperative and acute pain...

Postoperative delirium is a common complication of anesthesia and surgery that can affect patients, especially older adu...
07/08/2025

Postoperative delirium is a common complication of anesthesia and surgery that can affect patients, especially older adults. It is typically characterized by confusion, disorientation, fluctuating levels of consciousness, and impaired attention. While these hallmark symptoms of postoperative delirium are well-documented and usually recognizable, some rare or atypical manifestations may be overlooked or misattributed, possibly resulting in a delayed diagnosis and suboptimal care.

Postoperative delirium is a common complication of anesthesia and surgery that can affect patients, especially older adults. It is typically...

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145 Pine Haven Shores, Suite 1000
Shelburne, VT
05482

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