Missouri Anesthesia Services

10/09/2026

Sevoflurane and isoflurane are the most widely used volatile anesthetic agents in modern general anesthesia. Although they are both halogenated ethers, their specific properties give rise to meaningful differences in clinical performance.

09/01/2026

The days and weeks following surgery are an important part of recovery, and careful wound care is necessary even after a patient has been discharged home.

Although general wound care apply, patients should always prioritize their surgeon’s instructions for postoperative care for a surgical wound...

07/28/2026

Historically, anesthesiologists relied on heart rate, blood pressure, and limb movement to infer depth of anesthesia, yet these clinical surrogates suffer from poor specificity and sensitivity, leaving patients at risk of both under- and over-dosing.

06/30/2026

Outpatient surgery is generally performed in patients with lower baseline cardiovascular risk, but the hemodynamic effects of general or regional anesthesia—induction-related vasodilation, sympathetic blockade, and impaired baroreflex function—do not depend on a procedure’s invasiveness or duration.

05/18/2026

For patients, intubation is an uncomfortable procedure that is intolerable without pharmacological support. Patients also typically experience discomfort after extubation, with postoperative sore throat being among the most commonly reported complaints following general anesthesia with endotracheal intubation, having an incidence ranging from 14% to 100% depending on patient characteristics, tube size, cuff design, and assessment methodology.

Taken together, the available evidence suggests that the clinical utility of lidocaine spray vs. gel for intubation is highly formulation...

04/16/2026

End-tidal CO2 (ETCO2) monitoring, or capnography, is a critical component of comprehensive intraoperative monitoring for patients under anesthesia.

End-tidal CO2 (ETCO2) monitoring, or capnography, is a critical component of comprehensive intraoperative monitoring for patients under...