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Previous Quick Poll ResultsDo you want to find out what your colleagues think about a particular topic? Then contact us with your suggestions (please include the question and answer options) and we will do our best to publish your suggestion in an upcoming edition of AnesthesiaNow.
Do you always check for possible mask ventilation before administering a muscle relaxant?
| | Response, n (%) | | Yes |
379 (58)
| | No |
271 (42)
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Issue 61; Question 1
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How do you proceed if mask ventilation is not possible?
| | Response, n (%) | | Administer a muscle relaxant |
28 (27)
| | Awake the patient |
23 (22)
| | Place a laryngeal mask or tracheal tube without relaxant |
54 (51)
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Issue 61; Question 2
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Do you believe that either tranexamic acid or epsilon aminocaproic acid represent safe alternatives to aprotinin?
| | Response, n (%) | | No |
7
| | No opinion |
6
| | Yes |
16
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Issue 60
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Do you use tranexamic acid or epsilon aminocaproic acid as antifibrinolytics?
| | Response, n (%) | | Epsilon aminocaproic acid |
41
| | I don’t use antifibrinolytics |
64
| | Tranexamic acid |
193
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Issue 59
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How many of your patients receive regional anesthesia for surgery?
| | Response, n (%) | | 0-20% |
101 (19.1%)
| | 21-40% |
150 (28.3%)
| | 41-60% |
131 (24.8%)
| | 61-80% |
112 (21.2%)
| | 81-100% |
35 (6.6%)
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Issue 58
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Do you routinely administer a colloid peri-operatively?
| | Response, n (%) | | Yes |
35
| | No |
105
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Issue 57
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What is your current therapy for life-threatening hemorrhage?
| | Response, n (%) | | Transfusion therapies: platelets, choir precipitate, fresh frozen plasma, red blood cells |
152 (53.2)
| | Fibrinogen concentrates |
7 (2.4)
| | Recombinant factor VIIa |
14 (4.9)
| | Antifibrinolytic agents |
7 (2.4)
| | Topical hemostatic agents |
4 (1.4)
| | All of the above |
102 (35.7)
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Issue 56
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How often do you use etomidate in your hospital?
| | Response, n (%) | | Routinely in all patients |
11 (2.8)
| | Routinely in cardiovascular compromised patients |
135 (34.9)
| | Rarely |
118 (30.5)
| | Never |
123 (31.8)
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Issue 55
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Do you routinely monitor temperature intraoperatively?
| | Response, n (%) | | Yes |
126 (36)
| | No |
224 (64)
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Issue 54
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Do you routinely administer warmed fluids intraoperatively?
| | Response, n (%) | | Yes |
28 (56)
| | No |
22 (44)
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Issue 54
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Which current anticoagulant do you administer for prophylaxis for venous thromboembolism in your surgical patients?
| | Response, n (%) | | Dabigatran |
2 (0.7)
| | Direct thrombin inhibitor (i.e., hirudin, lepirudin, desirudin) |
2 (0.7)
| | Heparin |
19 (6.6)
| | Low molecular weight heparin |
245 (85)
| | Other |
7 (2.4)
| | Rivaroxaban |
8 (2.8)
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Issue 53
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For cesarean section, which fluid regime do you follow for spinal anesthesia?
| | Response, n (%) | | Colloid preload |
20 (5.8)
| | Colloid coload |
57 (16.5)
| | Cristalloid preload |
75 (21.7)
| | Cristalloid coload |
194 (56.0)
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Issue 52
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Should the use of nitrous oxide be abandoned now?
| | Response, n (%) | | Yes |
258 (58.9)
| | No |
180 (41.1)
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Issue 51
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What percentage of patients in your hospital present with anemia (hemoglobin level below 12 g/dL)?
| | Response, n (%) | | Less than 5% |
43 (9.3)
| | 6-10% |
74 (16.0)
| | 11-20% |
79 (17.2)
| | 20-30% |
131 (28.5)
| | 30-40% |
133 (28.9)
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Issue 49
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What percentage of your patients receive rocuronium when you use a NMBA?
| | Response, n (%) | | 0-25% |
151 (42.5)
| | 26-50% |
44 (12.4)
| | 51-75% |
53 (15)
| | 76-100% |
107 (30.1)
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Issue 48
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Do you continue statin therapy on the morning of surgery as a pre-operative medication?
| | Response, n (%) | | Yes |
146 (67.9)
| | No |
69 (32.0)
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Issue 47
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What is the percentage frequency in which your department sends two anesthesia providers for emergency out-of-OR tracheal intubations?
| | Response, n (%) | | 0% |
87 (28.2)
| | 1-25% |
143 (46.4)
| | 26-50% |
32 (10.3)
| | 51-75% |
15 (4.9)
| | greater than 75% |
31 (10)
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Issue 46
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Do you think the use of nitrous oxide should now be abandoned for environmental reasons?
| | Response, n (%) | | Yes |
136 (50)
| | No |
131 (49)
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Issue 45
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Is there a need for better perioperative blood pressure control in our patients?
| | Response, n (%) | | Yes |
199 (90.9)
| | No |
20 (9.1)
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Issue 44
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The primary post-analgesia technique that you use for open thoractomy is:
| | Response, n (%) | | Thoracic epidural |
440 (66.9)
| | Opioid spinal |
31 (4.7)
| | Intercostal block |
47 (7.1)
| | Intra-pleural block |
21 (3.2)
| | Paravertebral block |
52 (7.9)
| | Parenteral opioids |
67 (10.9)
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Issue 43
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Do you believe intraoperative monitoring of neuromuscular block results in lower incidence of postoperative residual block?
| | Response, n (%) | | Yes |
235 (74.1)
| | No |
82 (25.9)
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Issue 42
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Is there a need for novel agents to treat pain?
| | Response, n (%) | | Yes |
181 (89)
| | No |
23 (11)
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Issue 41
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Do you routinely monitor neuromuscular block?
| | Response, n (%) | | Yes |
93 (27)
| | No |
252 (73)
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Issue 40
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Do you routinely use a bispectral index (BIS) monitor in your practice?
| | Response, n (%) | | Yes |
92 (25.6)
| | No |
267 (74.4)
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Issue 39
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Do you consider the potential risk of heparin induced thrombocytopenia before you administer heparin perioperatively?
| | Response, n (%) | | Yes |
126 (57.3)
| | No |
94 (42.7)
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Issue 38
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Does your hospital have a perioperative management protocol for drug-eluting stent (DES) patients?
| | Response, n (%) | | Yes |
41 (16.9)
| | No |
202 (83.1)
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Issue 37
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How do you evaluate bleeding in your patients?
| | Response, n (%) | | Thromboelastography (TEG) |
7 (3.6)
| | Thromboelastometry (ROTEM) |
3 (1.5)
| | Sonoclot Analyzer |
155 (79.4)
| | Standard tests: PT, aPTT, platelet counts, fibrinogen levels |
17 (8.7)
| | Other |
13 (6.7)
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Issue 36
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Is it useful to monitor depth of anesthesia routinely?
| | Response, n (%) | | Yes |
47 (52.8)
| | No |
39 (43.8)
| | Don't know |
3 (3.4)
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Issue 35
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In what percentage of your central venous catheterizations, do you use ultrasound to guide venous access?
| | Response, n (%) | | Always |
3 (6.1)
| | In over 50% of cases |
6 (12.2)
| | Only after difficulty in venous access with anatomic landmark techniques |
10 (20.4)
| | Never |
30 (61.2)
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Issue 34
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Should the “kiss-of-life” (mouth to mouth resuscitation) be abandoned?
| | Response, n (%) | | Yes |
31 (50)
| | No |
31 (50)
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Issue 33
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Is your failure rate of epidural analgesia in labor higher in obese patients?
| | Response, n (%) | | Yes |
63 (50)
| | No |
64 (50)
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Issue 32
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How do you treat patients presenting for surgery on warfarin?
| | Response, n (%) | | FFP, 2-4 units |
151 (44)
| | Vitamin K |
97 (28)
| | Plasma-derived prothrombin complex concentrate (PCC) |
34 (10)
| | Recombinant factor VIIa (NovoSeven) |
16 (5)
| | All of the above |
47 (14)
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Issues 29-30
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Should depth of anesthesia be measured by objective means on a routine basis?
| | Response, n (%) | | Yes |
210 (69)
| | No |
96 (31)
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Issues 27-28
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Should trained and experienced anesthesiologists undergo regular resuscitation training?
| | Response, n (%) | | Yes |
219 (88.3)
| | No |
29 (11.7)
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Issues 25-26
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At your institution, what is the mandatory age for an anesthesiologist to stop taking call duty?
| | Response, n (%) | | 55-60 years |
66 (26.2)
| | 60-65 years |
36 (14.3)
| | >65 years |
34 (13.5)
| | No age limit |
116 (46.0)
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Issue 24
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Is ultrasound used to help guide the placement of central venous catheters at your institution?
| | Response, n (%) | | Always |
15 (6.7)
| | Sometimes |
67 (30.1)
| | Never |
73 (32.7)
| | No equipment |
68 (30.5)
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Issue 23
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During the administration of an inhaled anesthetic, an alarm sounds notifying you of an oxygen pipeline failure. What is the primary step you would take?
| | Response, n (%) | | Maintain fresh gas inflow at 4 l/min AND switch to back up oxygen tank |
191 (57.2)
| | Discontinue mechanical ventilation AND increase fresh gas inflow to 8 l/min ( non-rebreathing system) |
31 (9.3)
| | Discontinue inhalation anesthetic AND switch to an IV based anesthetic with 2 l/min oxygen inflow |
53 (15.9)
| | Decrease fresh gas inflow to 1 l/min AND switch to closed system |
59 (17.6)
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Issue 22
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