WikiAnesthesia - Recent changes [en]

Corticosteroid potency

Tony.Wang — Thu, 17 Sep 2026 22:38:00 GMT

← Older revision		Revision as of 15:38, 17 September 2026
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Corticosteroid potency

Tony.Wang — Thu, 17 Sep 2026 22:37:30 GMT

Created page with "left"

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[[File:Corticosteroid potency.png|left]]

Dot Phrases

Adam Hsieh — Thu, 03 Sep 2026 15:13:33 GMT

← Older revision		Revision as of 08:13, 3 September 2026
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	===== Outpatient =====		← [[PracticeGroup:BWH/Pain Fellowship Home\|Pain Fellowship Home (BWH)]]

			====== Outpatient ======

			* .AAAINITIAL (initial visit)
			* .AHSIJEXAM (SIJ physical exam)
			* .SPAFUIMAGING (follow-up imaging visit)
			* .SPAFUMEDTITRATION (follow-up med titration visit)
			* .SPAFUONGOINGMANAGEMENT (generic follow-up visit)
			* .SPAFUPROCEDURE (follow-up procedure visit)
			* .SPAREEVAL (re-eval visit)
			*.SPAXXXX (procedure note, replace XXXX with procedure of interest)

			====== Inpatient ======

			* .ALBRIEF (brief consult note for when consulting service requests note, but you don't plan on seeing patient at bedside)
			* .ALCONSULT (new consult note)
			* .ALDISPOEXAM (discharge>dispo exam, ***required to DC patient)
			* .ALHOSPCOURSE (discharge>hospital course, ***required to DC patient)
			* .ALPOSTOP (discharge>post-op instructions, ***required to DC patient)
			*.AHPREOP (pre-op checklist, may also use as EPIC huddle note)
			.AHPREOPHANDP (pre-op H&P note, **required for procedure pass)
			*.AHRXHIBICLENS (patient instructions for hibiclens)
			*.AHRXMUPIROCIN (patient instructions for mupirocin)
			*.AHRXSUZETRIGINE (consulting team instructions for suzetrigine)

			====== Random ======

			* .AHTELEPHONECALLBACK (documentation of outpatient call back during on call)
			* .HPISEC (add AI/Ambient drafted H&P to your note)

Dot Phrases

Adam Hsieh — Wed, 02 Sep 2026 04:43:29 GMT

Created page with "===== Outpatient ====="

New page

===== Outpatient =====

Pacemaker

Tony.Wang — Tue, 01 Sep 2026 21:47:42 GMT

Tony.Wang set Editor rating for Pacemaker to In development

Ureteral Re-Implantation

Dominicmangino — Sun, 23 Aug 2026 17:46:35 GMT

Basic start to ureteral re-implantation

New page

Ureteral reimplantation (ureteroneocystostomy) is a surgical procedure in which the ureter is detached from its native insertion into the bladder and re-anastomosed at a new site in the bladder wall. Typically used to treat severe vesicoureteral reflux.

'''Anesthetic Considerations:'''

Length: 2-4 hours but duration can vary significantly

'''GA with ETT + caudal vs'''

'''Analgesia''': Epidural or caudal analgesia is frequently used. Pain sources are abdominal incision (mediated by T11-L2) as well as visceral blader spasm (mediated by S2-S4 parasympathetic + T11-L2 sympathetic fibers)

Some evidence suggesting caudal catheter is the superior technique over high lumbar epidurals thought to be due to better sacral coverage. <ref>{{Cite journal|last=Sommerfield|first=David|last2=Ramgolam|first2=Anoop|last3=Barker|first3=Andrew|last4=Bergesio|first4=Ric|last5=von Ungern‐Sternberg|first5=Britta S|date=2016-04-07|title=Epidural insertion height for ureteric reimplant surgery; does location matter?|url=https://login.proxy1.library.jhu.edu/login?qurl=https://doi.org%2f10.1111%2fpan.12895|journal=Pediatric Anesthesia|volume=26|issue=10|pages=951–959|doi=10.1111/pan.12895|issn=1155-5645}}</ref>

Ketorolac very effective in reducing postoperative bladder spasm.<ref>{{Cite journal|last=Park|first=John M.|last2=Houck|first2=Constance S.|last3=Sethna|first3=Navil F.|last4=Sullivan|first4=Lorna J.|last5=Atala|first5=Anthony|last6=Borer|first6=Joseph G.|last7=Cilento|first7=Bartley G.|last8=Diamond|first8=David A.|last9=Peters|first9=Craig A.|last10=Retik|first10=Alan B.|last11=Bauer|first11=Stuart B.|date=2000-07|title=Ketorolac Suppresses Postoperative Bladder Spasms After Pediatric Ureteral Reimplantation:|url=https://www.ovid.com/00000539-200007000-00003|journal=Anesthesia & Analgesia|language=en|volume=91|issue=1|pages=11–15|doi=10.1097/00000539-200007000-00003|issn=0003-2999}}</ref>

'''Access:''' 1 -2 PIV

'''Maintenance:''' inhalational or TIVA appropriate

'''Neuromuscular blockade:''' as needed

'''Blood loss:''' In children typically minima 0 to 50ccl. Adults more substantial 5 to 500cc