The Mount Sinai journal of medicine, New York
-
Endovascular aortic repair is a new alternative to conventional surgical techniques. A variety of devices available for endovascular aortic repair are discussed and the outcomes after repair are reviewed. Anesthetic considerations during endovascular repair are dictated by the device being used, as well as the site of device deployment. ⋯ Patients undergoing repair of thoracic aortic pathology may be candidates for perioperative transesophageal echocardiographic monitoring. Since a subgroup of these patients may be at risk for postoperative paraplegia, aggressive spinal cord protection should be considered. Patients with large aneurysms may be at risk for "post-implantation syndrome," which is characterized by hyperpyrexia, hypotension, and coagulopathy.
-
There has been growing interest in defining and measuring outcomes for cardiac surgical patients. Outcomes measures have been used in many hospitals as tools for measuring the quality of care, although it is difficult to infer from them how care might be improved. Traditionally, the major outcome endpoints used in cardiac surgery have been the 30-day mortality and morbidity rates. ⋯ By using outcome prediction tools and making conclusions based on preoperative risk factor information, surgeons and anesthesiologists are able to make better decisions about treatment strategies. Additionally, operating room and intensive care unit personnel can use these data to schedule cases and allocate resources more efficiently. These data are also very important for hospital administrators and insurance providers.
-
Historical Article
The surgical intensive care unit of The Mount Sinai Hospital: a brief history focusing on contributions to academic critical care medicine and excellence in patient care.
The Mount Sinai Hospital Surgical Intensive Care Unit (SICU) was founded in 1969. Drs. ⋯ Since it was founded, the SICU has been an integral part of the Mount Sinai Medical Center, providing a wide variety of clinical services including critical care, central line placement, and nutritional consultation. As one of the largest training programs in the United States and a frequent contributor to the medical literature, the SICU has also played a vital role in academic critical care medicine.
-
Historical Article
The Mount Sinai Hospital's role in the development of anesthesia safety standards.
The Department of Anesthesiology of The Mount Sinai Hospital was closely involved in introducing anesthesia safety standards for anesthesia breathing systems, the introduction of the first disposable plastic anesthesia breathing system, the layout of the controls on gas machines, nontoxic airways, safe ethylene oxide sterilization and safe obstetrical anesthesia.
-
Historical Article
Anesthesiologists and surgeons at Mount Sinai: a partnership in excellence.
Although anesthesia was available to patients when the doors of The Jews Hospital opened in 1855, "professional anesthetists" were not appointed to the staff until 1902. This article traces the history of the anesthesiology staff and department, and documents their accomplishments over the past century.