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Fetal HR pattern: Normal labor

Fetal heart rate monitoring is done either externally by a Doppler ultrasound monitor attached to the mother’s abdomen, or internally by elecrocardiography monitor attached to the fetus’ presenting part. Internal, or direct monitoring, requires rupture of membranes and cervical dilation of at least 1.5 cm.

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ASK THE EXPERT

February 2015: Tim Brennan

Hyperalgesia, IV diclofenac, IV lidocaine, Cancer recurrence

Upcoming Expert

Ask the Experts will interview Mihai V. Podgoreanu, MD; Associate Professor of Anesthesiology and Chief, Division of Cardiothoracic Anesthesiology, Duke University School of Medicine. Email your questions for Dr. Podgoreanu on cardiothoracic anesthesiology to Dr. Nemergut.

Virtual Obstetric Grand Rounds

February 2015:  Neuraxial Analgesia Effects on Labor Progression with Dr. Erica Grant

TEE of the Month – March 2015

Aortic stenosis

ASK THE EXPERT – January 2015

Srinivasa Raja

Acute pain, Chronic post-surgical pain, Neuropathic pain

ARTICLE OF THE MONTH – MARCH 2015

Laurent Glance

The Impact of Anesthesiologists on Coronary Artery Bypass Graft Surgery Outcomes

Article of the Month – February 2015

Mark Nunnally

Incidence and Risk Factors for Perioperative Cardiac Arrest Observed in the National Anesthesia Clinical Outcomes Registry

TEE of the month – February 2015

LVAD placement

ASK THE EXPERT – December 2014

Avery Tung

Research in critical care, Colloids and crystaloids, Quality

ABA Keyword

Cerebral ischemia: deep hypothermia

Used in cardiac surgery, thoracic surgery, neurosurgery. Temperature reduced to 15-22 degrees C, after which circulation is stopped. Note that because you cannot actually measure brain temperature, full flow CPB is maintained 20-30 minutes after reaching 15-22C, to ensure adequate cerebral cooling.

Article of the Month – January 2015

Charles Hogue

Shoulder Surgery in the Beach Chair Position Is Associated with Diminished Cerebral Autoregulation But No Differences In Postoperative Cognition Or Brain Injury Biomarker Levels Compared With Supine Positioning

TEE of the Month – March 2015

Intracardiac leiomyomatosis