Kelly Galina Elterman

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N Engl J Med 2011;364:e33. Copyright © 2011 Massachusetts Medical Society. Overview Pulse oximetry has become the standard of care in operating rooms, intensive care units (ICUs), and hospital wards in the United States and many other nations.1 Before pulse oximetry was available, physicians relied on invasive procedures, such as arterial puncture for blood(More)
BACKGROUND The dural puncture epidural (DPE) technique is a modification of the combined spinal epidural (CSE) technique, where a dural perforation is created from a spinal needle but intrathecal medication administration is withheld. The DPE technique has been shown to improve caudal spread of analgesia compared with epidural (EPL) technique without the(More)
The anesthetic implications of acute leukemia in pregnancy have not been reported. We describe the anesthetic management of a laboring primigravida at 34 weeks' gestation with new-onset acute myeloid leukemia. With multidisciplinary consultation, we recommend that neuraxial anesthesia be avoided in new-onset acute myeloid leukemia due to the risk of(More)
BACKGROUND Resident night-float systems have been associated with adverse outcomes. We hypothesized that an obstetric anesthesia night float would increase the incidence of unintentional dural punctures. METHODS The July to December incidence of unintentional dural puncture before (control group) and with night float (night-float group) was compared(More)
We aimed to review post-hepatectomy coagulation profile changes, to assess outcomes of epidural catheter placement in post-hepatectomy patients, and to make justifications regarding use of epidural analgesia in patients undergoing hepatectomy. We performed a retrospective study of 141 patients undergoing liver resection at Brigham and Women’s Hospital(More)
CONTEXT Alterations in taste and smell, including but not limited to anosmia, ageusia, hypogeusia, and dysgeusia, have been described in association with various medications, including anesthetic agents. Frequently, these symptoms occur 1-2 weeks after medication administration and last several months. While such a phenomenon is a rare occurrence, it(More)
BACKGROUND The aim of this study was to evaluate labor and delivery outcomes in parturients with inadvertent dural puncture managed by either insertion of an intrathecal catheter or a resited epidural catheter. METHODS This was a retrospective cohort review of 235 parturients who had an inadvertent dural puncture during epidural placement over a six-year(More)
Transient left bundle branch block (LBBB) associated with physical exertion has been described in patients with and without coronary artery disease. A 64-year-old woman with no history of coronary artery disease underwent Nissen fundoplication under general anesthesia. Preoperatively, an exercise-tolerance test revealed LBBB, without ischemic symptoms.(More)
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