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91


Dexmedetomidine facilitates the withdrawal of ventilatory support in palliative care [Case Report]

Kent, Christopher D; Kaufman, Brian S; Lowy, Joseph
PMID: 16052127
ISSN: 0003-3022
CID: 57845

Inhalation anesthetics

Chapter by: Kaufman B
in: Goldfrank's toxiicological emergencies by Goldfrank LR [Eds]
New York : McGraw Hill, 2002
pp. ?-?
ISBN: 0071360018
CID: 3356

Local anesthetics

Chapter by: Kaufman B; Wahlander S
in: Goldfrank's toxiicological emergencies by Goldfrank LR [Eds]
New York : McGraw Hill, 2002
pp. ?-?
ISBN: 0071360018
CID: 3355

Care of the poisoned patient

Chapter by: Kaufman B; Hoffman RS
in: Critical care medicine: perioperative management by Murray MJ [Eds]
Philadelphia : Lippincott Williams & Wilkins, 2002
pp. ?-?
ISBN: 0781729688
CID: 3357

Neuromuscular blocking agents

Chapter by: Sutin KM; Kaufman B
in: Goldfrank's toxicologic emergencies by Goldfrank LR [Eds]
New York : McGraw-Hill, 2002
pp. 253-271
ISBN: 0071360018
CID: 2784

Chest radiograph interpretation skills of anesthesiologists

Kaufman B; Dhar P; O'Neill DK; Leitman B; Fermon CM; Wahlander SB; Sutin KM
OBJECTIVE: To assess the skills of anesthesiologists in the interpretation of chest radiographs. DESIGN: Randomized evaluation conducted among anesthesiologists and radiologists. SETTING: Postgraduate Assembly of the New York State Society of Anesthesiologists in 1999, and the Department of Radiology, New York University Medical Center. PARTICIPANTS: A total of 61 anesthesiologists (48 attending physicians; 13 residents); control group of 8 radiology residents (all participants volunteered). INTERVENTIONS: After completing a demographic survey, participants were asked to review a series of 10 chest radiographs. A brief clinical scenario accompanied each radiograph. No time limit was set for these interpretations. Measurements and Main Results: The demographic characteristics of the anesthesiology participants included university faculty (46%), private group practitioners (41%), independent practitioners (11%), and 1 participant with an unspecified type of practice. Additional training among the participants included internal medicine (31%), surgery (19%), and pediatrics (3%); 34% did not specify any additional training. Of the participants, 92% were involved in cases requiring general anesthesia; 96% managed patients in the recovery room; and 34% managed patients in the intensive care unit. Of participants, 80% usually order chest radiographs, but only 42% interpret the films themselves. Misdiagnosed radiographs included pneumothorax by 11% of participants, free air under the diaphragm by 41%, bronchial perforation from a nasogastric tube by 28%, right mainstem intubation by 20%, superior vena cava perforation from a central venous catheter by 31%, normal film by 75%, negative pressure pulmonary edema by 16%, left lower lobe collapse by 80%, pulmonary infarction from a pulmonary artery catheter by 29%, and tension pneumothorax by 41%. Overall scores of the attending physicians were not significantly different from that of residents (p > 0.05). The control group of radiology residents scored significantly better (mean, 83.7; p = 0.009) than the anesthesia residents (mean, 62.8) and anesthesia attending physicians (mean, 62.5). CONCLUSION: Anesthesiologists are deficient in skills for the interpretation of chest radiographs. The skill level of university-based physicians is not greater than physicians in private practice, and skill level does not improve with level of training or experience. Most anesthesiologists rely on radiologists for interpretative results. Further training during the residency years may help improve diagnostic skills
PMID: 11748512
ISSN: 1053-0770
CID: 26533

The use of dexmedetomidine infusion for awake craniotomy [Case Report]

Bekker AY; Kaufman B; Samir H; Doyle W
PMID: 11323355
ISSN: 0003-2999
CID: 20704

Chest radiograph interpretation skills among anesthesiologists [Meeting Abstract]

Dhar, P; Kaufman, B; Fermon, C; O'Neill, D; Sutin, K; Wahlander, S; Turndorf, H
ISI:000089136900017
ISSN: 0003-3022
CID: 54498

Acute respiratory distress syndrome: Potential pharmacologic interventions

Kaufman B; Dhar P
The mortality of the acute respiratory distress syndrome (ARDS) remains high despite advances in supportive care of ARDS and in the understanding of the pathogenesis. Numerous inflammatory mediators including reactive oxygen species, arachidonic acid metabolites, and growth factors, are present in the circulation of patients with or at risk for developing this syndrome and play a key pathophysiologic role in the development of lung injury. Pharmacologic therapy is being evaluated to: 1) support the failing lung by improving gas exchange; 2) interrupt the mediator-induced mechanisms of inflammation and injury. Although none of these experimental therapies has yet been proven to improve survival in well conducted prospective, randomized, double-blind, controlled clinical trials, many have demonstrated improvement in physiologic function. These results have helped lay the groundwork for future advances in this field
EMBASE:1999089868
ISSN: 0897-1900
CID: 15961

Blood lactate measurement in the ICU: Is it still useful after all these years? [Editorial]

Kaufman, B
ISI:000075855100001
ISSN: 0885-0666
CID: 53381