Archive - Anesthesia Thoughts

A slightly updated ASA score

And would having an ASA 3.5 category add more clarity?

Feb 24 • Tyler Jones, MD

Dear Surgeons: It is okay to use cefazolin in patients with a penicillin allergy

Even when those patients have a known history of anaphylaxis to penicillin

Feb 17 • Tyler Jones, MD

What can we learn from esmolol about the need to treat “pain” during general anesthesia?

Hemodynamic elevations can be managed with and without opioids leading to differences in postoperative pain scores and opioid consumption

Feb 10 • Tyler Jones, MD

January 2026

How should GLP-1 receptor agonists be managed in the perioperative period?

Society guidelines have left clinicians with some questionable recommendations

Jan 27 • Tyler Jones, MD

Lessons I reinforced during my first intraoperative cardiac arrest

Regular visualization can keep you prepared for high-acuity, low-occurrence events

Jan 13 • Tyler Jones, MD

December 2025

Is the Apple Watch a good screening tool for hypertension?

It's better than nothing, and that's probably useful for many people who don't regularly check their blood pressure.

Published on My Morning Soapbox • Dec 23, 2025

What should we conclude from the RSI Trial comparing ketamine to etomidate for intubation?

Maybe nothing…

Dec 16, 2025 • Tyler Jones, MD

November 2025

Should clear liquid fasting time be shortened to less than two hours?

I am a big believer in questioning everything.

Nov 11, 2025 • Tyler Jones, MD

October 2025

Should SGLT2 inhibitors be held prior to elective surgery?

Sodium-glucose co-transporter 2 inhibitors (SGLT2i) are commonly prescribed to treat diabetes, slow the progression of chronic kidney disease, and…

Oct 14, 2025 • Tyler Jones, MD

September 2025

Taping jewelry won’t prevent burns

I was long taught that if a patient cannot remove their metal jewelry, one must apply tape to it to prevent it from causing a burn.

Sep 30, 2025 • Tyler Jones, MD

August 2025

Does midazolam increase delirium risk during general anesthesia?

It is often recommended to avoid using benzodiazepines, including midazolam, in older adults to reduce the risk of delirium.

Aug 26, 2025 • Tyler Jones, MD

Using body mass index (BMI) to guide positive end-expiratory pressure (PEEP)

What is the optimal amount of PEEP to use on patients?

Aug 5, 2025 • Tyler Jones, MD

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