The OxyTain Algorithm: An Adaptation of Existing Emergency Front of Neck Access Approaches Within a North American Tertiary Referral Health Care System No abstract available

Low ACT After High-Dose Heparin: Is Hemodilution Best Option to Pass by Syclla and Charybdis? No abstract available

In Response No abstract available

A Commendable and Sensible but Not Novel Approach No abstract available

OxyTain: Not Unique, But a Successful Adaptation of the Royal Perth Hospital "Cannot Intubate, Cannot Oxygenate" Rescue Approach in a North American Setting No abstract available

Sphenopalatine Ganglion Blocks in the Management of Head and Neck Cancer–Related Pain: A Case Series Head and neck cancer can be painful, debilitating, and refractory to oral medications. Due to the association of the sphenopalatine ganglion (SPG) with maxillary nerve sensory fibers, SPG blocks may be used to treat the pain of the hard and soft palate, tonsils, nasal cavity, paranasal sinuses, oral gingiva, premaxillary soft tissue, maxilla, and orbital floor. We present the first case series of performing SPG blocks utilizing TX360 nasal atomizers or angiocatheters to treat head and neck cancer–related pain. Pain scores were reduced by 38% to 80% with an average pain relief duration of 23 days. Accepted for publication September 3, 2019. Funding: None. The authors declare no conflicts of interest. Address correspondence to Lynn R. Kohan, MD, Pain Management Center, Fontaine Research Park, Third Floor, 545 Ray C. Hunt Dr, Charlottesville, VA 22908. Address e-mail to lrk9g@hscmail.mcc.virginia.edu. © 2019 International Anesthesia Research Society

OxyTain Cannot Intubate, Cannot Oxygenate Algorithm No abstract available

Syndrome of Inappropriate Antidiuretic Hormone Release During Ketamine Infusion in Complex Regional Syndrome Patient Receiving Intrathecal Baclofen: A Case Report Complex regional pain syndrome (CRPS) is a severely disabling condition that typically develops after an inciting traumatic event. Ketamine infusion in subanesthetic dose provides sustained analgesia in selected cases of CRPS. In general, ketamine treatment does not significantly affect electrolyte or water balance. Here, we report a case of a CRPS patient on intrathecal baclofen pump developing syndrome of inappropriate antidiuretic hormone release (SIADH) during ketamine infusion. Prophylactic treatment with intravenous loop diuretics was successful in preventing the development of SIADH during ketamine infusion during subsequent infusions in this case. Accepted for publication August 14, 2019. Funding: None. The authors declare no conflicts of interest. Address correspondence to Michael Sherman, MD, 219 N Broad St, Philadelphia, PA 19107. Address e-mail to ms58@drexel.edu. © 2019 International Anesthesia Research Society

An Anesthesia Attempt to Be Green: How Do You Waste Your Carbon Dioxide Absorbers? Operating room waste is categorized as noncontaminated solid waste (SW) and regulated medical waste (RMW). RMW is treated by autoclaving at an increased economic and environmental cost. We evaluated these costs with a focus on the disposable carbon dioxide (CO2) absorbers. At our institution, exhausted CO2 absorbers were discarded as RMW. We collaborated with product representatives, anesthesia and perioperative staff, and waste management personnel to identify opportunities and barriers for recycling and waste reduction. Ultimately, we agreed to discard CO2 absorbers as SW instead of RMW, a strategy that is practical, less expensive, and more environmentally appropriate. Accepted for publication September 9, 2019. Funding: None. The authors declare no conflicts of interest. Address correspondence to Mark A. Burbridge, MD, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine 300 Pasteur Dr, Palo Alto, CA 94304. Address e-mail to markburb@stanford.edu. © 2019 International Anesthesia Research Society