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The Frost Series

The Frost Series: Bradycardia and Cardiac Arrest After Sugammadex in a Patient With Renal Failure

Sugammadex is widely used for reversal of muscle relaxation with steroidal neuromuscular blocking agents including rocuronium.

AUGUST 14, 2025

The Frost Series: Anesthetic Approach for Resection of a Large Retrosternal Goiter

The patient with a large anterior mediastinal mass should prompt caution on the part of any anesthesia professional.

APRIL 16, 2025

The Frost Series: Necrosis of the Mandibular Mylohyoid Ridge After Endotracheal Intubation

The case of a patient who complained of intraoral right-sided jaw pain during recovery from anesthesia, although no trauma was noted at the time of intubation.

JANUARY 23, 2025

Perioperative Gastric Ultrasound Findings in GLP-1 Receptor Agonist Users

Glucagon-like peptide-1 receptor agonists are FDA-approved medications that mimic the action of a naturally occurring hormone to lower blood sugar and promote weight loss.

NOVEMBER 20, 2024

Euglycemic Diabetic Ketoacidosis During Emergent Spinal Surgery

Stopping SGLT2 inhibitors is recommended before elective surgery, but patients may require emergent surgery with no opportunity for preoperative cessation.

OCTOBER 16, 2024

Optimizing Anesthesia for Hip Replacement In a Patient With Severe Scoliosis

For patients with severe scoliosis, careful preoperative planning is paramount to avoid complications from anesthesia, control pain and promote mobility.

AUGUST 8, 2024

Pulmonary Embolism After Induction of Anesthesia Requiring VV-ECMO

A pulmonary embolism in the perioperative setting of spinal surgery is rare, with the limited data available estimating an incidence as low as 0.033%.

APRIL 9, 2024

Another Reason for Preoxygenation With a Tightly Fitting Face Mask

Just like our automobiles, the anesthesia machines we use today are far more complex than the ones we used during our training.

MARCH 13, 2024

Clinical Management of Tracheal Stenosis

Unexpected tracheal stenosis in an asymptomatic patient may complicate attempted intubation for elective surgery without notice.

FEBRUARY 15, 2024

Questioning ‘Is This Patient Truly Difficult to Intubate?’

Dear Dr. Sibert, I don’t understand a repeated attempt to ventilate by mask when such has been difficult in the past.

JANUARY 17, 2024

Difficult TEE Probe Insertion Requiring Nasal Fiberoptic Guidance

Transesophageal echocardiography probes are routinely placed without visual guidance or complications.

DECEMBER 4, 2023

Severe Euglycemic Diabetic Ketoacidosis Associated With SGLT2 Inhibitor

Sodium-glucose cotransporter 2 (SGLT2) inhibitors are one of the newest classes of oral diabetes medications.

NOVEMBER 9, 2023

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