Missouri Anesthesia Services

03/03/2026

Methadone and buprenorphine are foundational pharmacotherapies for opioid use disorder (OUD) and are increasingly utilized in perioperative and chronic pain settings for analgesia.

Methadone vs. buprenorphine are foundational pharmacotherapies for opioid use disorder (OUD) and are increasingly utilized in...

01/21/2026

Office-based procedures have become increasingly common across many medical specialties. Advances in technology, surgical techniques, and anesthesia have enabled more interventions to be performed safely in doctor’s offices.

Office-based procedures have become increasingly common across many medical specialties. Advances in technology, surgical...

11/28/2025

Dental sedation has become an important option for patients who experience anxiety, require lengthy procedures, or have difficulty tolerating dental care due to medical or psychological conditions. Its widespread use means that understanding the factors influencing safety is essential for both patients and providers.

Dental sedation safety depends on a series of interconnected considerations that begin well before the day of the procedure. The first and...

07/31/2025

Postoperative bleeding is a critical concern following surgical procedures and requires prompt recognition and management to ensure patient safety and optimal recovery. Although advances in surgical techniques and perioperative care have significantly reduced the incidence of excessive bleeding, it remains a potential complication that can lead to increased morbidity, prolonged hospital stays, or even mortality if not addressed effectively.

Postoperative bleeding is a critical concern following surgical procedures and requires prompt recognition and management to ensure patient safety and optimal

06/24/2025

The Circle of Willis is an anatomic, arterial, and anastomotic (i.e., relating to a connection between various blood vessels) structure located within the brain which connects the anterior and posterior arterial circulations of the brain. One of the more recent theories is that it serves to protect the blood–brain barrier against hemodynamic stress; however, the theory of collateral circulation in the setting of hypoperfusion or occlusion still predominates.

The Circle of Willis is an anatomic, arterial, and anastomotic (i.e., relating to a connection between various blood vessels) structure located within the

11/25/2024

Midazolam, a short-acting benzodiazepine, is commonly used as a sedative and anxiolytic in medical procedures. Its efficacy in inducing sedation and reducing anxiety is well documented, particularly in preoperative and procedural settings. However, as more and more emphasis is placed on faster recovery and discharge after anesthesia, the recovery time associated with midazolam must also be considered. The effect of midazolam on recovery time, particularly in comparison to other sedatives, is a topic of considerable interest in anesthesiology, due to potential implications for patient outcomes.

Midazolam, a short-acting benzodiazepine, is commonly used as a sedative and anxiolytic in medical procedures. Its efficacy in inducing sedation and reducing

10/16/2024

Nerve blocks are a widely used procedure in anesthesia and pain management, offering local anesthesia and pain relief for patients before, during, and after surgical procedures. Performed by trained medical professionals, nerve blocks are generally safe and effective. However, there is an incidence of 0.22% for block-related neural complications for all nerve blocks.

One of the risks of nerve block is nerve palsy, a condition characterized by weakness or paralysis in the area targeted by the nerve block.

10/08/2024

The Hypotension Prediction Index (HPI) is an algorithm designed for the prediction of hypotension onset in critically ill or perioperative patients, allowing clinicians to take preventative measures.

The Hypotension Prediction Index (HPI) is an algorithm designed for the prediction of hypotension onset in critically ill or perioperative patients, allowing

06/24/2024

General anesthesia is a crucial aspect of modern medical procedures, ensuring patients undergo surgery comfortably and safely without feeling pain or discomfort. There are two primary modes of delivering general anesthesia: Total Intravenous Anesthesia (TIVA) and Inhalational Anesthesia.

General anesthesia is a crucial aspect of modern medical procedures, ensuring patients undergo surgery comfortably and safely without feeling pain or

06/03/2024

Local anesthetics have a vital role in anesthesia and pain management, allowing clinicians to alleviate discomfort during a variety of medical procedures.

05/17/2023

Labor is a physically and emotionally taxing experience, and the pain during the process can be excruciating. Labor analgesia is medication to relieve pain during delivery, which can be administered in multiple ways.

Labor is a physically and emotionally taxing experience for most women. While childbirth is a natural process, the pain that comes with it can be