Iowa Anesthesia Services

Insights & Resources

Clinical perspectives, industry updates, and educational resources from the Iowa Anesthesia Services team.

May 27, 2026

Declining Use of Retrobulbar Block for Cataract Surgery

Cataract surgery is one of the most frequently performed operations in the world. For decades, the retrobulbar block was the dominant anesthetic technique, delivering local anesthetic into the intraconal space.

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April 27, 2026

Prone Positioning for Surgical Patients with Obesity

The management of patients with obesity during surgery requires additional planning and a thorough understanding of their altered physiology and anatomy, particularly when prone positioning is indicated.

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March 16, 2026

Total Shoulder Arthroplasty in a Surgery Center vs. Hospital

Total shoulder arthroplasty has evolved significantly over the past two decades, driven by advances in implant design, anesthesia techniques, and perioperative care protocols.

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February 9, 2026

Risks Associated with Poorly Managed Chronic Pain

Chronic pain, typically defined as pain persisting for longer than three months, affects millions of individuals worldwide and represents a significant clinical and public health challenge.

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January 5, 2026

Regional Anesthesia Approaches for Breast Surgery

Regional anesthesia for breast surgery has evolved substantially over the past decade, driven by the goals of reducing perioperative opioid use and improving postoperative analgesia.

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November 17, 2025

Biological Aging and Health

Biological aging is a complex, multifaceted process characterized by the gradual decline of physiological and cognitive functions over time, with direct implications for perioperative care.

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October 6, 2025

Personalized Anesthesia: How AI Uses EEG Data to Tailor Sedation

The practice of anesthesia requires clinicians to interpret subtle patient responses while managing complex pharmacology. AI-driven EEG analysis is opening new frontiers in individualized sedation management.

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August 11, 2025

What Smooth Postoperative Recovery Looks Like

A smooth postoperative recovery reduces complications, shortens hospital stays, and minimizes long-term health risks — whether following a minor outpatient procedure or a major surgery.

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July 7, 2025

Neuraxial Anesthesia and CSF Dynamics

Cerebrospinal fluid is a clear, colorless fluid surrounding the brain and spinal cord. Understanding CSF dynamics is fundamental to safe and effective neuraxial anesthesia practice.

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June 2, 2025

Where Are Hospitals Not Allowed to Directly Employ Anesthesiologists?

In the United States, the employment structure of physicians, including anesthesiologists, varies significantly across states due to differences in legal and regulatory frameworks.

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April 28, 2025

Mechanism of Aspiration Risk Under Anesthesia

Pulmonary aspiration under anesthesia is a potentially catastrophic event characterized by the entry of gastric contents into the tracheobronchial tree, leading to chemical pneumonitis and obstruction.

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March 25, 2025

Long-Term Health Effects of Sleep Apnea

Sleep apnea syndrome refers to a constellation of findings deriving from frequent episodes of apnea and hypopnea during sleep, with wide-ranging implications for perioperative risk assessment.

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February 3, 2025

Does It Hurt to Remove Skin Tags?

Skin tags, medically known as acrochordons, are small, benign growths of skin that commonly appear in areas where skin folds, such as the neck and armpits.

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December 23, 2024

Moving and Transferring Patients in the Perioperative Period

The perioperative period may involve transferring patients between different areas or changing their position, as patients are often prepared in a different location than where the procedure is performed.

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November 21, 2024

The Effect of Perioperative Adjuvants on the Immune System

The immune system, a complex network of cells, tissues, and organs, is the body's primary line of defense against pathogens and disease. Various perioperative medications can significantly influence immune function.

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October 14, 2024

Propofol Dosage Guidelines

Propofol is a widely used intravenous anesthetic agent known for its rapid onset and short duration of action. It is commonly used for induction and maintenance of anesthesia and procedural sedation.

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August 22, 2024

The Movement Away from Desflurane

Desflurane, once hailed as a revolutionary volatile anesthetic for its rapid onset and recovery times, is increasingly falling out of favor in modern anesthetic practice.

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July 18, 2024

Protocols for Epidural Insertion

Epidural anesthesia is an important technique widely used in a variety of medical procedures, particularly in obstetrics for labor pain management and during major surgical interventions.

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June 17, 2024

Unintentional Main Stem Intubation

Unintentional endobronchial, or "main stem," intubation is a complication that can occur during the administration of general anesthesia, particularly in emergency situations or when anatomical challenges arise.

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May 20, 2024

Ketamine Anesthesia in Pediatric Patients

First synthesized in 1962 as an offshoot of phencyclidine, ketamine quickly became a staple in both veterinary and human medicine due to its unique dissociative and analgesic properties.

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April 22, 2024

Use of LMA Instead of Intubation During Surgery

In the realm of anesthesia and surgery, the choice between using a laryngeal mask airway (LMA) or endotracheal intubation has been an ongoing subject of clinical discussion and research.

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March 25, 2024

When Should You Quit Smoking Before Surgery?

Preparing for surgery is not just about following your doctor's instructions, but also about setting yourself up for the best outcome. Smoking is a critical factor in perioperative risk.

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February 25, 2024

Indications for Adenoidectomy and Tonsillectomy

A tonsillectomy is the surgical removal of the tonsil and its capsule, which requires dissecting the peritonsillar space between the tonsil capsule and the muscular pharyngeal wall.

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February 20, 2024

Anesthesia for Neurosurgical Cases: Challenges and Considerations

The administration of anesthesia for neurosurgical cases presents unique challenges and considerations, distinguishing it from anesthesia for surgeries involving other systems of the body.

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January 29, 2024

Drug Diversion: An Overview

Drug diversion is a critical issue that affects the general population of the United States, as well as the healthcare industry, involving the misuse or theft of controlled substances intended for patient care.

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