Month: December 2020

Uncategorized Published - 23 December, 2020    By - Dr Clemens
Association Between Behavioral and Learning Outcomes and Single Exposures to Procedures Requiring General Anesthesia Before Age 3

AUTHORS: Warner, David O. MD et al Anesthesia & Analgesia: September 7, 2020 BACKGROUND: Two prior population-based (children born in Olmsted County, MN), retrospective cohort studies both found that multiple exposures to anesthesia before age 3 were associated with a significant increase in the frequency of attention-deficit hyperactivity disorder (ADHD) and learning disabilities (LD) later […]

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Uncategorized Published - 23 December, 2020    By - Dr Clemens
An Approach to Managing COVID-19 During Upper Endoscopy

Author: Rene’ Miguel Gonzalez, M.D. Anesthesia Patient Safety Foundation In the midst of the new COVID-19 pandemic, anesthesia personnel find themselves on the front lines, facing and combating the spread of this airborne illness, often with sub-optimal personal protective equipment (PPE) due to shortages of N-95 masks and other protective respirators, gowns, gloves, and protective […]

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Uncategorized Published - 22 December, 2020    By - Dr Clemens
Head Rotation Reduces Oropharyngeal Leak Pressure of the i-gel and LMA® Supreme™ in Paralyzed, Anesthetized Patients

AUTHORS: Chaki, Tomohiro MD, PhD et al Anesthesia & Analgesia: September 1, 2020 BACKGROUND:  Second-generation supraglottic airway (SGA) devices are useful for airway management during positive pressure ventilation in general anesthesia and emergency medicine. In some clinical settings, such as the anesthetic management of awake craniotomy, SGAs are used in the head-rotated position, which is […]

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Uncategorized Published - 22 December, 2020    By - Dr Clemens
Dexmedetomidine Provides Cardioprotection During Early or Late Reperfusion Mediated by Different Mitochondrial K+-Channels

AUTHORS: Raupach, Annika PhD et al Anesthesia & Analgesia: September 1, 2020 BACKGROUND: Cardioprotective interventions—such as pharmacological postconditioning—are a promising strategy to reduce deleterious consequences of ischemia and reperfusion injury (I/RI) in the heart, especially as timing and onset of myocardial infarction are unpredictable. Pharmacological postconditioning by treatment with dexmedetomidine (Dex), an α2-adrenoreceptor agonist, during […]

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Uncategorized Published - 22 December, 2020    By - Dr Clemens
Designing a Program for Infection Prevention in the Anesthesia Work Environment

Authors: Kuvadia, Mausam MD; Wall, Russell MD; Pehar, Andjela MD; Nishida, Kevin MD; Darling, Nellie MS Anesthesia Pateint Safety Foundation SUMMARY:Intraoperative bacterial and viral contamination of the anesthesia work environment (AWE) has been directly linked to 30-day postoperative infections. At MedStar Georgetown University Hospital, we have implemented a multi-step program to educate providers on infection […]

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Uncategorized Published - 22 December, 2020    By - Dr Clemens
Noncardiovascular Disorders Causing Chest Pain.

Cardiac Anesthesiologists blog Noncardiovascular  Disorders, special Features:     Gallbladder disease:    Right upper quadrant abdominal pain and tenderness. Peptic ulcer:    Epigastric pain worse 3 hours after eating. Gastroesophageal reflux disease (GERD):    Acid reflux; relief with antacids. Costochondritis:    Pain exacerbated with inspiration; reproduced with chest wall palpitation. Hiatal hernia:    Reflux of food; relief with antacids. Pulmonary embolus-infarction:    Tachypnea, dyspnea, […]

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Uncategorized Published - 22 December, 2020    By - Dr Clemens
Particle Spread within the Circuit of the Anesthesia Machine – Lessons Learned during COVID-19 Pandemic

Authors: Mojca Remskar Konia, MD, PhD; Asish Abraham, MD; Janet Hume, MD, PhD; Gwen Fisher, MD Anesthesia Patient Safety Foundation Figure 1. Glo Germ particles inside of the elbow connector of the anesthesia circuit are shown (red arrows). Glo Germ (Flo Germ, Moab, UT) is a commercially available fluorescent marker. It consists of 5 mm […]

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Uncategorized Published - 22 December, 2020    By - Dr Clemens
Study finds no association between COVID-19 and Guillain-Barré syndrome

DG Alerts Findings from an epidemiological and cohort study published in Brain do not support any significant causal link between coronavirus disease 2019 (COVID-19) and Guillain-Barré syndrome (GBS). “To date we know of no homology between severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) surface epitopes and peripheral nerve tissue. Reports of varied anti-ganglioside antibodies in association with […]

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Uncategorized Published - 21 December, 2020    By - Dr Clemens
A Solution to Medication Error Related to the Similar Appearance of Prefilled Syringes

Authors: Cynthia Wong, BMBS; Angelique Nicolai, MD; Andrew Iskander, MD Anesthesia Patient Safety Foundation SUMMARY:Letter to the editor regarding pre-filled syringes, which can look similar, particularly when the label side is facedown. We suggest utilizing different colored caps in order to quickly identify the appropriate medication. Disclaimer: Viewers of this material should review the information contained […]

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Uncategorized Published - 21 December, 2020    By - Dr Clemens
Recommendations for OR Ventilation during the SARS COV-2 Pandemic – Staying Positive

Authors: Charles E. Cowles, Jr., MD, MBA, FASA Anesthesia Patient Safety Foundation  Has the APSF come up with definitive recommendations regarding negative pressure operating rooms for patient who are known or suspected to have SARS-COV-2 infection? Thank you and kind regards Marshal B. Kaplan, M.D. Clinical Professor Director of Airway Management Co-Chair Performance Improvement Committee […]

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