Month: March 2022

Uncategorized Published - 31 March, 2022    By - Dr Clemens
Advanced care plans in the peri-operative period

Authors: Cara Hughes and Andreas Klein #TheAnesthesia Blog For many, the COVID-19 pandemic brought the stark reality of our mortality into focus. Along with the controversial application of ‘blanket’ DNACPR orders, it has forced all in the profession to consider how we involve our patients in the difficult conversations and decisions regarding end-of-life care. The […]

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Uncategorized Published - 31 March, 2022    By - Dr Clemens
Preoperative Assessment of Anxiety and Depression Using Computerized Adaptive Screening Tools

AUTHORS: Bass, Victoria MD et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 853-857 BACKGROUND:  Serious mental health conditions (eg, anxiety and depression) are common in surgical patients, yet likely underassessed due to the time-consuming and cumbersome traditional screening process. A recently developed computerized adaptive mental health assessment tool (computerized […]

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Uncategorized Published - 30 March, 2022    By - Dr Clemens
Procedure-Related Outcomes Including Readmission Following Spinal Cord Stimulator Implant Procedures

AUTHORS: Goel, Vasudha MBBS et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 843-852 BACKGROUND:  Spinal cord stimulation (SCS) has been shown to reduce opioid consumption, reduce pain, improve quality of life compared to conventional therapy, and be more effective than spine reoperation in carefully selected patients. In this study, […]

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Uncategorized Published - 30 March, 2022    By - Dr Clemens
Anesthesiology Is Still One Of The Most Competitive Residencies

Author: ZMD Great Z’s Match Day 2022 has come and gone. Parsing through the latest data from NRMP, it’s astonishing how competitive anesthesiology residency has become. Even with an ever increasing number of residency positions, medical students hoping to get into anesthesiology have their work cut out for them. This year, there were 1,509 PGY1 anesthesiology […]

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Uncategorized Published - 29 March, 2022    By - Dr Clemens
Anesthesia in the Crosshairs Surviving a Payer Audit

Author: Tony Mira F1rstNews Summary Audits of anesthesia records and claims are inevitable.  The question is, how well will your group members’ documentation hold up under the bright light of scrutiny?  A few strategies may help them to survive a payer audit. Don’t think they’re not out there.  They are . . . just around […]

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Uncategorized Published - 29 March, 2022    By - Dr Clemens
ED 90 of Intrathecal Chloroprocaine With Fentanyl for Prophylactic Cervical Cerclage

AUTHORS: Sharawi, Nadir MBBS, MSc, FRCA et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 834-842 BACKGROUND: Chloroprocaine is a short-acting local anesthetic that has been used for spinal anesthesia in outpatient surgery. There is limited experience with spinal chloroprocaine for prophylactic cervical cerclage placement. We sought to determine the […]

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Uncategorized Published - 28 March, 2022    By - Dr Clemens
Perioperative Normal Saline Administration and Delayed Graft Function in Patients Undergoing Kidney Transplantation

Authors: Kerstin Kolodzie, M.D., Ph.D., M.A.S. et al  Anesthesiology October 2021, Vol. 135, 621–632. Background Perioperative normal saline administration remains common practice during kidney transplantation. The authors hypothesized that the proportion of balanced crystalloids versus normal saline administered during the perioperative period would be associated with the likelihood of delayed graft function. Methods The authors linked outcome data […]

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Uncategorized Published - 28 March, 2022    By - Dr Clemens
Dexmedetomidine Ameliorates Perioperative Neurocognitive Disorders by Suppressing Monocyte-Derived Macrophages in Mice With Preexisting Traumatic Brain Injury

AUTHORS: Kii, Natsumi MD et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 869-880 BACKGROUND:  Traumatic brain injury (TBI) initiates immune responses involving infiltration of monocyte-derived macrophages (MDMs) in the injured brain tissue. These MDMs play a key role in perioperative neurocognitive disorders (PNDs). We tested the hypothesis that preanesthetic […]

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Uncategorized Published - 28 March, 2022    By - Dr Clemens
Effect of a Musical Intervention During the Implantation of a Central Venous Catheter or a Dialysis Catheter in the Intensive Care Unit

AUTHORS: Jacquier, Sophie MD et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 781-790 BACKGROUND:  Listening to music may reduce anxiety during medical procedures. However, the magnitude of any effect may differ with respect to patient and procedure. We evaluated the effect of a musical intervention on patient anxiety during […]

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Uncategorized Published - 25 March, 2022    By - Dr Clemens
Validation of Continuous Noninvasive Blood Pressure Monitoring Using Error Grid Analysis

AUTHORS: Juri, Takashi MD et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 773-780 Export BACKGROUND: Error grid analysis was recently proposed to compare blood pressure obtained by 2 measurement methods. This study aimed to compare continuous noninvasive blood pressure (CNBP) with invasive blood pressure (IBP) using the error grid […]

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