Month: April 2022

Uncategorized Published - 7 April, 2022    By - Dr Clemens
I’m in It for the Long Haul: Anesthetic Implications of Elective Surgery in the COVID-Recovered Patient

Authors: Madison I. Goldberger, MD et al  ASA Monitor January 2022, Vol. 86, 26–27. The COVID-19 global pandemic led to a complete halt in elective surgery so that hospitals could conserve their resources for the onslaught of critically ill patients. Now, as the rate of new infections that require hospitalization declines in the wake of […]

Read More
Uncategorized Published - 7 April, 2022    By - Dr Clemens
Improving Patient Outcomes in Ambulatory Anesthesia: Patient Education Before Operation

Author: Sher-Lu Pai, M.D and Niraja Rajan, M.B.B.S., FAAP ASA Monitor October 2019, Vol. 83, 24–26. Niraja Rajan M.B.B.S., FAAP, is Associate Professor of Anesthesiology and Perioperative Medicine, Penn State Health, and Medical Director, Hershey Outpatient Surgery Center, Hershey, Pennsylvania. Ambulatory surgery continues to expand rapidly. An increasing number of patients with several comorbidities and advanced age are […]

Read More
Uncategorized Published - 7 April, 2022    By - Dr Clemens
Continued Growth and Advances in Ambulatory Anesthesiology

Author: Catlin Nalley ASA Monitor February 2021, Vol. 85, 27. Decades ago, sending a patient home the same day he or she underwent surgery was unheard of. However, ongoing advancements in surgical practices as well as improvements in postoperative care have made this the norm. Since it was first proposed in the mid-19th century, ambulatory […]

Read More
Uncategorized Published - 7 April, 2022    By - Dr Clemens
Adverse Mechanical Ventilation and Pneumococcal Pneumonia Induce Immune and Mitochondrial Dysfunctions Mitigated by Mesenchymal Stem Cells in Rabbits

Authors: Mathieu Blot, M.D., Ph.D. et al  Anesthesiology February 2022, Vol. 136, 293–313. Background Mechanical ventilation for pneumonia may contribute to lung injury due to factors that include mitochondrial dysfunction, and mesenchymal stem cells may attenuate injury. This study hypothesized that mechanical ventilation induces immune and mitochondrial dysfunction, with or without pneumococcal pneumonia, that could […]

Read More
Uncategorized Published - 7 April, 2022    By - Dr Clemens
Dexmedetomidine Clearance Decreases with Increasing Drug Exposure

Authors: Ricardo Alvarez-Jimenez, M.D., Ph.D. et al  Anesthesiology February 2022, Vol. 136, 279–292. Background Numerous pharmacokinetic models have been published aiming at more accurate and safer dosing of dexmedetomidine. The vast majority of the developed models underpredict the measured plasma concentrations with respect to the target concentration, especially at plasma concentrations higher than those used […]

Read More
Uncategorized Published - 6 April, 2022    By - Dr Clemens
Interscalene Brachial Plexus Block with Liposomal Bupivacaine versus Standard Bupivacaine with Perineural Dexamethasone

Authors: David H. Kim, M.D. et al  Anesthesiology March 2022, Vol. 136, 434–447. Background The interscalene nerve block provides analgesia for shoulder surgery. To extend block duration, provide adequate analgesia, and minimize opioid consumption, the use of adjuvants such as dexamethasone as well as the application of perineural liposomal bupivacaine have been proposed. This randomized, […]

Read More
Uncategorized Published - 6 April, 2022    By - Dr Clemens
The Practice of Ambulatory Anesthesiology

Authors: Leopoldo V. Rodriguez, MD, MBA, FAAP, FASA, SAMBA-F et al  ASA Monitor September 2021, Vol. 85, 25–26. There are over 5,800 Centers for Medicare & Medicaid Services (CMS)-certified ambulatory surgery centers (ASCs) in the United States, which are located in every state, each of which has its own laws and rules that govern ambulatory surgery […]

Read More
Uncategorized Published - 6 April, 2022    By - Dr Clemens
What Is an ‘OR’ in 2030: Anesthesia Beyond the Operating Room

Authors: Michael A. Gropper, MD, PhD ASA Monitor October 2021, Vol. 85, 21–23. While it is impossible to predict the future of anesthesiology, we can learn much from current trends in perioperative care. Advances in technology are only part of the future. Perhaps more important than technology has been the recognition that all of our […]

Read More
Uncategorized Published - 6 April, 2022    By - Dr Clemens
Anesthesia and Developing Brains: Unanswered Questions and Proposed Paths Forward

Authors: Caleb Ing, M.D., M.S. et al  Anesthesiology March 2022, Vol. 136, 500–512. Anesthetic agents disrupt neurodevelopment in animal models, but evidence in humans is mixed. The morphologic and behavioral changes observed across many species predicted that deficits should be seen in humans, but identifying a phenotype of injury in children has been challenging. It […]

Read More
Uncategorized Published - 6 April, 2022    By - Dr Clemens
Congenital Cardiac Anesthesia: A Case-based Approach

Edited by Berenstain Laura K. and Spaeth James P. . Cambridge University Press 2021 Pages: 409. ISBN-13: 978-1-108-49416-8. Anesthesiology March 2022, Vol. 136, 522–523. The world of Pediatric Cardiology and Cardiac Surgery is filled with all manner of nonintuitive acronyms and eponyms: Ebstein’s Anomaly, Fontans of various sorts, Glenns, MBTS (Modified Blalock-Taussig Shunts), Mee shunts, […]

Read More