Month: May 2022

Uncategorized Published - 9 May, 2022    By - Dr Clemens
What is the relationship between sex and headaches?

Author: Mathieu Rees MedicalNewsToday Although there is anecdotal evidence that sexual activity could help to alleviate headaches in some people, there is very little scientific evidence to support the idea. Indeed, some evidence suggests that having sex may cause headaches in a small number of people, and may worsen existing headaches in some others. This […]

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Uncategorized Published - 9 May, 2022    By - Dr Clemens
ACE Question

ASA Monitor February 2022, Vol. 86, 3. The following capnogram is MOST likely associated with which of the following? □ (A) Faulty inspiratory valve □ (B) Partially obstructed endotracheal tube □ (C) Leak in sampling line The time capnogram (Figure 1) can provide evidence of certain disease states and equipment issues. A faulty inspiratory valve makes […]

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Uncategorized Published - 6 May, 2022    By - Dr Clemens
Challenges and Solutions for Reducing Infection Risks When Accessing Vascular Catheters

Elliott S. Greene, MD Anesthesia Safety Patient Foundation Introduction In U.S. acute care hospitals, 3.2% of patients develop one or more health care-associated infections (HAIs) resulting in increased patient morbidity, mortality, duration of hospitalization, and health care costs.1 Catheter-related bloodstream infections (CRBSIs) are the most common etiology of HAI and these can occur with central as […]

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Uncategorized Published - 6 May, 2022    By - Dr Clemens
Inactivation of Prefrontal Cortex Attenuates Behavioral Arousal Induced by Stimulation of Basal Forebrain During Sevoflurane Anesthesia

AUTHORS: Dean, Jon G. PhD et al Anesthesia & Analgesia: April 2022 BACKGROUND: Cholinergic stimulation of prefrontal cortex (PFC) can reverse anesthesia. Conversely, inactivation of PFC can delay emergence from anesthesia. PFC receives cholinergic projections from basal forebrain, which contains wake-promoting neurons. However, the role of basal forebrain cholinergic neurons in arousal from the anesthetized state […]

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Uncategorized Published - 6 May, 2022    By - Dr Clemens
Convective Warming Systems – Maintaining Normothermia in the Operating Room

Author: Jesús A. Cabrera, MD, PhD Anesthesia Safety Patient Foundation  In Response to: Thermal Injury After Use of a Convective Warming System In Response: Thank you for engaging with Smiths Medical regarding our Level 1® Equator® Convective Warming Device and Level 1 Snuggle Warm® Convective Warming Blanket. We received the report of two patients who experienced […]

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Uncategorized Published - 6 May, 2022    By - Dr Clemens
Thermal Injury After Use of a Convective Warming System

Authors: Luke S. Janik, MD; Ryan Lewandowski, SRNA Anesthesia Safety Patient Foundation  SUMMARY:We present two cases of thermal injuries resulting from use of a convection warming system. In both cases, the “Over Temperature” audible and visual alarms did not activate. In one of the cases, the air manifold piece was inadvertently missing. We ask the […]

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Uncategorized Published - 6 May, 2022    By - Dr Clemens
Association of tramadol with all-cause mortality, cardiovascular diseases, venous thromboembolism, and hip fractures among patients with osteoarthritis

DG Journal Club AUTHORS: Lingyi Li et al Arthritis Res Ther. 2022 Apr 11; 24(1): 85 BACKGROUND The use of tramadol among osteoarthritis (OA) patients has been increasing rapidly around the world, but population-based studies on its safety profile among OA patients are scarce. We sought to determine if tramadol use in OA patients is […]

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Uncategorized Published - 5 May, 2022    By - Dr Clemens
Association Between Left Ventricular Relative Wall Thickness and Acute Kidney Injury After Noncardiac Surgery

AUTHORS: Goeddel, Lee A. MD, MPH et al  Anesthesia & Analgesia: April 2022 BACKGROUND: Acute kidney injury (AKI) after major noncardiac surgery is commonly attributed to cardiovascular dysfunction. Identifying novel associations between preoperative cardiovascular markers and kidney injury may guide risk stratification and perioperative intervention. Increased left ventricular relative wall thickness (RWT), routinely measured on echocardiography, […]

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Uncategorized Published - 5 May, 2022    By - Dr Clemens
Unplanned Extubation in the Perioperative Environment

Authors: Lauren Berkow, MD, FASA; Arthur Kanowitz, MD, FACEP SUMMARY:In most cases, extubation is a planned, intentional, and controlled procedure, that occurs in the operating room, the Intensive Care Unit (ICU), and the emergency department. Unplanned extubation (UE) is any extubation that is not planned, intentional, and controlled. This complication can occur in the ICU […]

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Uncategorized Published - 5 May, 2022    By - Dr Clemens
Perioperative Management of Button Battery Ingestions in Children

Authors: Monica Hoagland, MD et al Anesthesia Safety Patient Foundation Foreign body ingestions are common events among pediatric patients. Button battery ingestions are particularly dangerous. Although the incidence of button battery ingestions has not changed over the last 30 years,1 the rates of emergency department visits, major morbidity, and mortality have risen dramatically since the introduction […]

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