Month: June 2022

Uncategorized Published - 7 June, 2022    By - Dr Clemens
Carbon Footprint of Anesthesia: Reply

Authors: Forbes McGain, F.A.N.Z.C.A., F.C.I.C.M., Ph.D. et al  Anesthesiology July 2022, Vol. 137, 123–125. In Reply: We thank all authors for the correspondence  relating to our life cycle assessment of anesthesia for knee replacements. In response to Kalmar et al. : We used the Intergovernmental Panel on Climate Change preferred  global warming potential of 100 yr, given that it is […]

Read More
Uncategorized Published - 6 June, 2022    By - Dr Clemens
Constrained Functional Connectivity Dynamics in Pediatric Surgical Patients Undergoing General Anesthesia

Authors: Michael P. Puglia, II, M.D., Ph.D. et al  Anesthesiology July 2022, Vol. 137, 28–40. Background Functional connectivity in cortical networks is thought to be important for consciousness and can be disrupted during the anesthetized state. Recent work in adults has revealed dynamic connectivity patterns during stable general anesthesia, but whether similar connectivity state transitions occur […]

Read More
Uncategorized Published - 6 June, 2022    By - Dr Clemens
Targeting Depth of Anesthesia to Prevent Delirium: Comment

Authors: Xinglong Xiong, M.D. et al  Anesthesiology June 2022, Vol. 136, 1045–1046. To the Editor: Brown et al.1  nicely described their work comparing spinal anesthesia with targeted sedation based on Bispectral Index values compared with general anesthesia (masked Bispectral Index) and the outcome of delirium. Intraoperative hypotension has been associated with delirium.2,3  The adjusted hazard ratio associated with a […]

Read More
Uncategorized Published - 6 June, 2022    By - Dr Clemens
Targeting Depth of Anesthesia to Prevent Delirium: Reply

Authors: Charles H. Brown, IV, M.D., M.H.S. Charles W. Hogue, M.D. Anesthesiology June 2022, Vol. 136, 1047–1048. In Reply: We thank Drs. Xiong et al.1  and Carella and Bonhomme2  for their comments regarding the shaping anesthetic techniques to reduce post-operative delirium (SHARP) study.3  We agree that evaluating intraoperative hypotension as a potentially moderating factor in the SHARP trial would be interesting. […]

Read More
Uncategorized Published - 6 June, 2022    By - Dr Clemens
Targeting Depth of Anesthesia to Prevent Delirium: Comment

Authors: Michele Carella, M.D.; Vincent L. Bonhomme, M.D., Ph.D. Anesthesiology June 2022, Vol. 136, 1046–1047. To the Editor: We read with great interest the recent article by Brown et al.1  regarding the impact of Bispectral Index (BIS)–guided sedation on the incidence of postoperative delirium during spinal anesthesia for spine surgery compared with BIS-masked general anesthesia. We appreciated the originality […]

Read More
Uncategorized Published - 6 June, 2022    By - Dr Clemens
Is your workplace hazardous to your health??

Author: Karen Sibert MD aPennedPoint I found myself on the wrong side of the ether screen earlier this year, having surgery on my left hand to release Dupuytren’s contracture, a genetic gift from my father and (maybe) generations of our Viking forebears. Wondering how long it will take to heal – and when I’ll get some […]

Read More
Uncategorized Published - 3 June, 2022    By - Dr Clemens
Targeting Depth of Anesthesia to Prevent Delirium: Reply

Authors: Charles H. Brown, IV, M.D., M.H.S.; Charles W. Hogue, M.D. Anesthesiology June 2022, Vol. 136, 1047–1048. In Reply: We thank Drs. Xiong et al.1  and Carella and Bonhomme2  for their comments regarding the shaping anesthetic techniques to reduce post-operative delirium (SHARP) study.3  We agree that evaluating intraoperative hypotension as a potentially moderating factor in the SHARP trial would be interesting. […]

Read More
Uncategorized Published - 3 June, 2022    By - Dr Clemens
Anesthesia Considerations for Hysteroscopy

Radius Anesthesia The hysteroscope is used in modern gynecology to visualize the endometrial cavity. The device is inserted through the cervix, and the entire procedure may be performed in an office setting (Okohue, 2020). Hysteroscopy is especially important in evaluating both premenopausal and postmenopausal patients with abnormal uterine bleeding and is a strong alternative to hysterectomy (Mushambi […]

Read More
Uncategorized Published - 3 June, 2022    By - Dr Clemens
Targeting Depth of Anesthesia to Prevent Delirium: Comment

Authors: Michele Carella, M.D.; Vincent L. Bonhomme, M.D., Ph.D. Anesthesiology June 2022, Vol. 136, 1046–1047. To the Editor: We read with great interest the recent article by Brown et al.1  regarding the impact of Bispectral Index (BIS)–guided sedation on the incidence of postoperative delirium during spinal anesthesia for spine surgery compared with BIS-masked general anesthesia. We appreciated […]

Read More
Uncategorized Published - 3 June, 2022    By - Dr Clemens
Pressure Support Ventilation and Atelectasis: Reply

Authors: Heejoon Jeong, M.D. and Hyun Joo Ahn, M.D., Ph.D. Anesthesiology June 2022, Vol. 136, 1044–1045 In Reply: We very much thank Zaouter et al. for their interest  in our research, “Pressure Support versus Spontaneous Ventilation during Anesthetic Emergence—Effect on Postoperative Atelectasis: A Randomized Controlled Trial.”  The main questions of Zaouter et al. were why we defined atelectasis only when there were signs […]

Read More