Month: June 2022

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

Authors: Cedrick Zaouter, M.D. et al  Anesthesiology June 2022, Vol. 136, 1043–1044. To the Editor: We read with great interest the article by Jeong et al.  titled “Pressure Support versus Spontaneous Ventilation during Anesthetic Emergence—Effect on Postoperative Atelectasis: A Randomized Controlled Trial.” Although many studies have looked at the potential effects of various intraoperative open lung ventilation strategies on […]

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Uncategorized Published - 2 June, 2022    By - Dr Clemens
Rapid Onset of Neuromuscular Blockade: Rocuronium vs. Succinylcholine– Neither Are Perfect!

Authors: Bailor L. Hardman, MD et al  ASA Monitor April 2022, Vol. 86, 42. Rocuronium is a non-depolarizing muscle relaxant that was first introduced in 1994, and its development ultimately replaced another aminosteroid neuromuscular blocking drug, vecuronium. Rocuronium is a monoquaternary amine with a rapid onset and intermediate duration of action. It is six to eight […]

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Uncategorized Published - 2 June, 2022    By - Dr Clemens
Patient Sex and Postoperative Outcomes after Inpatient Intraabdominal Surgery

Authors: Jennifer W. He, B.MSc. et al  Anesthesiology April 2022, Vol. 136, 577–587. Background Intraabdominal surgeries are frequently performed procedures that lead to a high volume of unplanned readmissions and postoperative complications. Patient sex may be a determinant of adverse outcomes in this population, possibly due to differences in biology or care delivery, but it is […]

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Uncategorized Published - 2 June, 2022    By - Dr Clemens
The Pulse Oximeter Is Amazing, but Not Perfect

Authors: Philip Bickler, M.D., Ph.D. and Kevin K. Tremper, Ph.D., M.D. Anesthesiology May 2022, Vol. 136, 670–671. It is amazing to think that a device developed for aviation research during World War II and implemented into anesthesia care in the mid-1980s is now likely the most common medical device on Earth—with the possible exception of the thermometer. […]

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Uncategorized Published - 2 June, 2022    By - Dr Clemens
A DIFFICULT ANESTHETIC

Author: Richard Novak, MD The Anesthesia Consultant What is a difficult anesthetic? Most people have no real idea what anesthesiologists do. Many imagine an anesthesiologist’s job is to give a patient some “gas” which to keep the patient asleep, while the surgeon (the real doctor) heals the patient. This image is oversimplified and wrong. Anesthesiologists […]

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Uncategorized Published - 2 June, 2022    By - Dr Clemens
Extracorporeal Membrane Oxygenation for Respiratory Failure Related to COVID-19

Authors: Nicolas Nesseler, M.D., Ph.D. et et  Anesthesiology May 2022, Vol. 136, 732–748. Background Despite expanding use, knowledge on extracorporeal membrane oxygenation support during the COVID-19 pandemic remains limited. The objective was to report characteristics, management, and outcomes of patients receiving extracorporeal membrane oxygenation with a diagnosis of COVID-19 in France and to identify pre-extracorporeal membrane […]

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Uncategorized Published - 1 June, 2022    By - Dr Clemens
REMIMAZOLAM: NEW WONDER ANESTHETIC DRUG OR MEDICAL WHITE ELEPHANT?

Author: Richard Novak MD THE ANESTHESIA CONSULTANT In July 2020 the Food and Drug Administration (FDA) approved the intravenous benzodiazepine remimazolam (Byfavo, Acacia Pharma) for use in sedation for procedures of 30 minutes or less. Will anyone utilize this new drug, or is it an expensive addition to our arsenal with few significant advantages over current agents? Remimazolam […]

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Uncategorized Published - 1 June, 2022    By - Dr Clemens
How Crisis Creates Leaders and New Opportunities in Education

Author: Amy Gallagher ASA Monitor April 2022, Vol. 86, 38. Steven Bott, MD is well versed in crisis management. His roles include cardiac and trauma anesthesiologist at the University of Utah, and medical director, flight physician, and mechanical circulatory support transport program director with AirMed, the university’s critical care air medical transport program that represents six […]

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Uncategorized Published - 1 June, 2022    By - Dr Clemens
Adapting to Delivering Patient Care in the Pandemic

Author: Cynthia A. Lien, MD ASA Monitor April 2022, Vol. 86, 45. As a member of the Foundation for Anesthesia Education and Research (FAER) Board of Directors, I was pleased to have the opportunity to write on incident command systems, all the more so given their heightened prevalence in the current world climate. FAER is proud […]

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Uncategorized Published - 1 June, 2022    By - Dr Clemens
Fluid Balance: Another Variable to Consider with Diaphragm Dysfunction?

Author: Robinder G. Khemani, M.D., M.S.C.I. Anesthesiology May 2022, Vol. 136, 672–674. “…fluid management can have potentially competing effects on the lung and the diaphragm.” While mechanical ventilation is lifesaving for children with acute respiratory distress syndrome (ARDS), it has become clear that it can lead to significant harm from ventilator-induced lung injury, patient self-inflicted lung […]

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