Month: September 2022

Uncategorized Published - 21 September, 2022    By - Dr Clemens
Special Report: Is the Biopsychosocial Model in Pain Management In or Out?

Ghoshal M. Special Report: The Biopsychosocial Model in Pain Management: In or Out?. Pract Pain Manag. 2022 July/August;22(4). Author: Malini Ghoshal, RPH, MS Chronic pain is complex and involves both quantitative and qualitative measures to assess the many individual characteristics that can impact quality of life, function, and long-term outcomes. Diverse diagnostic criteria, assessment, and treatment […]

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Uncategorized Published - 20 September, 2022    By - Dr Clemens
Outcomes of dexmedetomidine versus propofol sedation in critically ill adults requiring mechanical ventilation

DG Journal Club AUTHORS: Kiyan Heybati, Fangwen Zhou, Saif Ali, Jiawen Deng Br J Anaesth. 2022 Aug 9 BACKGROUND Guidelines have recommended the use of dexmedetomidine or propofol for sedation after cardiac surgery, and propofol monotherapy for other patients. Further outcome data are required for these drugs. METHODS This systematic review and meta-analysis was prospectively […]

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Uncategorized Published - 20 September, 2022    By - Dr Clemens
Transversus abdominis plane block for laparoscopic colorectal surgery

DG Journal Club AUTHORS: Kai-Yuan Liu, Yen-Jung Lu, Yu-Cih Lin, Po-Li Wei Int J Surg. 2022 Aug 8 106825 BACKGROUND The effectiveness of transversus abdominis plane block (TAP) on pain management after laparoscopic colorectal surgery (CRS) remains unclear since the only relevant meta-analysis on this topic did not separate laparoscopic CRS from open CRS. The […]

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Uncategorized Published - 20 September, 2022    By - Dr Clemens
Everything you need to know about crystal meth

Authors: Yvette Brazier and Zawn Villines MedicalNewsToday Crystal meth, or methamphetamine, is a stimulant drug that carries a high risk for physical dependence. In the United States, a different formulation of methamphetamine called Desoxyn is available by prescription to treat attention deficit hyperactivity disorder (ADHD). Crystal meth has a number of street names, including ice […]

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Uncategorized Published - 20 September, 2022    By - Dr Clemens
Anesthesia Incident Reporting System (AIRS) Case 2022-09: The Unknown Unknowns and Their Consequences

ASA Monitor September 2022, Vol. 86, 10. A 9-year-old girl with an intracranial neoplasm presented for a routine MRI with and without contrast to evaluate her disease status. She had been treated at our facility for years and came for an MRI every 3-6 months. Multiple past anesthetics (inhalational induction, TIVA with propofol, nasal cannula, natural […]

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Uncategorized Published - 20 September, 2022    By - Dr Clemens
Reaching the Next Generation in Our Communities

Author: Karen S. Sibert, MD, FASA ASA Monitor September 2022, Vol. 86, 1–5. Community service isn’t an easy or obvious fit for anesthesiologists. Our natural habitat is the OR or ICU. But many of us do feel a need to give something back to our communities. The question is, how to do it? Back in 2016, the California […]

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Uncategorized Published - 19 September, 2022    By - Dr Clemens
Improving Care and Outcomes for the Older Adult: A Holistic Model

Authors: Mrugesh Thakkar, MD et al  ASA Monitor September 2022, Vol. 86, 17–18. Holistic model for care of the older adult. Older adults represent a growing patient population with unique care needs. As perioperative physicians, our goal is to optimize our patients’ physical, psychological, social, and cognitive health. In a holistic model of care, all the […]

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Uncategorized Published - 19 September, 2022    By - Dr Clemens
Straying From the Beaten Path: Rural Anesthesia and Perioperative Care

Authors: Zachary Deutch, MD, FASA; Shaan Alli, MD ASA Monitor September 2022, Vol. 86, 14–15. Hello readers, I hope everyone had an enjoyable summer and is off to a smooth start of the academic/fiscal (depending on your practice setting) year. This month, we welcome an ASA member from New England and an expert on rural medicine, Dr. […]

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Uncategorized Published - 19 September, 2022    By - Dr Clemens
Redesigned Incident Reporting Systems for Patient Safety

Author: Emily Methangkool, MD, MPH ASA Monitor September 2022, Vol. 86, 28. Ever since To Err is Human advocated for reporting critical incidents to improve patient safety, incident reporting systems have proliferated across health care organizations (To Err Is Human: Building a Safer Health System. 2000). Over the past two decades, critical incident reporting systems have become […]

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Uncategorized Published - 19 September, 2022    By - Dr Clemens
Trends & Technology

ASA Monitor September 2022, Vol. 86, 12. Trends Treating precancerous anal lesions reduces risk of cancer in people with HIV A National Institutes of Health (NIH)-funded study found that the treatment of anal pre-cancerous growths, known as high-grade squamous intraepithelial lesions (HSILs), reduces the risk of developing anal cancer in people with HIV by more than […]

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