Month: December 2022

Uncategorized Published - 26 December, 2022    By - Dr Clemens
Perioperative Supplemental Oxygen and Postoperative Nausea and Vomiting: Subanalysis of a Trial, Systematic Review, and Meta-analysis

Authors: Metabel T. Markwei, Sc.M. et al  Anesthesiology January 2023, Vol. 138, 56–70. Background Intraoperative supplemental oxygen may reduce postoperative nausea and vomiting by mitigating hypoxic stress on the gastrointestinal tract. The authors therefore tested the hypothesis that supplemental oxygen reduces nausea and vomiting in adults recovering from colorectal surgery at the Cleveland Clinic between January […]

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Uncategorized Published - 26 December, 2022    By - Dr Clemens
Straying From the Beaten Path: Rural Anesthesia and Perioperative Care

I wanted to share with our readers about the benefits of rural practice. 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 […]

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Uncategorized Published - 26 December, 2022    By - Dr Clemens
Encapsulation dynamics of neuromuscular blocking drugs by sugammadex

Authors: Amir Hossein Irani, Ph.D. et al  Anesthesiology November 2022. Background The clinical actions of sugammadex have been well studied, but the detailed molecular mechanism of the drug encapsulation process has not been systematically documented. We hypothesized that sugammadex would attract rocuronium and vecuronium via interaction with the sugammadex side-chain “tentacles”, as previously suggested. Methods […]

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Uncategorized Published - 26 December, 2022    By - Dr Clemens
Non-opioid analgesic prescriptions filled after surgery among older adults in Ontario, Canada: a population-based cohort study

Authors: Naheed K. Jivraj, MBBS MSc et al  Anesthesiology  November 2022. Background The objective was to assess changes over time in prescriptions filled for non-opioid analgesics for older post-operative patients in the immediate post-discharge period. We hypothesized that the number of patients who filled a non-opioid analgesic prescription increased over the study period. Methods We […]

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Uncategorized Published - 26 December, 2022    By - Dr Clemens
The biggest challenges with anesthesia reimbursement

Author: Patsy Newitt Becker’s ASC Review Three anesthesia leaders joined Becker’s to discuss challenges with securing anesthesia reimbursements in the industry today. Editor’s note: This response was edited lightly for brevity and clarity.  Adam Spiegel. CEO of NorthStar Anesthesia (Irving, Texas): The biggest challenge to securing anesthesia reimbursement in 2023 is the impact of the No Surprises Act. […]

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Uncategorized Published - 23 December, 2022    By - Dr Clemens
Perioperative Anaphylaxis

Authors: Charles Tacquard, M.D., Ph.D. et al  Anesthesiology January 2023, Vol. 138, 100–110. Anesthesiologists routinely manage patients in multiple clinical settings, including surgery, intensive care, procedural interventions, and/or trauma. In these settings, patients receive a variety of drugs, blood products, or imaging agents, all of which have the potential for adverse reactions, including immediate hypersensitivity reactions. […]

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Uncategorized Published - 23 December, 2022    By - Dr Clemens
SEE Question

ASA Monitor December 2022, Vol. 86, 13. Your next patient is a 65-year-old woman scheduled for a complex ventral hernia repair. According to a recent study, which of the following outcomes is MOST likely if you use a higher dose of nitrous oxide as an adjunct to the general anesthetic instead of no nitrous oxide? □ (A) […]

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Uncategorized Published - 23 December, 2022    By - Dr Clemens
How Do You Know When It’s Time to Retire?

Author: Karen S. Sibert, MD, FASA ASA Monitor December 2022, Vol. 86, 36. “What’s this I hear?” said the CA-1 resident earlier this year as we were setting up for our first morning case. “You’re going to retire?” “Why, yes,” I said. “That’s correct. In April.” He shook his head. “No,” he said firmly. “I know you have […]

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Uncategorized Published - 23 December, 2022    By - Dr Clemens
Comparison of contralateral acceleromyography and electromyography for posttetanic count measurement

Authors: Hyunyoung Joo, MD et al  Anesthesiology December 2022. Background Electromyography has advantages over mechanomyography and acceleromyography. Previously, agreement of the train-of-four counts between acceleromyography and electromyography was found to be fair. The objective of this study was to assess the agreement of posttetanic count including agreement of neuromuscular blockade status (intense block; posttetanic count […]

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Uncategorized Published - 23 December, 2022    By - Dr Clemens
Portable Wearable Devices: Advanced Monitors Are Now in the Palm of Your Hand!

Authors: Lalitha Sundararaman, MBBS, MD et al  ASA Monitor December 2022, Vol. 86, 10–11. Editor’s note: This article is the first in a series on medical wearable devices. Opinions stated here are solely those of the authors. While this is not a scientific product review with objective testing standards, we hope you’ll enjoy the discussion on […]

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