Month: December 2022

Uncategorized Published - 23 December, 2022    By - Dr Clemens
Shifting Gears to Focus on Gratitude: Why It Matters

Authors: Christine Vo, MD et al  ASA Monitor December 2022, Vol. 86, 42. On an uncharacteristically mild day in late summer, I (KK) took advantage of the pleasant weather by enjoying dinner on an outdoor patio. In between bites of queso, my mentee and I discussed her upcoming residency interviews. The conversation flowed to me as […]

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Uncategorized Published - 22 December, 2022    By - Dr Clemens
An Unrecognized Case of Subcutaneous Emphysema: Expanding the Frontiers of POCUS

Authors: Michael V. Presta, DO, FASA; Jayanta Mukherji, MD ASA Monitor December 2022, Vol. 86, 29–30. Our institution, Loyola University Medical Center, is a nationally recognized quaternary-care system with a 61-acre main medical center campus in the western suburbs of Chicago. It houses a level 1 trauma center with the ability to provide top hospital care in […]

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Uncategorized Published - 22 December, 2022    By - Dr Clemens
Anesthesia Incident Reporting System (AIRS) Case 2022-12: Knowledge is Power, But How to Keep Up?

ASA Monitor December 2022, Vol. 86, 19–20. A 76-year-old male was found to have multiple episodes of ventricular tachycardia at a community hospital. He was started on a lidocaine infusion and transferred to a tertiary care hospital for an emergent cardiac ablation. Previous medical history included congestive heart failure secondary to non-ischemic cardiomyopathy with an ejection […]

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Uncategorized Published - 22 December, 2022    By - Dr Clemens
ACE Question

ASA Monitor December 2022, Vol. 86, 11. Which of the following physiological factors related to hepatobiliary function is MOST likely to increase during pregnancy? □ (A) Hepatic blood flow □ (B) Gallbladder contractility □ (C) Serum alkaline phosphatase level Physiological changes during pregnancy significantly impact the well-being of both mother and baby and are important to recognize for optimal […]

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Uncategorized Published - 22 December, 2022    By - Dr Clemens
A Chance to Save the World … Through Gratitude

Author: Richard P. Dutton, MD, MBA, FASA ASA Monitor December 2022, Vol. 86, 27. “He looks like he’s having fun – he ought to be grateful!” I imagine that’s what the editors were thinking when they invited this submission, perhaps based on my uniquely varied professional career or after noting my usual state of enthusiasm. After […]

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Uncategorized Published - 22 December, 2022    By - Dr Clemens
A Case of Polio in New York State

Authors: Richard Simoneaux; Steven L. Shafer, MD, FASA ASA Monitor December 2022, Vol. 86, 1–18. In the first half of the 20th century, summers in the U.S. were punctuated by sporadic outbreaks of paralytic poliomyelitis in school-age children. In the 1940s, more than 30,000 children were disabled by polio every year (asamonitor.pub/3CCVsYS). Parents were afraid to let […]

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Uncategorized Published - 21 December, 2022    By - Dr Clemens
Supply Chain Concerns and the Effect on Health Care Systems: Essential Considerations for Anesthesia Providers

Authors George Tewfik, MD, MBA, FASA; Samuel Mark Paschall ASA Monitor December 2022, Vol. 86, 1–8. Health care workers, and anesthesia providers specifically, had likely never given much thought to supply chains until the start of the COVID-19 pandemic. As the world shut down, and we shifted our practices to emergency procedures, careful intubations, and ventilator management, […]

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Uncategorized Published - 21 December, 2022    By - Dr Clemens
The Best Attitude Is Gratitude – Keeping My Plate Full

Author: Sabina Ali Khan, MD ASA Monitor December 2022, Vol. 86, 24–25. “Gratitude turns what we have into enough, and more. It turns denial into acceptance, chaos into order, confusion into clarity. It makes sense of our past, brings peace for today, and creates a vision for tomorrow.” – Melody Beattie As an avid reader, the […]

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Uncategorized Published - 21 December, 2022    By - Dr Clemens
N-Acetylcysteine and Postoperative Atrial Fibrillation: Comment

Authors: Junlin Wen, Ph.D. et al  Anesthesiology November 2022. To the Editor: We read the article by Amar et al.  with great interest. Their trial addressed whether N-acetylcysteine can prevent atrial fibrillation after thoracic surgery. A secondary analysis examined perioperative systemic markers of inflammation, oxidative stress, and the incidence of atrial fibrillation after discharge. We thank the authors […]

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Uncategorized Published - 21 December, 2022    By - Dr Clemens
N-Acetylcysteine and Postoperative Atrial Fibrillation: Reply

Authors: David Amar, M.D. et al  Anesthesiology  November 2022. In Reply: We thank Dr. Kinoshita and Dr. Kawashima,  and Dr. Wen, Dr. Huang, and Dr. Li  for their comments and their interest in our work. In the comments from Kinoshita and Kawashima,  they speculate that exposing our patients to a high fraction of inspired oxygen during one-lung ventilation […]

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