Month: December 2022

Uncategorized Published - 16 December, 2022    By - Dr Clemens
Preventing oesophageal intubation

Authors: Mike Charlesworth and Andrew Klein #TheAnesthesiaBlog This new guideline is without doubt one of the most important papers from 2022 and essential reading for all. Oesophageal intubation during attempted tracheal intubation could happen to any one of us, yet traditional teachings and practice might lead to misdiagnosis. The case of Glenda Logsdail demonstrates the […]

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Uncategorized Published - 16 December, 2022    By - Dr Clemens
Risk Stratification Index 3.0, a Broad Set of Models for Predicting Adverse Events during and after Hospital Admission

Authors: Scott Greenwald, Ph.D. et al  Anesthesiology December 2022, Vol. 137, 673–686. Background Risk stratification helps guide appropriate clinical care. Our goal was to develop and validate a broad suite of predictive tools based on International Classification of Diseases, Tenth Revision, diagnostic and procedural codes for predicting adverse events and care utilization outcomes for hospitalized patients. […]

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Uncategorized Published - 16 December, 2022    By - Dr Clemens
Eating Disorders and Chronic Pain: A Complicated Relationship

Author: Kathleen Doheny Practical Pain Medicine Nov 2022 Chronic pain and eating disorders may occur together but too few clinicians are aware of the association, according to experts who have studied the comorbid conditions. Recognizing that both conditions may occur together, along with knowing which questions to ask, can go a long way toward providing […]

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Uncategorized Published - 16 December, 2022    By - Dr Clemens
Ketamine Infusion for Peripheral Neuropathic Pain in a Pediatric Multivisceral Transplant Patient

Authors: Peskin E, Gudin J. Pract Pain Manag. 2022 November/December;22(6). Ketamine’s Mechanisms of Action Ketamine has been described as a potential treatment modality for a variety of neuropathic pain conditions.¹ Its primary mechanism of action is through noncompetitive nonselective antagonism at the N-methyl-d-aspartic acid (NMDA) receptor, although this single pharmacologic property does not fully explain […]

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Uncategorized Published - 16 December, 2022    By - Dr Clemens
Productivity Measurement Variations in Academic vs. Clinical Settings

Author: Kelly Wolfgang ASA Monitor November 2022, Vol. 86, 30. According to Amr Abouleish, MD, Vice Chair of Faculty Development and Professor of Anesthesiology at University of Texas Medical Branch School of Medicine, productivity measurements are imperative for quantifying the quality and value of anesthesia work being performed. “Leaders want to see an objective measurement of […]

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Uncategorized Published - 15 December, 2022    By - Dr Clemens
Validation of a Deep Learning–based Automatic Detection Algorithm for Measurement of Endotracheal Tube–to–Carina Distance on Chest Radiographs

Authors: Min‑Hsin Huang, M.D., M.S. et al Anesthesiology December 2022, Vol. 137, 704–715. Background Improper endotracheal tube (ETT) positioning is frequently observed and potentially hazardous in the intensive care unit. The authors developed a deep learning–based automatic detection algorithm detecting the ETT tip and carina on portable supine chest radiographs to measure the ETT–carina distance. This […]

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Uncategorized Published - 15 December, 2022    By - Dr Clemens
ACE Question

ASA Monitor September 2022, Vol. 86, 13. Which of the following complications is MOST likely to be associated with vasa previa? □ (A) Maternal hemorrhage □ (B) Placental abruption □ (C) Fetal hemorrhage Vasa previa (Figure) is a velamentous insertion of the fetal vessels overlying the cervical os ahead of the fetal presenting part. This leaves the fetal vessels […]

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Uncategorized Published - 15 December, 2022    By - Dr Clemens
Opioid-Induced Adrenal Insufficiency

Authors: Bush DA, Barbero E. Pract Pain Manag. 2022 September/October;22(5). About Opioid Induced Adrenal Insufficiency Opioid induced adrenal insufficiency (OIAI) is a complication of opioid use that is less well known than other known complications of opioid use such as constipation, respiratory depression, and addiction. OIAI however has been shown to be a consequence of […]

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Uncategorized Published - 15 December, 2022    By - Dr Clemens
Chronic Pain in Children: How to Lead a Clinical Conversation

Authors: Weston G, Sweeney M, Zeltzer L. Pract Pain Manag. 2022 November/December;22(6). When children come to your office due to persistent or chronic pain, odds are that you are not going to be their first experience with the medical field. They have, most likely, already filled out questionnaires, participated in assessments, undergone a variety of […]

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Uncategorized Published - 15 December, 2022    By - Dr Clemens
Finding a Path to Reducing Disparities and Measuring Health Equity

Authors: Matthew T. Popovich, PhD; Claire Ostarello, CPHQ ASA Monitor November 2022, Vol. 86, 39–40. Although health disparities have long existed, the COVID-19 pandemic in 2020 focused the general public, health care leaders, and patient advocates on identifying pathways to reduce disparities and improve health equity. For anesthesiologists and their groups, reducing disparities and contributing to greater […]

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