Month: February 2023

Uncategorized Published - 8 February, 2023    By - Dr Clemens
Pro-Con Debate: Are Patients With Coronary Stents Suitable for Free-Standing Ambulatory Surgery Centers?

Authors: Rosero, Eric B. MD, MSc et al  Anesthesia & Analgesia 136(2):p 218-226, February 2023.  Abstract With increasing implantation of coronary artery stents over the past 2 decades, it is inevitable that anesthesiologists practicing in the outpatient setting will need to determine whether these patients are suitable for procedures at a free-standing ambulatory surgery center […]

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Uncategorized Published - 8 February, 2023    By - Dr Clemens
Consequences of General Anesthesia in Infancy on Behavior and Brain Structure

AUTHORS: Salaün, Jean-Philippe MD, PhD et al  Anesthesia & Analgesia 136(2):p 240-250, February 2023. BACKGROUND: One in 7 children will need general anesthesia (GA) before the age of 3. Brain toxicity of anesthetics is controversial. Our objective was to clarify whether exposure of GA to the developing brain could lead to lasting behavioral and structural brain […]

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Uncategorized Published - 8 February, 2023    By - Dr Clemens
Non-Operating Room Anesthesia: Closed Claim Review and Analysis

Author: Paul A. Lefebvre, JD Anesthesia Patent Safety Foundation Volume 38, No. 1 • February 2023  INTRODUCTION With advancements in minimally invasive procedures and a desire to meet the needs of an ever-changing patient population, anesthesia professionals are increasingly asked to provide services outside the traditional operating room environment.1,2 Our medical professional liability company is actively monitoring […]

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Uncategorized Published - 8 February, 2023    By - Dr Clemens
A Best Practice for Anesthesia Work Area Infection Control Measures: What Are You Waiting For?

AUTHORS: Jonathan E. Charnin, MD, FASA et al  Anesthesia Patient Safety Foundation Volume 37, No. 3 • October 2022  SUMMARY:Evidence-based, basic infection control measures implemented effectively in the anesthesia work area can generate substantial reductions in pathogen transmission and surgical site infection development. These measures are indicated to improve patient safety. In this brief review, we […]

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Uncategorized Published - 8 February, 2023    By - Dr Clemens
Can Nudges Mitigate Deadly User Errors?

AUTHORS; Molly Kraus, MD; Karl Poterack, MD Anesthesia Patient Safety Foundation Volume 37, No. 3 • October 2022 In May of 2022, a former Vanderbilt nurse was convicted of gross neglect of an impaired adult and criminally negligent homicide for the death of her patient in 2017. While she had intended to give her patient midazolam […]

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Uncategorized Published - 7 February, 2023    By - Dr Clemens
Evolving Standards for Anesthesia During Advanced GI Endoscopic Procedures

Authors: Richard C. Prielipp, MD, MBA, FCCM; Stuart K. Amateau, MD, PhD, FASGE, FACG, AGAF Anesthesia Patient Safety Foundation Volume 37, No. 3 • October 2022  Reprinted from Anesthesia & Analgesia, June 2022 • Volume 134 • Number 6, pages 1189–1191, with permission from International Anesthesia Research Society. Professional titles and nomenclature were standardized and modified within […]

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Uncategorized Published - 7 February, 2023    By - Dr Clemens
What Anesthesiologists Should Know About Treating Transgender Patients

Author: Pamela Schumacher, MSC, CCMP ASA Monitor February 2023, Vol. 87, 27. According to a recent study, about 1.6 million adults (ages 18 and older) and youth (ages 13-17) identify as transgender in the United States, or 0.6% of those age 13 and older (asamonitor.pub/3Vz9zGO). These numbers make it likely that anesthesiologists will care for transgender […]

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Uncategorized Published - 7 February, 2023    By - Dr Clemens
Obstructive Sleep Apnea Among Gravidas With Chronic Hypertension Compared to Matched Controls

Authors: Dominguez, Jennifer E. MD, MHS et al  Anesthesia & Analgesia 136(2):p 205-214, February 2023 BACKGROUND: Previous studies of obstructive sleep apnea (OSA) risk in gravidas with chronic hypertension (cHTN) did not control for obesity as a risk factor for OSA. We therefore performed this study to evaluate whether OSA is more prevalent among gravidas with […]

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Uncategorized Published - 7 February, 2023    By - Dr Clemens
Preoperative Identification of Patient-Dependent Blood Pressure Targets Associated With Low Risk of Intraoperative Hypotension During Noncardiac Surgery

Authors: Schnetz, Michael P. MD, PhD*; Danks, David J. PhD†; Mahajan, Aman MD, PhD, MBA Anesthesia & Analgesia 136(2):p 194-203, February 2023. BACKGROUND: Intraoperative hypotension (IOH) is strongly linked to organ system injuries and postoperative death. Blood pressure itself is a powerful predictor of IOH; however, it is unclear which pressures carry the lowest risk and […]

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Uncategorized Published - 7 February, 2023    By - Dr Clemens
2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration—A Modular Update of the 2017 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting

Authors: Girish P. Joshi, M.B.B.S., M.D. et al  Anesthesiology February 2023, Vol. 138, 132–151. These practice guidelines are a modular update of the “Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: Application to healthy patients undergoing elective procedures.” The guidance focuses on topics not addressed in […]

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