Month: February 2023

Uncategorized Published - 6 February, 2023    By - Dr Clemens
Postoperative Delirium after Dexmedetomidine versus Propofol Sedation in Healthy Older Adults Undergoing Orthopedic Lower Limb Surgery with Spinal Anesthesia

Authors: Hyun-Jung Shin, M.D., Ph.D. et al  Anesthesiology February 2023, Vol. 138, 164–171. Background Delirium is a critical postoperative complication in older patients. Based on the hypothesis that intraoperative dexmedetomidine sedation would lower postoperative delirium than propofol sedation would, the authors compared the incidence of postoperative delirium in older adults, using the mentioned sedatives. Methods This […]

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Uncategorized Published - 6 February, 2023    By - Dr Clemens
Risks and Benefits of the Use of the Postanesthesia Care Unit as an Intensive Care Unit and Special Considerations for Anesthesia Professionals

AUTHORS: George Tewfik, MD, MBA, FASA, CPE, MSBA et al  Anesthesia Patient Safety Foundation Volume 37, No. 3 • October 2022  SUMMARY: The use of the post anesthesia care unit (PACU) as an intensive care unit (ICU) is a decision that can be made to accommodate overflow patients that require critical care. There are numerous risks and […]

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Uncategorized Published - 6 February, 2023    By - Dr Clemens
Stem Cells Could Relieve CRPS Pain and Inflammation

Author: Avery Hurt                                          Practical Pain Management Jan 23           Complex regional pain syndrome not only has complex pain pathways but can also be difficult to treat. New NIH grant research on […]

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Uncategorized Published - 6 February, 2023    By - Dr Clemens
Applying a DEI Lens to Enhance Patient Safety: 3 Practical Tips

ASA Monitor February 2023, Vol. 87, 12. As discourse around diversity, equity, and inclusion (DEI) reaches everyday clinical practice, anesthesiologists must consider the meaning of DEI and its relevance to patient care. People want to work in a culture where they are appreciated for their contributions and feel supported. Not only does this improve work productivity […]

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Uncategorized Published - 6 February, 2023    By - Dr Clemens
UpToDate®

ASA Monitor February 2023, Vol. 87, 29. UpToDate® and ASA Monitor are collaborating to present select content abstracts on “What’s New in Anesthesiology.” UpToDate is an evidence-based, clinical support resource used worldwide by healthcare practitioners to make decisions at the point of care. For complete, current “What’s New” content, or to become a subscriber for full content access, go […]

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Uncategorized Published - 3 February, 2023    By - Dr Clemens
Caring for the Transgender Patient: It Is More Than Using the Right Pronouns!

Authors: Kara Segna, MD; Lalitha Sundararaman, MBBS, MD ASA Monitor February 2023, Vol. 87, 19–20. Trans individuals often face stigma and discrimination in their daily lives. Ideally, the health care setting should be a safe haven wherein they can be who they are – but is it always so? Unfortunately, the answer is still not a clear […]

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Uncategorized Published - 3 February, 2023    By - Dr Clemens
Anesthesiology in the News

ASA Monitor February 2023, Vol. 87, e1–e2. Anesthesiologists comment on opioid-related pain management and research In September, Healio.com quoted Kevin Zacharoff, MD, in an article on how forced tapering may harm patients with chronic pain who are taking opioids. At PAINWeek 2022, he discussed how we live in an environment of increased opioid pharmacovigilance, which can cause […]

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Uncategorized Published - 3 February, 2023    By - Dr Clemens
SAMBA: A Great Resource for All Practitioners of Ambulatory Anesthesia

Author: Dawn Schell, MD ASA Monitor February 2023, Vol. 87, 31. Currently, nearly 70% of all surgeries in the United States are performed as outpatient procedures, with almost 23 million of these performed annually in ambulatory surgery centers (ASCs) alone (Natl Health Stat Report 2017;102:1-15). And the numbers continue to grow. Over 6,000 Medicare-certified ASCs now […]

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Uncategorized Published - 3 February, 2023    By - Dr Clemens
Off the Beaten Path: The Footprints of Anesthesiologist Innovators

Authors: Sara Kianian, BA, MTM et al  ASA Monitor February 2023, Vol. 87, 32–33. Ether Dome. Photo by Steve Donisch. The Ether Dome and the Macintosh blade are two of many quintessential innovations that make up the rich history of anesthesiology and which allowed us to routinely and safely perform once-improbable surgeries (Lancet 1943;241:205; Ether Day. 2001). […]

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Uncategorized Published - 3 February, 2023    By - Dr Clemens
ASA Champions Safety and Workflows with USP <797> Policy Victory

Authors: Elizabeth Rebello, RPh, MD, FASA, CPPS, CMQ et al  ASA Monitor February 2023, Vol. 87, 28–29. In November 2022, United States Pharmacopeia (USP) announced revisions to its General Chapter <797>, a standard for sterile pharmaceutical compounding that plays a major role in guiding regulatory bodies and accrediting organizations (asamonitor.pub/3iUbtDn). These revisions included a clear distinction […]

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