Month: June 2023

Uncategorized Published - 26 June, 2023    By - Dr Clemens
Staffing Shortages, Patient Safety, and Me: Embracing the Reality of a Symbiotic Feedback Loop

Authors: Arnoley S. Abcejo, MD et al  ASA Monitor July 2023, Vol. 87, 37–38. Perhaps we have all felt it: in breakrooms, reminiscing of colleagues recently retired; on call nights, shuddering at the idea of additional trauma nights to cover empty slots in the call schedule; in operations boardrooms, strategizing the surgical volume forecast with the […]

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Uncategorized Published - 26 June, 2023    By - Dr Clemens
Influence of Fibrinogen Concentrate on Neonatal Clot Structure When Administered Ex Vivo After Cardiopulmonary Bypass

AUTHORS: Moiseiwitsch, Nina BS et al  Anesthesia & Analgesia January 24, 2023.  BACKGROUND: Bleeding is a serious complication of cardiopulmonary bypass (CPB) in neonates. Blood product transfusions are often needed to adequately restore hemostasis, but are associated with significant risks. Thus, neonates would benefit from other effective, and safe, hemostatic therapies. The use of fibrinogen […]

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Uncategorized Published - 26 June, 2023    By - Dr Clemens
Effect of Tulobuterol Patch Versus Placebo on the Occurrence of Respiratory Adverse Events in Children Undergoing Tonsillectomies

AUTHORS: L Kim, Eun-Hee MD, PhD et al  Anesthesia & Analgesia 136(6):p 1067-1074, June 2023. BACKGROUND: Perioperative respiratory adverse events are common in children. We aimed to evaluate the effect of the transdermal β-2 agonist, tulobuterol, compared with that of placebo on the incidence of perioperative respiratory adverse events in pediatric patients undergoing tonsillectomy. METHODS: In […]

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Uncategorized Published - 26 June, 2023    By - Dr Clemens
The Wizard Behind the Drapes: The Tremendous Value Anesthesiologists Bring to Medicine

Author: Kishan P. Patel ASA Monitor July 2023, Vol. 87, 35. To most of the general populace, anesthesiology is a mystery. Asking around, an anesthesiologist’s job is crudely equated to that of a boxer – earning an income on knocking people out. Although there exists the common stereotype that a good anesthesiologist requires no extrinsic gratitude […]

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Uncategorized Published - 26 June, 2023    By - Dr Clemens
Student and Trainee Leadership Opportunities

Authors: Mohammed Hakim, MD et al  ASA Monitor July 2023, Vol. 87, 28. The ASA Resident Component (RC) and Medical Student Component (MSC) Governing Councils are elected member committees that direct the programs and activities for residents, fellows, and medical students at the national level. Elected members gain leadership experience and interact with peers and mentors […]

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Uncategorized Published - 23 June, 2023    By - Dr Clemens
CHATGPT AND ANESTHESIA

Author: Richard Novak, MD THE ANESTHESIA CONSULTANT June 2023 Gary Kasparov head to head.  Is it feasible that CHATGPT, this decades artificial intelligence wunderkind, can equal or better a physician anesthesiologist? I entered three anesthesia consultations into CHATGPT, one preoperative, one intraoperative, and one postoperative. Is CHATGPT as good as an MD? Let’s look at […]

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Uncategorized Published - 23 June, 2023    By - Dr Clemens
Anesthesia Incident Reporting System (AIRS) Case 2023-07: There’s Food in the Operating Room?

ASA Monitor July 2023, Vol. 87, 11. A 10-year-old boy with a complex past medical history notable for neonatal stroke resulting in cortical blindness, tracheo-esophageal fistula that was repaired in infancy, and ASD/VSD repair requiring subsequent pacemaker placement and pacemaker dependence presented for iliac bone graft for correction of an alveolar maxillary cleft defect. Preoperatively, the […]

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Uncategorized Published - 23 June, 2023    By - Dr Clemens
SEE Question

ASA Monitor July 2023, Vol. 87, 10. A 45-year-old woman is scheduled to undergo a bilateral mastectomy for metastatic breast cancer. According to a recent study of patients undergoing breast cancer surgery with general anesthesia maintained with propofol or volatile agents, which of the following MOST likely describes overall survival with use of propofol compared to […]

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Uncategorized Published - 23 June, 2023    By - Dr Clemens
TREK-1 and TREK-2 Knockout Mice Are Not Resistant to Halothane or Isoflurane

Authors: Kira A. Spencer, Ph.D. et al  Anesthesiology July 2023, Vol. 139, 63–76. Background A variety of molecular targets for volatile anesthetics have been suggested, including the anesthetic-sensitive potassium leak channel, TREK-1. Knockout of TREK-1 is reported to render mice resistant to volatile anesthetics, making TREK-1 channels compelling targets for anesthetic action. Spinal cord slices from […]

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Uncategorized Published - 23 June, 2023    By - Dr Clemens
Technology

ASA Monitor July 2023, Vol. 87, 12–34. Technology Infused tympanostomy tubes for treatment of middle ear infections Middle ear infections are extremely common and affect children especially, with 40% developing recurrent infections that can lead to complications like impaired hearing, speech and language delays, perforations in their eardrums, and life-threatening meningitis. “Tympanostomy tubes” (TTs) are surgically […]

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