Month: July 2023

Uncategorized Published - 14 July, 2023    By - Dr Clemens
What causes chest pain when you have lung cancer?

Author: Mathieu Rees MedicalNewsToday Lung tumors can cause chest pain that worsens when coughing, laughing, or breathing deeply. Chest pain is most likely to develop during the later stages of lung cancer. Lung cancer develops when lung cells begin to grow uncontrollably. Over time, this causes tumors to form within the lungs, sometimes causing chest […]

Read More
Uncategorized Published - 13 July, 2023    By - Dr Clemens
Comparison of the efficacy of 0.5% isobaric bupivacaine, 0.5% levobupivacaine, and 0.5% hyperbaric bupivacaine for spinal anesthesia in lower limb surgeries.

DG Journal Club Authors: Valery Piacherski, Lidziya Muzyka Sci Rep. 2023 Feb 15; 13(1): 2736 Various advantages of isobaric bupivacaine, levobupivacaine, and hyperbaric bupivacaine are described. There are no studies reliably determining the benefits of these forms of bupivacaine. The purpose of the study was to compare the efficacy of spinal anesthesia (SA) performed with […]

Read More
Uncategorized Published - 13 July, 2023    By - Dr Clemens
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 inserted into the eardrum to create an […]

Read More
Uncategorized Published - 13 July, 2023    By - Dr Clemens
Trends

Trends Doxycycline reduces sexually transmitted infections by two-thirds A study funded by the National Institute of Allergy and Infectious Diseases (NIAID) of men who have sex with men and transgender women found the oral antibiotic doxycycline prevented the acquisition of sexually transmitted infections (STIs) when taken within 72 hours of having condomless sex. The post-exposure […]

Read More
Uncategorized Published - 13 July, 2023    By - Dr Clemens
Professional Development: Where Do I Start?

James L. Hill, Jr., MD, MBA, CPE, FASA, FACHE et al  ASA Monitor July 2023, Vol. 87, 16–18. Physicians know the sacrifice and devotion needed to excel during college, medical school, and residency. While the path to becoming a physician is defined, the career journey after completing graduate medical education can become unclear. Professional development supplies […]

Read More
Uncategorized Published - 13 July, 2023    By - Dr Clemens
Trends and In-Hospital Mortality for Perioperative Myocardial Infarction After the Introduction of a Diagnostic Code for Type 2 Myocardial Infarction in the United States Between 2016 and 2018

AUTHORS: Rubin, Daniel S. MD, MS et al Anesthesia & Analgesia February 16, 2023. BACKGROUND: The frequency of perioperative myocardial infarction has been declining; however, previous studies have only described type 1 myocardial infarctions. Here, we evaluate the overall frequency of myocardial infarction with the addition of an International Classification of Diseases 10th revision (ICD-10-CM) […]

Read More
Uncategorized Published - 12 July, 2023    By - Dr Clemens
PACU Delirium in Older Adults: Is Aldrete Enough?

Authors: Julia Klein, MD et al  ASA Monitor July 2023, Vol. 87, 27–28. The PACU functions as a triage center where decisions are made as to whether the patient is ready for discharge, transfer to the floor, or whether continued ICU-level of care is needed. Although the 2013 ASA Practice Guidelines for Postanesthetic Care include mental […]

Read More
Uncategorized Published - 12 July, 2023    By - Dr Clemens
Increasing Physician Engagement: How to Be Compensated for Nonclinical Time

Authors: Jennifer J. Yuan, MD, MBA et al  ASA Monitor July 2023, Vol. 87, 21. Traditionally, a doctor’s role has been as a patient’s advocate, with a focus on medical care and clinical decision-making. To be an effective clinician, some believe that a physician should be separated from conflicting financial interests, and administrative management should be […]

Read More
Uncategorized Published - 12 July, 2023    By - Dr Clemens
Emotional Intelligence for Individuals and Organizations

Alexander S. Choi, MD, MPH, FASA; Authors: Michael B. Simon, MD, MBA, FASA; Carie M. Twichell, CAA, MSA ASA Monitor July 2023, Vol. 87, 19–20. In medicine, understanding verbal and nonverbal cues and effectively communicating with peers, colleagues, and patients are invaluable skills. It is an art form for some and a learned skillset for others. No […]

Read More
Uncategorized Published - 12 July, 2023    By - Dr Clemens
Updated meta-analysis on intraoperative inspired fraction of oxygen and the risk of surgical site infection in adults undergoing general and regional anesthesia.

DG Journal Club AUTHORS: Yoann El Maleh et al Sci Rep. 2023 Feb 11; 13(1): 2465 This updated meta-analysis aims at exploring whether the use of systematic high vs low intraoperative oxygen fraction (FiO2) may decrease the incidence of postoperative surgical site infection during general (GA) or regional anesthesia (RA). PubMed, Cochrane CENTRAL, ClinicalTrials.gov databases […]

Read More