Month: September 2023

Uncategorized Published - 7 September, 2023    By - Dr Clemens
Residency Training Initiatives to Enhance Rural Anesthesia and Perioperative Care

Authors: Suzanne Karan, MD, FASA et al  ASA Monitor September 2023, Vol. 87, 25–26. Anesthesiologist shortages contribute care delivery challenges in the United States (Anesth Analg 2019;129:294-300). Addressing the crisis of access to anesthetic care in our underserved populations requires the incorporation of specific education and training enhancements within our current residency programs about the lifestyle […]

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Uncategorized Published - 7 September, 2023    By - Dr Clemens
Why I Prescribe SNRIs for Chronic Pain, Regardless of a Mental Health Diagnosis

Author: Courtney Kominek, PharmD, BCPS, CPE Practical Pain Management Volume 23 Issue 4 SNRIs are established, guideline-approved treatment options for both psychiatric and chronic pain diagnoses. When to use them, when to avoid them. Two for the price of one. Buy one, get one free. Everyone loves a good deal, right? Chronic pain and mental […]

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Uncategorized Published - 7 September, 2023    By - Dr Clemens
Derivation, Validation, Sustained Performance, and Clinical Impact of an Electronic Medical Record–Based Perioperative Delirium Risk Stratification Tool

AUTHORS: Whitlock, Elizabeth L. MD, MSc et al  Anesthesia & Analgesia 131(6):p 1901-1910, December 2020. BACKGROUND: Postoperative delirium is an important problem for surgical inpatients and was the target of a multidisciplinary quality improvement project at our institution. We developed and tested a semiautomated delirium risk stratification instrument, Age, WORLD backwards, Orientation, iLlness severity, Surgery-specific risk […]

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Uncategorized Published - 7 September, 2023    By - Dr Clemens
Financial Stewardship and Securing the Future: One and the Same

Author: James Mesrobian, MD, MBA, FASA, FACHE ASA Monitor September 2023, Vol. 87, 6–7. As anesthesiologists, we sometimes are reminded that much of the public and key stakeholders (executives, colleagues, legislators) are not aware that anesthesiologists are physicians. Consider the following three true stories. While riding to the annual meeting in New Orleans last fall, an […]

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Uncategorized Published - 6 September, 2023    By - Dr Clemens
Preoperative Factors Predict Memory Decline After Coronary Artery Bypass Grafting or Percutaneous Coronary Intervention in an Epidemiological Cohort of Older Adults

Authors: Angelina B. Tang et al Journal of the American Heart Association. Dec 30, 2022 Background Durable memory decline may occur in older adults after surgical (coronary artery bypass grafting [CABG]) or nonsurgical (percutaneous coronary intervention) coronary revascularization. However, it is unknown whether individual memory risk can be predicted. We reanalyzed an epidemiological cohort of […]

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Uncategorized Published - 6 September, 2023    By - Dr Clemens
Perioperative Care for Aging Rural Populations: Barriers to Care and Potential Solutions

Authors: Heather Lander, MD et al  ASA Monitor September 2023, Vol. 87, 21. Projections from the United States census anticipate that one quarter of Americans will be 65 years or older within a decade, effectively doubling to 95 million older adults (asamonitor.pub/3pLIbun). The Administration on Aging finds over 17% of people living in the U.S. […]

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Uncategorized Published - 6 September, 2023    By - Dr Clemens
Training the Next Generation of Anesthesiologists: A Challenging but Essential Task

Authors: Zachary Deutch, MD, FASA; Sascha Beutler, MD, PhD ASA Monitor September 2023, Vol. 87, 28–29. All residents have much to learn, since none of us graduate from medical school as clinical or procedural experts. Who doesn’t remember their initial attempts at placing an intravenous or arterial line or tentatively performing a direct laryngoscopy and (hopefully) intubating? […]

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Uncategorized Published - 6 September, 2023    By - Dr Clemens
The Stimulant Overdose Crisis

Authors: William Amarquaye, PharmD et al Practical Pain Management Volume 23 Issue 4 With an unprecedented surge in psychostimulant-related deaths due to cross-contamination of illicitly manufactured fentanyl, here’s what prescribers and physicians need to know, including monitoring and mitigating risk, for their patients who use methamphetamine and cocaine. A Special Report. Background: It Started with […]

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Uncategorized Published - 6 September, 2023    By - Dr Clemens
An Implementation-Effectiveness Study of a Perioperative Delirium Prevention Initiative for Older Adults

AUTHORS: Donovan, Anne L. MD et al BACKGROUND: Postoperative delirium is a common and serious problem for older adults. To better align local practices with delirium prevention consensus guidelines, we implemented a 5-component intervention followed by a quality improvement (QI) project at our institution. METHODS: This hybrid implementation-effectiveness study took place at 2 adult hospitals […]

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Uncategorized Published - 5 September, 2023    By - Dr Clemens
Perioperative changes in neurocognitive and Alzheimer’s disease-related cerebrospinal fluid biomarkers in older patients randomised to isoflurane or propofol for anaesthetic maintenance

Authors: Daniel Villalobos et al British Journals of Anaesthesia June 2023 Background Animal studies have shown that isoflurane and propofol have differential effects on Alzheimer’s disease (AD) pathology and memory, although it is unclear whether this occurs in humans. Methods This was a nested randomised controlled trial within a prospective cohort study; patients age ≥60 […]

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