Month: December 2023

Uncategorized Published - 6 December, 2023    By - Dr Clemens
Hospital Leadership – A Difficult Task That Is Not Getting Any Easier

Authors: Zachary Deutch, MD, FASA; Russ Armistead, MBA ASA Monitor November 2023, Vol. 87, 10–11. Behind every successful leader is a great support network! Pictured are members of the Armistead family cheering on the Wake Forest football team. Left to right: Mr. Armistead’s wife, daughter, granddaughter, son-in-law, and grandson. Many ASA members have interacted with members […]

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Uncategorized Published - 6 December, 2023    By - Dr Clemens
Movement-evoked pain versus pain at rest in postsurgical clinical trials, and, in meta-analyses

Authors: Ian Gilron, MD, MSc, FRCPC et al Anesthesiology November 2023. Background Given the widespread recognition that postsurgical movement-evoked pain (MEP) is generally more intense, and more functionally relevant, than pain at rest (PAR), we conducted an update to a previous 2011 review to re-evaluate the assessment of PAR and MEP in more recent postsurgical […]

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Uncategorized Published - 6 December, 2023    By - Dr Clemens
Preoperative Ultrasound-Guided Internal Branch Block of Superior Laryngeal Nerve Reduces Postoperative Sore Throat Caused by Double Lumen Endotracheal Intubation

AUTHORS: Chen, Zheping MM et al Anesthesia & Analgesia 137(6):p 1270-1278, December 2023. BACKGROUND: Postoperative sore throat (POST) is one of the more common side effects of tracheal intubation patients under general anesthesia (GA) after extubation using double-lumen endobronchial tubes (DLTs). The internal branches of the superior laryngeal nerve (SLN) block (iSLNB) have been reported to […]

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Uncategorized Published - 6 December, 2023    By - Dr Clemens
Age-Dependent Electroencephalogram Features in Infants Under Spinal Anesthesia Appear to Mirror Physiologic Sleep in the Developing Brain

AUTHORS: Santa Cruz Mercado, Laura A. MD et al Anesthesia & Analgesia 137(6):p 1241-1249, December 2023.  BACKGROUND: Infants under spinal anesthesia appear to be sedated despite the absence of systemic sedative medications. In this prospective observational study, we investigated the electroencephalogram (EEG) of infants under spinal anesthesia and hypothesized that we would observe EEG features […]

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Uncategorized Published - 6 December, 2023    By - Dr Clemens
National Survey of Combined Pediatrics-Anesthesiology Residents and Graduates: Factors Contributing to Changing Career Aspirations Over Time

AUTHORS: Liu, Jia MD et al Anesthesia & Analgesia 137(6):p 1250-1256, December 2023. BACKGROUND: The Dual Pathway for Certification in Pediatrics and Anesthesiology was created in 2011 to develop leaders in caring for children with complex medical and surgical conditions. While existing dual-trained practitioners report continued practice in both pediatric anesthesiology (PA) and pediatric critical care […]

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Uncategorized Published - 5 December, 2023    By - Dr Clemens
Association of Genetic Variants with Postsurgical Pain

Authors: Stephan G. Frangakis, M.D., Ph.D. et al  Anesthesiology December 2023, Vol. 139, 827–839. Background Postsurgical pain is a key component of surgical recovery. However, the genetic drivers of postsurgical pain remain unclear. A broad review and meta-analyses of variants of interest will help investigators understand the potential effects of genetic variation. Methods This article is […]

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Uncategorized Published - 5 December, 2023    By - Dr Clemens
Determination of the Optimal Volume of Programmed Intermittent Epidural Bolus When Combined With the Dural Puncture Epidural Technique for Labor Analgesia

AUTHORS: Xiao, Fei MD et al Anesthesia & Analgesia 137(6):p 1233-1240, December 2023. BACKGROUND: The dural puncture epidural (DPE) and the programmed intermittent epidural bolus (PIEB) techniques are recent innovations for labor analgesia. The optimal volume of PIEB during traditional epidural analgesia has been investigated previously but it is unknown whether these findings are applicable to […]

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Uncategorized Published - 5 December, 2023    By - Dr Clemens
Postdischarge Survival After Sepsis: A Cohort Study

AUTHORS: Engoren, Milo MD, FCCM et al Anesthesia & Analgesia 137(6):p 1216-1225, December 2023. BACKGROUND: After hospital discharge, patients who had sepsis have increased mortality. We sought to estimate factors associated with postdischarge mortality and how they vary with time after discharge. METHODS: This was a retrospective study of hospital survivors of sepsis using time-varying Cox […]

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Uncategorized Published - 5 December, 2023    By - Dr Clemens
Incidence of Interstitial Alveolar Syndrome on Point-of-Care Lung Ultrasonography in Pre-eclamptic Women With Severe Features

AUTHORS: Yagani, Seshagiribabu MD et al  Anesthesia & Analgesia 137(6):p 1158-1166, December 2023. BACKGROUND: Lung interstitial edema is a clinically silent pathology that develops before overt pulmonary edema among pre-eclamptic women with severe features. Point-of-care lung ultrasonography (LUS) has been suggested as an accessible bedside tool that may identify lung interstitial edema before developing clinical signs […]

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Uncategorized Published - 5 December, 2023    By - Dr Clemens
Implementation of Nephroprotective Measures to Prevent Acute Kidney Injury in Septic Patients

AUTHORS: Sadjadi, Mahan MD et al Anesthesia & Analgesia 137(6):p 1226-1232, December 2023. BACKGROUND:  Sepsis remains the leading cause of mortality in critically ill patients, and mortality is increased when acute kidney injury (AKI) occurs. The Kidney Disease: Improving Global Outcomes (KDIGO) guideline recommends the implementation of supportive measures in patients at high risk for AKI. […]

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