Month: March 2024

Uncategorized Published - 27 March, 2024    By - Dr Clemens
Fascinating Image of Pentalogy of Cantrell: Navigating Challenges for Optimal Anesthesia Care

Authors: Rosa Maria Lopez-Rincon, M.D. et al  Anesthesiology March 2024. Pentalogy of Cantrell is a rare congenital condition with an incidence of one case for every 65,000 to 200,000 live births with around 250 probably underreported cases described in modern literature.  Pentalogy of Cantrell consists of five midline birth defects in their complete form, which include […]

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Uncategorized Published - 27 March, 2024    By - Dr Clemens
Addressing Postdural Puncture Headache: Guiding Clinicians Through Diagnosis and Management

Authors: Dibash Kumar Das, PhD; Pamela Flood, MD, MA ASA Monitor March 2024, Vol. 88, 1–4. Postdural puncture headache (PDPH) is a well-recognized complication resulting from a dural puncture during epidural analgesia, spinal anesthesia, or other neuraxial interventions. The incidence of unintended dural puncture during placement of an epidural catheter ranges widely, from less than 1% to […]

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Uncategorized Published - 27 March, 2024    By - Dr Clemens
Impaired Lactate Release in Dorsal CA1 Astrocytes Contributed to Nociceptive Sensitization and Comorbid Memory Deficits in Rodents

Authors: Shuang Han, B.S. et al  Anesthesiology March 2024, Vol. 140, 538–557. Background Memory deficits are a common comorbid disorder in patients suffering from neuropathic pain. The mechanisms underlying the comorbidities remain elusive. The hypothesis of this study was that impaired lactate release from dysfunctional astrocytes in dorsal hippocampal CA1 contributed to memory deficits. Methods A […]

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Uncategorized Published - 27 March, 2024    By - Dr Clemens
Successful Perimortem Cesarean Section With Cardiopulmonary Resuscitation and Anesthesia

Authors: Tomoyuki Iwai et al  Cureus 16(2): e55037. doi:10.7759/cureus.55037 Abstract Cardiac arrest after acute pulmonary edema in pregnancy is an uncommon event but one with a potentially disastrous outcome. We report the case of a pregnant woman with preeclampsia who presented with rapidly advancing pulmonary edema and subsequently went into cardiac arrest on arrival at […]

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Uncategorized Published - 27 March, 2024    By - Dr Clemens
2023 President’s Report: The Continued Quest To Fulfill Our Vision “That No One Shall Be Harmed By Anesthesia Care”

Author: Dan Cole, MD Anesthesia Patient Safety Foundation Volume 39, No. 1 • February 2024  Recent data continues to confirm the epidemic of preventable harm in American health care. In 2022 the U.S. Department of Health and Human Services Office of Inspector General released a report titled “Adverse Events in Hospitals: A Quarter of Medicare Patients […]

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Uncategorized Published - 26 March, 2024    By - Dr Clemens
Intraoperative Mechanical Power and Postoperative Pulmonary Complications in Noncardiothoracic Elective Surgery Patients

Authors: Bertrand Elefterion, M.D. et al  Anesthesiology March 2024, Vol. 140, 399–408. Background Postoperative pulmonary complications is a major issue that affects outcomes of surgical patients. The hypothesis was that the intraoperative ventilation parameters are associated with occurrence of postoperative pulmonary complications. Methods A single-center retrospective cohort study was conducted at the Lille University Hospital, France. […]

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Uncategorized Published - 26 March, 2024    By - Dr Clemens
Post-Alcohol Consumption Cognitive Performance

Authors: Todd Nelson, MD; Michael G. Fitzsimons, MD Anesthesia Patient Safety Foundation Volume 39, No. 1 • February 2024  To the Editor: For passenger safety and pilot performance, The Federal Aviation Administration (FAA) has several recommendations regarding alcohol consumption for pilots.1 A few are listed below. As a minimum, adhere to all the guidelines of 14 CFR […]

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Uncategorized Published - 26 March, 2024    By - Dr Clemens
Multicenter, Randomized, Placebo-controlled Crossover Trial Evaluating Topical Lidocaine for Mechanical Cervical Pain

Authors: Steven P. Cohen, M.D. et al  Anesthesiology March 2024, Vol. 140, 513–523. Background There are few efficacious treatments for mechanical neck pain, with controlled trials suggesting efficacy for muscle relaxants and topical nonsteroidal anti-inflammatory drugs. Although studies evaluating topical lidocaine for back pain have been disappointing, the more superficial location of the cervical musculature suggests […]

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Uncategorized Published - 26 March, 2024    By - Dr Clemens
Technology in Anesthesia

ASA Monitor March 2024, Vol. 88, 14. Test to assess risk for opioid use disorder The FDA has granted approval to the AutoGenomics, Inc. AvertD test, the first genetic laboratory test designed to assess the elevated risk of developing opioid use disorder in certain individuals. The test is a prescription-use-only genetic test for patients aged 18 […]

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Uncategorized Published - 26 March, 2024    By - Dr Clemens
An Alternative Approach for Selective Lung Ventilation

Authors: Husam Alsamman et al Cureus 15(4): e38126. doi:10.7759/cureus.38126 Abstract Single lung ventilation (SLV) with the double lumen tube (DLT) has been an effective process for providing surgical exposure in the thoracic cavity and has been applied effectively in the operating room. SLV also aids in protecting a healthy lung from the ill effects of […]

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