Month: April 2024

Uncategorized Published - 29 April, 2024    By - Dr Clemens
Individual PEEP in Obesity: Comment

Authors: Roberto González, M.D. et al  Anesthesiology May 2024, Vol. 140, 1050–1051. To the Editor: We read with great interest the article published by Li et al., which addresses a topic still under discussion in the literature: the individualization of positive end-expiratory pressure (PEEP) in mechanically ventilated patients during surgery. In this study, the authors compared […]

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Uncategorized Published - 29 April, 2024    By - Dr Clemens
Stability of Epinephrine, Norepinephrine, and Phenylephrine for Intravenous Infusions Stored in Three Commercial Plastic Syringe Brands

Authors: Victor M. Neira, M.D., M.A.Ed. et al  Anesthesiology May 2024, Vol. 140, 1047–1049. To the Editor: Hypotensive states commonly require intravenous infusions of inopressors such as epinephrine, norepinephrine, and phenylephrine.  Traditionally, these high-alert medications were prepared in plastic bags at “standard” concentrations and administered using high-volume infusion pumps. Several studies have documented the stability of these […]

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Uncategorized Published - 28 April, 2024    By - Dr Clemens
It’s Time Hospitals Abandon Nitrous Oxide Pipes

Author: Jodi D. Sherman, MD ASA Monitor February 2024, Vol. 88, 33. Recently, hospitals on three separate continents independently discovered that most of their nitrous oxide (between 75% and 95%) leaks out through central piping manifolds prior to use, wasting money and polluting the atmosphere (Anaesthesia 2022;77:1023-9). This led to the creation of the Nitrous Oxide Project […]

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Uncategorized Published - 28 April, 2024    By - Dr Clemens
Committee on Environmental Health Releases New Edition of ‘Greening the Operating Room and Perioperative Arena’

Author: Jodi D. Sherman, MD ASA Monitor March 2024, Vol. 88, 9–10. The ASA Committee on Environmental Health is pleased to announce the release of the third edition of Greening the Operating Room and Perioperative Arena: Environmental Sustainability in Anesthesia Practice (asamonitor.pub/GORPA). This resource document is widely read and referenced by clinicians, administrators, and policymakers across […]

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Uncategorized Published - 28 April, 2024    By - Dr Clemens
Cortical Dynamics and Postoperative Cognition: Comment

Authors: Akira Kubo, M.S. Koji Hosokawa, M.D., Ph.D. Anesthesiology April 2024. To the Editor: We read with great interest the recent article by Vlisides et al. The authors demonstrated that while intraoperative cortical connectivity measured using 16-channel electroencephalography (EEG) was not linked to postoperative cognitive function, global theta activity was associated with postoperative delirium. The potential utility […]

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Uncategorized Published - 28 April, 2024    By - Dr Clemens
The Heat Is On: Anesthesiologists Confronting Health Complications in a Warming World

Authors: Dibash Kumar Das, PhD; Steven Shafer, MD, FASA ASA Monitor November 2023, Vol. 87, 1–5. Anesthesiologists are often at the forefront of new challenges in patient care. Anesthesiologists will be leaders in adapting health care delivery and hospital infrastructure to the escalating impacts of climate change. Climate change has led to more frequent and severe extreme […]

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Uncategorized Published - 28 April, 2024    By - Dr Clemens
Cortical Dynamics and Postoperative Cognition: Reply

Author: Phillip E. Vlisides, M.D. Anesthesiology April 2024. In Reply: We thank Mr. Kubo and Dr. Hosokawa for their interest in our study.  Perioperative neurocognitive disorders are a major public health issue, and advancing our neurobiologic understanding of these impairments represents an important step toward prevention and management. Our team welcomes the opportunity to discuss the […]

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Uncategorized Published - 27 April, 2024    By - Dr Clemens
Type II Genial Tubercle Fracture

Authors: Ji Wang, M.D., Ph.D. et al  Anesthesiology April 2024. Type II genial tubercle fracture, associated with traumatic mandibular fracture, may cause life-threatening airway compromise. In a case of a 12-yr-old boy with traumatic comminuted mandibular fracture, after anesthesia induction, hypoxia rapidly developed due to a limited view during direct laryngoscopy, intraoral bleeding, resistance to […]

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Uncategorized Published - 27 April, 2024    By - Dr Clemens
Bad news for anesthesia

Author: Riz Hatton Becker’s ASC Review Here are three major concerns plaguing the anesthesia industry. Consolidation and private equity influence  Thomas Durick, MD, anesthesiologist at Columbus-based Ohio State University Wexner Medical Center, told Becker’s: “As private equity firms keep buying up practices and making promises to hospital administrators they cannot keep (such as “We can reduce your […]

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Uncategorized Published - 27 April, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Anesthesiology May 2024, Vol. 140, A13–A15. Conservative versus liberal oxygenation targets in critically ill children (Oxy-PICU): A UK multicentre, open, parallel-group, randomised clinical trial. Lancet 2024; 403:355–64. PMID: 38048787. Article Selection: Beatrice Beck-Schimmer, M.D. Image: Adobe Stock. Various clinical trials have been performed to identify the optimal oxygenation for invasively ventilated children, but it remains unclear […]

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