Month: April 2024

Uncategorized Published - 19 April, 2024    By - Dr Clemens
What Language Is the Brain Speaking?

Authors: Jamie W. Sleigh, M.D.; Logan Voss, Ph.D. Anesthesiology May 2024, Vol. 140, 881–883. “[T]he optimal monitor of consciousness for anesthesia will be the one that is quantifying disturbances at whichever syntactic level is most closely linked to the actual generation of the brain semantics (i.e., the ‘mind’).” The prevailing paradigm of brain function assumes that […]

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Uncategorized Published - 19 April, 2024    By - Dr Clemens
Mechanical Energy and Power: Time to Incorporate Them into Routine Monitoring of Mechanical Ventilation?

Authors: Marcelo Gama de Abreu, M.D., M.Sc., Ph.D., D.E.S.A.I.C. et al  “The question that immediately arises from the current post hoc analysis is whether longer exposure times to low mechanical power may also promote ventilator-induced lung injury or whether there is a safety threshold below which no harm is caused to the lung irrespective of the duration […]

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Uncategorized Published - 19 April, 2024    By - Dr Clemens
Man sentenced to 18 years for Missouri ASC stabbing

Author: Claire Wallace Becker’s ASC Review A man has been sentenced to 18 years in prison for a 2021 stabbing inside of Mercy Surgery Center-Springfield (Mo.), according to an April 12 report from NBC affiliate KYTV. In January, Charles Turner pled guilty to first-degree domestic assault after stabbing an employee at the ASC. The employee survived the attack […]

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Uncategorized Published - 18 April, 2024    By - Dr Clemens
Liposomal Bupivacaine for Abdominal Fascial Plane Blocks

Authors: Ashraf S. Habib, M.B.B.Ch., M.Sc., M.H.Sc., F.R.C.A. et al  Anesthesiology May 2024, Vol. 140, 871–873. “Current but limited literature does suggest that […] a transversus abdominis plane block with liposomal bupivacaine might provide benefit over plain bupivacaine.” Optimizing postoperative analgesia with multimodal, opioid-sparing analgesic protocols is crucial to promote enhanced recovery after surgery. The incorporation […]

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Uncategorized Published - 18 April, 2024    By - Dr Clemens
A Window into the Developing Brain: Toward a Deeper Understanding of Pediatric Anesthesia

Authors: Jerry Y. Chao, M.D., M.Sc. et al  Anesthesiology May 2024, Vol. 140, 863–864. Topics: “There is a growing body of research on feasibility and effectiveness of EEG-guided approaches to […] inform anesthetic titration.” General anesthesia induces dramatic neurophysiological changes that can be observed on the electroencephalogram (EEG). In this month’s issue of Anesthesiology, Martin et al. […]

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Uncategorized Published - 18 April, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Anesthesiology May 2024, Vol. 140, A13–A15. Hormonal basis of sex differences in anesthetic sensitivity. Proc Natl Acad Sci USA 2024; 121:e2312913120. PMID: 38190526. Article Selection: Michael Zaugg, M.D., M.B.A. Image: Adobe Stock. Recent studies suggest an increased likelihood of intraoperative awareness in female patients. However, most investigations were not designed to identify sex differences in anesthetic […]

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Uncategorized Published - 18 April, 2024    By - Dr Clemens
Forgotten Goiter Presenting As Acute Respiratory Distress Following a Thyroidectomy

Authors:  Marques B et al Cureus 16(2): e54933. doi:10.7759/cureus.54933 Abstract Airway complications account for a significant amount of post-thyroidectomy complications. Forgotten goiter is a residual thyroid mass left after total thyroidectomy, an event already depicted in the literature. Clinical presentation is diverse, ranging from asymptomatic tracheal deviation to symptoms caused by hormonally active thyroid tissue […]

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Uncategorized Published - 18 April, 2024    By - Dr Clemens
Drug Utilization Research and Predictors of Outcomes in the Intensive Care Unit of a Tertiary Care Hospital

Authors: Mittal N et al Cureus 15(12): e50653. doi:10.7759/cureus.50653 Abstract Background: Multiple drugs are commonly prescribed to intensive care unit (ICU) patients owing to the disease profile, multiple organ dysfunction, prophylaxis, management of stress ulcers, nosocomial infections, etc. This study aimed to evaluate the drug utilization patterns and factors influencing mortality and duration of stay […]

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Uncategorized Published - 18 April, 2024    By - Dr Clemens
Anesthesiologist found guilty of poisoning IV bags at ASC

Author: Patsy Newitt Becker’s ASC Review Raynaldo Ortiz Jr., MD, a former anesthesiologist at Baylor Scott & White Surgicare North Dallas, has been found guilty on 10 counts of tampering with IV bags and the adulteration of drugs, NBC affiliate KXAS reported April 12. Dr. Ortiz was accused of injecting drugs into five IV bags and putting […]

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Uncategorized Published - 17 April, 2024    By - Dr Clemens
Off‐pump coronary surgery (OPCAB), advatages and disadvantages

Cardiac Anesthesiologist “Off-pump” coronary bypass bypass surgery (OPCAB) was developed in response to concerns regarding the potential side effects of CPB. The goal of this procedure is to achieve total revascularization while avoiding CPB. Positioning the heart for transplantation without compromising hemodynamics is achieved with the use of several retraction devices and deep pericardial sutures. […]

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