Month: June 2024

Uncategorized Published - 24 June, 2024    By - Dr Clemens
Liposomal Bupivacaine for Peripheral Nerve Blockade

Authors: Markus Zadrazil, M.D. et al  Anesthesiology July 2024, Vol. 141, 24–31. Background Little is known about the pharmacodynamic characteristics of liposomal bupivacaine. Hypothesizing that they would not identify pharmacodynamic differences from plain bupivacaine during the initial period after administration, but would find better long-term pharmacodynamic characteristics, the authors designed a randomized, controlled, triple-blinded, single-center study […]

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Uncategorized Published - 24 June, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Authors: William G. Tharp, M.D., Ph.D. Image: J. P. Rathmell. Anesthesiology July 2024, Vol. 141, A13–A15. Key Papers from the Most Recent Literature Relevant to Anesthesiologists Glucagon-like peptide-1 receptor agonist use and residual gastric content before anesthesia. JAMA Surg 2024 Mar 6 Glucagon-like peptide-1 receptor agonist use has precipitously increased as effective treatment for type […]

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Uncategorized Published - 24 June, 2024    By - Dr Clemens
Vital Sign Data Quality: Not Just a Retrospective Research Problem

Author: Patrick J. McCormick, M.D., M.Eng. Anesthesiology July 2024, Vol. 141, 4–6. “Vital sign data artifacts not only are a problem for retrospective observational research but also pose a threat to the accuracy of automated quality measures and pragmatic prospective clinical trial results.” An essential skill of an experienced anesthesiologist is to quickly determine when a […]

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Uncategorized Published - 24 June, 2024    By - Dr Clemens
Effects of Positive End-expiratory Pressure on Pulmonary Perfusion Distribution and Intrapulmonary Shunt during One-lung Ventilation in Pigs

Authors: Jakob Wittenstein, M.D. et al  Anesthesiology July 2024, Vol. 141, 44–55. Background During one-lung ventilation (OLV), positive end-expiratory pressure (PEEP) can improve lung aeration but might overdistend lung units and increase intrapulmonary shunt. The authors hypothesized that higher PEEP shifts pulmonary perfusion from the ventilated to the nonventilated lung, resulting in a U-shaped relationship with […]

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Uncategorized Published - 21 June, 2024    By - Dr Clemens
Society of Anesthesia and Sleep Medicine: Safety of Patients with Obstructive Sleep Apnea in the Perioperative Period

Authors: Mandeep Singh, MBBS, MD, MSc, FRCPC et al  Anesthesia Patient Safety Fountation June 2024 Volume 39, No. 2  INTRODUCTION The Society of Anesthesia and Sleep Medicine (SASM) was founded in 2010 as a collaboration between anesthesia professionals and sleep specialists focused on the perioperative safety of patients with sleep disorders. Obstructive sleep apnea (OSA) […]

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Uncategorized Published - 21 June, 2024    By - Dr Clemens
Evidence-based Perioperative Practice Disparity: Comment

Authors: Myles Hardeman, M.D. et al  Anesthesiology June 2024. To the Editor: We read the study titled “Evidence-based Perioperative Practice Utilization among Various Racial Populations—A Retrospective Cohort Trending Analysis of Lower Extremity Total Joint Arthroplasty Patients.” It included 3.4 million lower extremity arthroplasty patients from 2006 to 2021. The authors used these data to determine […]

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Uncategorized Published - 21 June, 2024    By - Dr Clemens
Evidence-based Perioperative Practice Disparity: Reply

Authors: Jashvant Poeran, M.D., Ph.D. et al  ` Anesthesiology June 2024. In Reply: We thank Milam et al. for reading our publication and initiating discussions to promote future research. First, the authors suggested that inadequate “fidelity” of evidence-based perioperative practice may partially explain persistent Black-White disparities observed in our study, i.e., a definition of evidence-based perioperative practice […]

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Uncategorized Published - 21 June, 2024    By - Dr Clemens
Why Should I Obtain the Certified Professional in Patient Safety (CPPS) Credential?

Authors: Jonathan B. Cohen, MD, MS, FASA, CPPS; Patricia A. McGaffigan, MS, RN, CPPS Anesthesia Patient Safety Foundation June 2024 Volume 39, No. 2 SUMMARY:Although significant progress has been made in patient safety since the publication of the Institute of Medicine’s Report To Err is Human 25 years ago, there is evidence that progress is slowing down. […]

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Uncategorized Published - 21 June, 2024    By - Dr Clemens
CRNA pay is skyrocketing. Here’s why

Author: Patsy Newitt Becker’s ASC Review Certified registered nurse anesthetist compensation is rising across the country as anesthesia provider shortages plague hospitals and ASCs, VMG Health said in a May 22 blog post. Here are 10 key notes on why CRNA compensation is rising, according to the VMG Health article: 1. Although CRNA level of autonomy varies by market, the […]

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Uncategorized Published - 20 June, 2024    By - Dr Clemens
Antithrombin Levels and Heparin Responsiveness during Venoarterial Extracorporeal Membrane Oxygenation

Authors: Alexandre Mansour, M.D., Ph.D. et al  Anesthesiology June 2024, Vol. 140, 1153–1164. Background Unfractionated heparin, administered during venoarterial extracorporeal membrane oxygenation to prevent thromboembolic events, largely depends on plasma antithrombin for its antithrombotic effects. Decreased heparin responsiveness seems frequent on extracorporeal membrane oxygenation; however, its association with acquired antithrombin deficiency is poorly understood. The objective […]

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