Month: July 2024

Uncategorized Published - 31 July, 2024    By - Dr Clemens
Determination of the Optimal Volume of 0.5% Ropivacaine in Single-Injection Retroclavicular Brachial Plexus Block for Arthroscopic Shoulder Surgery

Authors: Hongye Zhang, MD et al  Anesthesiology July 2024. Background A brachial plexus block plays an important role in providing perioperative analgesia for shoulder surgery; however, the inherent risk of phrenic nerve block and resulting hemidiaphragmatic paralysis may limit its use in patients with compromised pulmonary function. This study aimed to evaluate safety, efficacy, the […]

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Uncategorized Published - 31 July, 2024    By - Dr Clemens
Accuracy and Precision of Three Acceleromyographs, Three Electromyographs, and a Mechanomyograph Measuring the Train-of-four Ratio in the Absence of Neuromuscular Blocking Drugs

Authors: Zain Wedemeyer, B.S. et al  Anesthesiology August 2024, Vol. 141, 262–271. Background The accuracy and precision of currently available, widely used acceleromyograph and electromyograph neuromuscular blockade monitors have not been well studied. In addition, the normalization of the train-of-four ratio from acceleromyography (train-of-four ratio [T4/T1] divided by the baseline train-of-four ratio) has not been validated […]

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Uncategorized Published - 31 July, 2024    By - Dr Clemens
Decision-making in Perioperative Oliguria: Comment

Authors: Robert G. Hahn, M.D., Ph.D.; Patrick Y. Wuethrich, M.D., Ph.D. Anesthesiology July 2024. To the Editor: We have read the article by Tallarico et al. on perioperative oliguria and congratulate the authors on their well-articulated exploration of this complex topic. We would, however, like to highlight some commonly overlooked aspects. We believe that the diagnostic criteria for […]

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Uncategorized Published - 31 July, 2024    By - Dr Clemens
Decision-making in Perioperative Oliguria: Reply

Authors: Matthieu Legrand, M.D., Ph.D. et al  Anesthesiology July 2024. In Reply: In response to Hahn and Wuethrich’s comment on our article we agree that creatinine-based definitions of acute kidney injury (AKI) are imperfectly specific for damage to kidney tissue, and many such cases of AKI may represent adaptive changes in renal hemodynamics in response to […]

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Uncategorized Published - 31 July, 2024    By - Dr Clemens
A Mixed-Methods Cohort Study Evaluating the Impact of a One-Day Well-Being Course for Anesthesia Providers Working in Low-Resource Settings

AUTHORS: Bailey, Jonathan G. MD, MSc, FRCPC et al  Anesthesia & Analgesia 139(2):p 375-384, August 2024. BACKGROUND: Burnout, depression, and anxiety are increasingly recognized as common among health care providers. Risks for these conditions are exacerbated in low-resource settings by excessive workload, high disease burden, resource shortage, and stigma against mental health issues. Based on discussions […]

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Uncategorized Published - 30 July, 2024    By - Dr Clemens
Determination of the Optimal Volume of 0.5% Ropivacaine in Single-Injection Retroclavicular Brachial Plexus Block for Arthroscopic Shoulder Surgery

Authors: Hongye Zhang, MD et al  Anesthesiology July 2024. Background A brachial plexus block plays an important role in providing perioperative analgesia for shoulder surgery; however, the inherent risk of phrenic nerve block and resulting hemidiaphragmatic paralysis may limit its use in patients with compromised pulmonary function. This study aimed to evaluate safety, efficacy, the […]

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Uncategorized Published - 30 July, 2024    By - Dr Clemens
Safety and Efficacy of Vocacapsaicin for Management of Postsurgical Pain

Authors: Steven L. Shafer, M.D. et al  Anesthesiology August 2024, Vol. 141, 250–261. Background Nonopioid management of postsurgical pain remains a major unmet need. Few studies have evaluated transient receptor potential vanilloid subfamily member 1 agonists for analgesia after surgery. This study examines intraoperative vocacapsaicin, a novel prodrug of the transient receptor potential vanilloid subfamily member […]

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Uncategorized Published - 30 July, 2024    By - Dr Clemens
How Sleep and Chronic Pain Are Connected

Author: Dr Nikesh Seth Feedspot Weekly Sleep is fundamental to good health and essential for everything from immune function to mental well-being. However, for those among the estimated 50 million U.S. adults suffering from chronic pain, sleep is not just hard to achieve but frequently interrupted by constant pain and inability to stay calm. This blog examines […]

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Uncategorized Published - 30 July, 2024    By - Dr Clemens
Clinical Knowledge and Reasoning Abilities of AI Large Language Models in Anesthesiology: A Comparative Study on the American Board of Anesthesiology Examination

AUTHORS: Angel, Mirana C. MSc et al  Anesthesia & Analgesia 139(2):p 349-356, August 2024. BACKGROUND: Over the past decade, artificial intelligence (AI) has expanded significantly with increased adoption across various industries, including medicine. Recently, AI-based large language models such as Generative Pretrained Transformer-3 (GPT-3), Bard, and Generative Pretrained Transformer-3 (GPT-4) have demonstrated remarkable language capabilities. While […]

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Uncategorized Published - 30 July, 2024    By - Dr Clemens
Providence, anesthesiology group sued for alleged negligence

Author: Kelly Gooch Becker’s Hospital Review Providence and Oregon Anesthesiology Group are facing a class-action lawsuit for alleged negligence after thousands of patients learned that they may have been exposed to hepatitis B, hepatitis C and HIV due to a physician’s inadequate infection control practices, according to court documents accessed by Becker’s. Plaintiffs in the lawsuit, filed July […]

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