Month: August 2024

Uncategorized Published - 7 August, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Anesthesiology August 2024, Vol. 141, A13–A15. Clonal hematopoiesis of indeterminate potential is associated with acute kidney injury. Nat Med 2024; 30:810–7. PMID: 38454125. Acute kidney injury after hypoperfusion is common and it has a higher occurrence in older patients but has not previously been clearly associated with genetic risk factors. Clonal hematopoiesis of indeterminate potential is […]

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Uncategorized Published - 7 August, 2024    By - Dr Clemens
Are Genome-wide Association Studies Worth the Trouble?

Authors: Jamie W. Sleigh, M.D.; Philip G. Morgan, M.D. Anesthesiology August 2024, Vol. 141, 214–216. “[T]he confusing results of GWAS do suggest that the mechanisms of how the genome manifests expression in a living human may be more subtle and complex than the traditionally taught paradigm of DNA–mRNA–tRNA–protein.” Practicing clinicians spend their days managing the variability in […]

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Uncategorized Published - 6 August, 2024    By - Dr Clemens
Discover The Best Anesthesiologist Opportunity in New Mexico

We are seeking a dedicated anesthesiologist to join our all-anesthesiologist group. Our team will consist of 4 full-time providers and 1 for vacation relief, managing 3 operating rooms. Position Highlights: Zero call for 3 weeks, followed by 1 week of call without daytime work only call after 7 PM therefore you may not work the […]

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Uncategorized Published - 6 August, 2024    By - Dr Clemens
Incidence and Risk Factors of Chronic Postoperative Pain in Same-day Surgery

Authors: Melodie Fanay Boko, B.Sc. et al  Anesthesiology August 2024, Vol. 141, 286–299. Background The amount of same-day surgery has increased markedly worldwide in recent decades, but there remains limited evidence on chronic postsurgical pain in this setting. Methods This study assessed pain 90 days after ambulatory surgery in an international, multicenter prospective cohort study of […]

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Uncategorized Published - 6 August, 2024    By - Dr Clemens
Does Celecoxib Prescription for Pain Management Affect Post-tonsillectomy Hemorrhage Requiring Surgery?

Authors: Vincent So, M.D. et al  Anesthesiology August 2024, Vol. 141, 313–325. Background Adenotonsillectomy and tonsillectomy (referred to as tonsillectomy hereafter) are common pediatric surgeries. Postoperative complications include hemorrhage requiring surgery (2 to 3% of cases) and pain. Although nonsteroidal anti-inflammatory drugs are commonly administered for postsurgical pain, controversy exists regarding bleeding risk with cyclooxygenase-1 inhibition […]

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Uncategorized Published - 6 August, 2024    By - Dr Clemens
When Drug Diversion Occurs In-House

Author: Aaron TallentMedCentral AI tools can help medical practices identify at-risk behavior among staff. In the first season of True Detective, detective Rust Cohle (Matthew McConaughey) enters a police evidence room in the 1990s and walks out with a brick of cocaine, saying, “They really need a better system for this.” While law enforcement has done […]

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Uncategorized Published - 6 August, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Anesthesiology September 2024, Vol. 141, A13–A15. Trial of early minimally invasive removal of intracerebral hemorrhage. N Engl J Med 2024; 390:1277–89. PMID: 38598795. It is widely accepted that the evacuation of acute supratentorial intracerebral hemorrhages does not improve patient outcomes. However, recent advances in minimally invasive neurosurgical techniques (such as trans-sulcal parafascicular surgery) enable effective hematoma […]

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Uncategorized Published - 6 August, 2024    By - Dr Clemens
Science, Medicine, and the Anesthesiologist

Anesthesiology August 2024, Vol. 141, A13–A15. Coronary sinus reducer for the treatment of refractory angina (ORBITA-COSMIC): A randomised, placebo-controlled trial. Lancet 2024; 403:1543–53. PMID: 38604209. Limited information is available from only canine or single-arm human observational studies for coronary sinus reduction devices, a mesh percutaneously placed in primary venous drainage of the heart as antianginal therapy. […]

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Uncategorized Published - 6 August, 2024    By - Dr Clemens
Painstaking Progress: A Call for Comprehensive Research and Consistent Outcome Measures of Postsurgical Pain

Authors: Stephan G. Frangakis, M.D., Ph.D.; Chad M. Brummett, M.D. Anesthesiology August 2024, Vol. 141, 211–213. “[I]n reality patients are spread along a spectrum of severity […], the use of continuous outcomes increases statistical power of a study, allowing for better detection of more subtle clinical effects.” Chronic postsurgical pain (CPSP) remains a significant challenge in healthcare, […]

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Uncategorized Published - 5 August, 2024    By - Dr Clemens
Artificial Intelligence in Anesthesiology: Field of Dreams or Fire Swamp? Preemptive Strategies for Optimizing Our Inevitable Future

Authors: Megan E. Salwei, Ph.D. Matthew B. Weinger, M.D., M.S. Anesthesiology August 2024, Vol. 141, 217–221. “This ‘field of dreams’ will quickly become a ‘fire swamp’ if AI is not designed and implemented with a human-centered approach.” Artificial intelligence (AI) is generating widespread enthusiasm due to its potential to transform the way we work and live. […]

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