Month: August 2024

Uncategorized Published - 27 August, 2024    By - Dr Clemens
External Ventricular Drain Safety Campaign: A SNACC Global Patient Safety Initiative

Authors: Abhijit V. Lele, MBBS, MD, MSCR, FNCS, CPHQ; John F. Bebawy, MD ASA Monitor August 2024, Vol. 88, e2–e3. An external ventricular drain (EVD) or ventriculostomy is a multi-orifice catheter inserted into a cerebral ventricle of a patient with acute symptomatic hydrocephalus due to spontaneous subarachnoid hemorrhage, intracerebral/intraventricular hemorrhage, or traumatic brain injury. It is estimated […]

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Uncategorized Published - 27 August, 2024    By - Dr Clemens
A Call to Action: Shaping the Future of Pediatric Pain Medicine

Authors: Amber N. Borucki, MD et al  ASA Monitor August 2024, Vol. 88, 27–28. ASA issued a landmark Statement on the Practice of Pediatric Pain in October 2023, advocating for board-certified, pain physician-lead care for all pediatric pain patients. This is the first official practice statement created to address the topic of pediatric pain care by […]

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Uncategorized Published - 26 August, 2024    By - Dr Clemens
CORRECTION OF TRAUMA-INDUCED COAGULOPATHY BY GOAL DIRECTED THERAPY

AUTHORS: Charlotte Lindsay, MSc et al  Anesthesiology August 2024. BACKGROUND Trauma hemorrhage induces a coagulopathy with a high associated mortality rate. The Implementing Treatment Algorithms for the Correction of Trauma Induced Coagulopathy (ITACTIC) randomized trial tested two goal-directed treatment algorithms for coagulation management, one guided by conventional coagulation tests and one by viscoelastic hemostatic assays […]

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Uncategorized Published - 26 August, 2024    By - Dr Clemens
Hospital average days cash on hand hit 10-year low: S&P

Author: Laura Dyrda Becker’s CFO Report Median days cash on hand dipped to a 10-year low for U.S. hospitals and health systems, according to an Aug. 7 S&P Global Ratings’ report. In 2023, overall operating expenses grew 5% after a 17% growth in 2022, and median total operating revenue was up 8.8% last year. There […]

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Uncategorized Published - 26 August, 2024    By - Dr Clemens
SEE Question

ASA Monitor August 2024, Vol. 88, 23. You obtain consent for general anesthesia from your patient with treatment-resistant major depression undergoing electroconvulsive therapy (ECT). Afterward, the patient asks about a ketamine infusion instead of ECT. According to a recent noninferiority trial comparing interventions for treatment-resistant major depression (without psychosis), which of the following outcomes is MOST […]

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Uncategorized Published - 26 August, 2024    By - Dr Clemens
Technology in Anesthesiology

ASA Monitor August 2024, Vol. 88, 30. Improving cancer screening with extracellular vesicle imaging A new method for detecting cancer, combining PANORAMA imaging with fluorescent imaging, demonstrates a 98.7% accuracy rate and potential for detecting cancer in its earliest stages, potentially revolutionizing cancer diagnosis. This method allows researchers to examine nanometer-sized membrane sacs called extracellular vesicles […]

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Uncategorized Published - 26 August, 2024    By - Dr Clemens
Speaking the Unspeakable: Talk Union to Me

Authors: Julie G. Broussard, RPh, MD, FASA et al  ASA Monitor August 2024, Vol. 88, 21. When you went to medical school, did you ever think you’d be asked to join a union? If you are like us, neither did we – most of us did not think of ourselves as future members of a physician […]

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Uncategorized Published - 23 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 - 23 August, 2024    By - Dr Clemens
Methylphenidate Reversal of Dexmedetomidine-Induced Versus Ketamine-Induced Sedation in Rats

AUTHORS: Vincent, Kathleen F. PhD et al Anesthesia & Analgesia August 07, 2024. BACKGROUND: Dexmedetomidine and ketamine have long elimination half-lives in humans and have no clinically approved reversal agents. Methylphenidate enhances dopaminergic and noradrenergic neurotransmission by inhibiting reuptake transporters for these arousal-promoting neurotransmitters. Previous studies in rats demonstrated that intravenous methylphenidate induces emergence from […]

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Uncategorized Published - 23 August, 2024    By - Dr Clemens
Succeeding in Independent Practice

Author: Jack H. Dillon, MBA, MSHR, MA ASA Monitor August 2024, Vol. 88, 20. The landscape of anesthesia practice is evolving, with a noticeable shift (or at least interest) toward independent practice models. This change is driven by various factors, including the desire for increased autonomy in one’s work, growing financial incentives, and the advantages […]

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