Month: January 2025

Uncategorized Published - 7 January, 2025    By - Dr Clemens
Pyridoxine Prevents Postoperative Nausea and Vomiting in Gynecological Laparoscopic Surgery

Authors: Zhang, Qirui MMed et al Anesthesiology December 27, 2024. Background: Postoperative nausea and vomiting (PONV) are common complications after gynecological laparoscopic surgery. Pyridoxine has been recommended as a first-line drug to prevent and treat nausea and vomiting during pregnancy; however, its efficacy in preventing PONV remains unclear. Methods: Patients of 18 to 65 years […]

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Uncategorized Published - 7 January, 2025    By - Dr Clemens
Hemodynamic Management guided by the Hypotension Prediction Index in Abdominal Surgery

Authors: Ripollés-Melchor, Javier MD et al Anesthesiology January 02, 2025. Background: Postoperative acute kidney injury (AKI) after major abdominal surgery leads to poor outcomes. The Hypotension Prediction Index (HPI) may aid in managing intraoperative hemodynamic instability. This study assessed if HPI-guided therapy reduces moderate-to-severe AKI incidence in moderate-to-high-risk elective abdominal surgery patients. Methods: This multicenter […]

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Uncategorized Published - 7 January, 2025    By - Dr Clemens
Ultrasound-guided Superficial Cervical Plexus Blocks for Persistent Pain after Suboccipital Craniotomies

Authors: Zeng, Min M.D., Ph.D. et al Anesthesiology 142(1):p 166-175, January 2025. Background: The efficacy of superficial cervical plexus blocks for reducing persistent pain after craniotomies remains unclear. The authors tested the primary hypothesis that preoperative ultrasound-guided superficial cervical plexus blocks reduce persistent pain 3 months after suboccipital craniotomies. Methods: A single-center randomized and blinded parallel-group […]

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Uncategorized Published - 7 January, 2025    By - Dr Clemens
Discover The Best Anesthesiologist Opportunity in New Mexico

If you’re an anesthesiologist searching for a balanced lifestyle and rewarding work, you’ll want to check out this opportunity. Our all-anesthesiologist group is seeking a dedicated team member to join our collaborative practice. Position Highlights: Zero Call for 3 Weeks: Enjoy three weeks of no call duty, followed by one week of call. Even during […]

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Uncategorized Published - 7 January, 2025    By - Dr Clemens
Join Our New CRNA Team in Riverdale, GA!

We’re excited to announce the formation of a new anesthesia group in Riverdale, GA, located just 10 minutes from the Atlanta Airport. We’re seeking dedicated CRNAs to join our collaborative care team, which will include 4 full-time CRNAs and 2 anesthesiologists managing 4 operating rooms. Position Highlights: Case Mix: Bread-and-butter cases – no heads, hearts, […]

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Uncategorized Published - 6 January, 2025    By - Dr Clemens
Impact of a personalized intervention on preoperative anxiety and determination of the minimal clinically important difference in anxiety levels

Authors: Salzmann, Stefan PhD; et al  Anesthesiology December 26, 2024. Background: Preoperative anxiety is common and most patients experiencing preoperative anxiety would welcome support to cope with their anxiety. Studies examining the effectiveness of information to reduce anxiety have been inconsistent. In addition, it is unclear whether results reported to be statistically significant are also […]

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Uncategorized Published - 6 January, 2025    By - Dr Clemens
Bioequivalence and Pharmacokinetics of Intravenous Calcium during Cesarean Delivery

Authors: Ansari, Jessica R. M.D., M.S. et al Anesthesiology 142(1):p 121-131, January 2025. Background: Few studies have assessed the dose ratio of calcium gluconate to calcium chloride or defined the time course of change in serum ionized calcium concentration after intravenous injection. Methods: In a bioequivalence (dose ratio) trial, parturients undergoing cesarean delivery were randomly assigned […]

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Uncategorized Published - 6 January, 2025    By - Dr Clemens
Protamine Dosing for Heparin Reversal after Cardiopulmonary Bypass

Authors: Jain, Pankaj M.D. et al Anesthesiology 142(1):p 98-106, January 2025. Background: Drug shortages are a frequent challenge in current clinical practice. Certain drugs (e.g., protamine) lack alternatives, and inadequate supplies can limit access to services. Conventional protamine dosing uses heparin ratio-based calculations for heparin reversal after cardiopulmonary bypass and may result in excess protamine utilization […]

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Uncategorized Published - 6 January, 2025    By - Dr Clemens
Impaired Physicians – Health Problems Aren’t Just for Patients

Authors: Deutch, Zachary MD, FASA; Fitzsimons, Michael G. MD ASA Monitor 89(1):p 1,5-6, January 2025. | This month’s “Ask the Expert” column addresses a difficult topic, that of physicians dealing with medical and/or psychiatric problems that hinder their ability to practice. With the shrinking of the anesthesiology workforce, and growing demands placed on those who remain, the […]

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Uncategorized Published - 6 January, 2025    By - Dr Clemens
Permutation Entropy Does Not Track the Electroencephalogram-Related Manifestations of Paradoxical Excitation During Propofol-Induced Loss of Responsiveness

AUTHORS: Ostertag, Julian MSc; Zanner, Robert MD; Schneider, Gerhard MD; Kreuzer, Matthias PhD Anesthesia & Analgesia 140(1):p 136-144, January 2025. BACKGROUND: During the anesthetic-induced loss of responsiveness (LOR), a “paradoxical excitation” with activation of β-frequencies in the electroencephalogram (EEG) can be observed. Thus, spectral parameters—as widely used in commercial anesthesia monitoring devices—may mistakenly indicate that […]

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