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Uncategorized Published - 21 June, 2022    By - Dr Clemens
What’s Next for Patient Safety in Non-OR Anesthesia? Exploring Opportunities for Teamwork

Authors: Emily Methangkool, MD, MPH; Richard D. Urman, MD, MBA ASA Monitor June 2022, Vol. 86, 25–26. Figure: Opportunities for quality improvement in non-operating room anesthetizing locations. NORA=non-operating room anesthesia; M&M=mortality and morbidity. Communication failures contribute to adverse events, morbidity, and mortality and may be complicated by both interprofessional and interdisciplinary dynamics within the procedural setting (J […]

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Uncategorized Published - 21 June, 2022    By - Dr Clemens
Ambulatory Anesthesia and NORA: Current Status and Future Considerations

Author: Girish P. Joshi, MBBS, MD, FFARCSI ASA Monitor June 2022, Vol. 86, 24. Minimally invasive approaches, facilitated with advanced technology such as augmented reality, mixed reality, and robotics, as well as artificial intelligence (AI), novel imaging, innovative navigation systems, and 3D printing, will extend the capabilities of surgeons and proceduralists. Next-generation surgical robotics will be […]

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Uncategorized Published - 21 June, 2022    By - Dr Clemens
Amiodarone with or without N-Acetylcysteine for the Prevention of Atrial Fibrillation after Thoracic Surgery

Authors: David Amar, M.D. et al  Anesthesiology June 2022, Vol. 136, 916–926. Background Postoperative atrial fibrillation may identify patients at risk of subsequent atrial fibrillation, with its greater risk of stroke. This study hypothesized that N-acetylcysteine mitigates inflammation and oxidative stress to reduce the incidence of postoperative atrial fibrillation. Methods In this double-blind, placebo-controlled trial, patients at […]

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Uncategorized Published - 20 June, 2022    By - Dr Clemens
Mechanical Power: Correlate or Cause of Ventilator-induced Lung Injury?

Authors: Marcelo Gama de Abreu, M.D. et al  Anesthesiology July 2022, Vol. 137, 6–8. “[In mechanical ventilation,] power may be a better marker of lung injury than isolated parameters such as tidal volume, driving pressure, or respiratory rate.” Image: J. P. Rathmell. The concept of elastic and resistive energy transfer from mechanical ventilators to the respiratory […]

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Uncategorized Published - 20 June, 2022    By - Dr Clemens
Help on understanding acid-base aspects of propofol interacting with lidocaine

Posted by u/LoopyBullet r/anesthesiology I was reading an article in propofol pain in injection, and I’m having trouble understanding a paragraph on the bottom right portion of the first page, starting with, “It is not clear how…” I don’t understand the author’s rationale from an acid-base standpoint, and was hoping someone could please help me […]

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