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Uncategorized Published - 11 May, 2022    By - Dr Clemens
Review of the ASA Physical Status Classification: Reply

Authors: Balazs Horvath, M.D., F.A.S.A. et al  Anesthesiology May 2022, Vol. 136, 866–867. In Reply: We sincerely thank Abouleish et al. and Flynn et al  for their interest in and comments on our review article.  Whereas our manuscript emphasized the virtually universal, multidisciplinary application of the American Society of Anesthesiologists (ASA; Schaumburg, Illinois) Physical Status Classification System to patient care […]

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Uncategorized Published - 10 May, 2022    By - Dr Clemens
Quality of Labor Analgesia with Dural Puncture Epidural versus Standard Epidural Technique in Obese Parturients

Authors: Hon Sen Tan, M.D., M.Med., M.H.Sc. et al  Anesthesiology May 2022, Vol. 136, 678–687. Background The dural puncture epidural technique may improve analgesia quality by confirming midline placement and increasing intrathecal translocation of epidural medications. This would be advantageous in obese parturients with increased risk of block failure. This study hypothesizes that quality of […]

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Uncategorized Published - 10 May, 2022    By - Dr Clemens
Personalized Surgical Transfusion Risk Prediction Using Machine Learning to Guide Preoperative Type and Screen Orders

Authors: Sunny S. Lou, M.D., Ph.D. et al  Anesthesiology February 2022. Background Accurate estimation of surgical transfusion risk is essential for efficient allocation of blood bank resources and for other aspects of anesthetic planning. This study hypothesized that a machine learning model incorporating both surgery- and patient-specific variables would outperform the traditional approach that uses […]

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Uncategorized Published - 10 May, 2022    By - Dr Clemens
Anesthesia Incident Reporting System (AIRS): Case 2022-2: Failure to Communicate

ASA Monitor February 2022, Vol. 86, 20. What We’ve Got Here Is Failure to Communicate A first dose of ketorolac was given early by a different provider. After scanning the ketorolac at the end of the case, I did not confirm that any had already been administered. The error was discovered during handoff as I was […]

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Uncategorized Published - 10 May, 2022    By - Dr Clemens
Injury from Intraoperative Hypotension: A Time for New Standards?

Author: Kelly Wolfgang Jong ASA Monitor February 2022, Vol. 86, 19. Recent studies have shown a link between intraoperative hypotension (IOH) and injury to the patient, from acute kidney injury (AKI) and adverse cardiac events to inadequate organ perfusion. Though the data suggest that a link exists, there is not yet clear evidence of a causal […]

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