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Uncategorized Published - 7 December, 2021    By - Dr Clemens
Effect of Global Ventilation to Perfusion Ratio, for Normal Lungs, on Desflurane and Sevoflurane Elimination Kinetics

Authors: James E. Baumgardner, M.D., Ph.D., M.D. et al  Anesthesiology December 2021, Vol. 135, 1042–1054. Background Kinetics of the uptake of inhaled anesthetics have been well studied, but the kinetics of elimination might be of more practical importance. The objective of the authors’ study was to assess the effect of the overall ventilation/perfusion ratio (VA/Q), […]

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Uncategorized Published - 7 December, 2021    By - Dr Clemens
Discovering Alignment: Building on What the Pandemic Taught Us About Clinician Well-Being

Authoir: Natalya S. Hasan-Hill, MD ASA Monitor December 2021, Vol. 85, 24–25. In “Stumbling Into the Next Stage of Your Pandemic Life,” psychotherapist Lindsey Antin describes the complicated psychology of “returning” (asamonitor.pub/3lv1nYo). For some people, returning means coming out of quarantine and going back to their work or practice in person. That doesn’t apply to […]

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Uncategorized Published - 6 December, 2021    By - Dr Clemens
Spinal Anesthesia with Targeted Sedation based on Bispectral Index Values Compared with General Anesthesia with Masked Bispectral Index Values to Reduce Delirium

Authors: Charles H. Brown, IV, M.D., M.H.S. et al  Anesthesiology December 2021, Vol. 135, 992–1003. Background Reducing depth of anesthesia and anesthetic exposure may help prevent delirium, but trials have been conflicting. Most studies were conducted under general anesthesia or in cognitively impaired patients. It is unclear whether reducing depth of anesthesia beyond levels consistent […]

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Uncategorized Published - 6 December, 2021    By - Dr Clemens
Carbon Footprint of General, Regional, and Combined Anesthesia for Total Knee Replacements

Authors: Forbes McGain, F.A.N.Z.C.A, F.C.I.C.M., Ph.D. et al  Anesthesiology December 2021, Vol. 135, 976–99 Background Health care itself contributes to climate change. Anesthesia is a “carbon hotspot,” yet few data exist to compare anesthetic choices. The authors examined the carbon dioxide equivalent emissions associated with general anesthesia, spinal anesthesia, and combined (general and spinal anesthesia) […]

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Uncategorized Published - 6 December, 2021    By - Dr Clemens
Poor Correlation between Diaphragm Thickening Fraction and Transdiaphragmatic Pressure in Mechanically Ventilated Patients and Healthy Subjects

Authors: Thomas Poulard, M.Sc. et al  Anesthesiology November 2021. Background The relationship between the diaphragm thickening fraction and the transdiaphragmatic pressure, the reference method to evaluate the diaphragm function, has not been clearly established. This study investigated the global and intraindividual relationship between the thickening fraction of the diaphragm and the transdiaphragmatic pressure. The authors […]

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