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Uncategorized Published - 11 November, 2021    By - Dr Clemens
Anesthetic Considerations of Intraoperative Submissive Pulmonary Embolism with Thrombus Crossing to the Left Heart via a Patent Foramen Ovale

Authors: Vignesh Sankar, BS, Nazir Noor, MD, Ruben H. Schwartz, DO, Jason Hoyos, DO, FASA ASA Monitor October 2021, Vol. 85, 41. Mount Sinai Medical Center-Miami Beach is Florida’s largest private, nonprofit teaching hospital focused on providing high-quality care to the diverse community of South Florida through teaching, research, and community advocacy. Established in 1949, our system includes […]

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Uncategorized Published - 11 November, 2021    By - Dr Clemens
A Case Report from the Anesthesia Incident Reporting System: Situational Awareness

ASA Monitor October 2021, Vol. 85, 11. A 48-year-old man is undergoing primary resection of a large meningioma involving the anterior cranial fossa and possibly middle cranial fossa. At the teamsteps briefing, the surgeon mentions that he wants a lumbar spinal drain. After an uneventful induction, the patient is placed left side down for placement […]

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Uncategorized Published - 11 November, 2021    By - Dr Clemens
Acute Visceral Pain in Rats: Vagal Nerve Block Compared to Bupivacaine Administered Intramuscularly

AUTHORS: Ben Rehouma, Mouna MD et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1311-1320 BACKGROUND:  Visceral and parietal peritoneum layers have different sensory innervations. Most visceral peritoneum sensory information is conveyed via the vagus nerve to the nucleus of the solitary tract (NTS). We already showed in animal models […]

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Uncategorized Published - 11 November, 2021    By - Dr Clemens
Effects of Local Anesthetic Volume (Standard Versus Low) on Incidence of Hemidiaphragmatic Paralysis and Analgesic Quality for Ultrasound-Guided Superior Trunk Block After Arthroscopic Shoulder Surgery

AUTHORS: Kim, Hyunzu MD, PhD et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1303-1310 BACKGROUND:  Relative to interscalene block, superior trunk block (STB) provides comparable analgesia and a reduced risk of hemidiaphragmatic paralysis. However, the incidence of hemidiaphragmatic paralysis remains high when a standard volume (15 mL) of local […]

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Uncategorized Published - 11 November, 2021    By - Dr Clemens
Ultrasound-guided central venous catheterization. Long-axis in-plane technique

Cardiac Anesthesiologist In this technique, the needle is advanced inside the ultrasound scan plane while observing the long axis of the vein. Unlike the short-axis out-of-plane, puncturing is truly performed in real time. Although this technique can be applied clinically with the Internal Jugular Vein if a small probe is used, it can be difficult to use regular-sized […]

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