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Uncategorized Published - 9 May, 2016    By - Dr Clemens
Headache Specialists Have High Rates of Headache

A new survey shows that almost 70% of headache specialists report having episodic migraine (EM), much higher than the lifetime incidence of EM in the general population. Overall, only about 30% of respondents said they have no personal history of any of seven possible headache types. The survey also showed that many clinicians prefer treating […]

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Uncategorized Published - 9 May, 2016    By - Dr Clemens
Crisis in Remote Areas Is Not a Remote Problem: In-situ Crisis Management Training for Procedures Outside the O.R

Authors: Jeff Simmons, M.D. et al ASA Monitor 05 2016, Vol.80, 16-18. Scenario: You have just performed the most altruistic act in the practice of anesthesia: giving a lunch break to someone in the GI lab. Of course, the ERCP is just getting started and the morbidly obese patient has just been positioned prone. He is […]

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Uncategorized Published - 9 May, 2016    By - Dr Clemens
Predicting Patient Safety: Myth, Math and Mystery

Authors: Robert S. Lagasse, M.D. et al ;  ASA Monitor 05 2016, Vol.80, 12-14. Get Permissions Obtaining informed consent to administer anesthesia is both an ethical and legal obligation for physician anesthesiologists.Standards vary slightly across states, but most ethicists and lawyers agree that sufficient information for informed decision-making requires knowledge by the patient of material risks. […]

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Uncategorized Published - 6 May, 2016    By - Dr Clemens
The Anesthesia Clinical Director: A Critical Leadership Role

Given the shifting economics of health care, it’s more important than ever for physicians to prove their value to their institutions and to become leaders in their local hospital communities while helping redesign their specialty for the future. As Salvatore Vitale, MD, director of cardiac and thoracic anesthesia at Mount Sinai Beth Israel, in New […]

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Uncategorized Published - 6 May, 2016    By - Dr Clemens
Both Intracapsular and Extracapsular Hip Fractures Likely to Benefit from Femoral Nerve Blocks

Authors: Dickman E et al. Am J Emerg Med 2016 Mar. Pain relief at 2 and 3 hours was similar whether the fracture was intracapsular or extracapsular. Ultrasound-guided femoral nerve block is increasingly used for analgesia in emergency department patients with hip fracture. Given the anatomy of innervation, a logical question is whether intracapsular fractures might be […]

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