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Uncategorized Published - 27 February, 2024    By - Dr Clemens
Ventral Tegmental Area Glutamatergic Neurons Facilitated Emergence From Isoflurane Anesthesia Involves Excitation of Lateral Septum γ-Aminobutyric Acid-ergic Neurons in Mice

AUTHORS: Zhang, Simin MD et al  Anesthesia & Analgesia November 23, 2023. BACKGROUND: Ventral tegmental area (VTA) glutamatergic neurons promote wakefulness in the sleep-wake cycle; however, their roles and neural circuit mechanisms during isoflurane (ISO) anesthesia remain unclear. METHODS: Fiber photometry and in vivo electrophysiology were used to observe the changes in neuronal or terminal […]

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Uncategorized Published - 27 February, 2024    By - Dr Clemens
Is the physician employment model broken?

Author: Patsy Newitt Becker’s Physician Leadership Revenue and expense data from the last year could point to a need for to reconsider the traditional physician employment model, according to Kaufman Hall’s “Physician Flash Report for 2023.” Here are three takeaways and three action steps, according to the report. Takeaways: 1. Investment per provider is up […]

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Uncategorized Published - 26 February, 2024    By - Dr Clemens
Detection of Postpartum Hemorrhage Using Compensatory Reserve Index in Patients Undergoing Cesarean Delivery

AUTHORS: Reppucci, Marina L. MD et al  Anesthesia & Analgesia 138(3):p 562-571, March 2024. BACKGROUND: Postpartum hemorrhage (PPH) is the leading cause of maternal death worldwide. Early recognition and management are imperative for improved outcomes. The compensatory reserve index (CRI) is a novel physiological parameter that trends changes in intravascular volume, by continuously comparing extracted photoplethysmogram […]

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Uncategorized Published - 26 February, 2024    By - Dr Clemens
Improving Neuromuscular Monitoring Through Education-Based Interventions and Studying Its Association With Adverse Postoperative Outcomes

AUTHORS: Carr, Shane G. MD et al  Anesthesia & Analgesia 138(3):p 517-529, March 2024. BACKGROUND: We assessed the association between education-based interventions, the frequency of train-of-four (TOF) monitoring, and postoperative outcomes. METHODS: We studied adults undergoing noncardiac surgery from February 1, 2020 through October 31, 2021. Our education-based interventions consisted of 3 phases. An interrupted time-series […]

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Uncategorized Published - 26 February, 2024    By - Dr Clemens
Ultrasound-Guided Glossopharyngeal Nerve Block for an Awake Intubation in a Patient Predicted to Have a Difficult Airway: A Case Report

Authors: Wada, Nozomi MD et al  A & A Practice 17(5):p e01682, May 2023. Abstract A peripheral nerve block may be used to improve patient tolerance of awake intubation. During an awake intubation, the glossopharyngeal, superior laryngeal, and recurrent laryngeal nerves can mediate discomfort, pain, cough, glottic closure, and gag reflexes. We describe the use of […]

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