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Uncategorized Published - 18 December, 2023    By - Dr Clemens
A Conversation Across the Drapes: Understanding Inequity and Achieving Equity in Obstetric and Anesthesiology Care

Authors: LaRae C. Brown, MD, MHA, FACOG; Keya A. Locke, MD, MBA ASA Monitor December 2023, Vol. 87, 28–29. During an emergency cesarean delivery, communication, clinical expertise, and collaboration are imperative for the multidisciplinary team. In that moment, there is nothing more crucial to the well-being of the patient than the dyad of an obstetrician and anesthesiologist. […]

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Uncategorized Published - 18 December, 2023    By - Dr Clemens
Opioid-free anesthesia protocol on the early quality of recovery after major surgery (SOFA trial)

Authors: Maxime Léger, M.D., Ph.D. et al  Anesthesiology November 2023. Background Opioid-free anesthesia (OFA) is increasingly being adopted to reduce opioid consumption, but its impact on early postoperative recovery following major surgery has not been evaluated in comparative trials. We hypothesized that an OFA protocol would enhance the early quality of recovery (QoR) for patients […]

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Uncategorized Published - 18 December, 2023    By - Dr Clemens
A Quality Improvement Initiative to Reduce Adverse Effects of Transitions of Anesthesia Care on Postoperative Outcomes

Authors: Amit K. Saha, PhD; Scott Segal, MD, MHCM Anesthesiology November 2023. Background An intraoperative transfer of care from one anesthesia provider to another, or handover, may result in information loss and contribute to adverse patient outcomes. In 2019 we undertook a quality improvement effort to increase the use of a structured intraoperative handover tool […]

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Uncategorized Published - 18 December, 2023    By - Dr Clemens
Damage Control Resuscitation in Traumatic Hemorrhage: It is More Than Fixing the Holes and Filling the Tank

Authors: Justin E. Richards, M.D. et al  Anesthesiology November 2023. Trauma remains the leading cause of death and disability in individuals younger than 44 yr of age, and hemorrhage is the most common cause of preventable death after a traumatic mechanism of injury. Each year nearly 1.5 million deaths worldwide are the result of trauma-related […]

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Uncategorized Published - 15 December, 2023    By - Dr Clemens
Recruitment-to-inflation Ratio Assessed through Sequential End-expiratory Lung Volume Measurement in Acute Respiratory Distress Syndrome

Authors: Domenico Luca Grieco, M.D. et al  Anesthesiology December 2023, Vol. 139, 801–814. Background Positive end-expiratory pressure (PEEP) benefits in acute respiratory distress syndrome are driven by lung dynamic strain reduction. This depends on the variable extent of alveolar recruitment. The recruitment-to-inflation ratio estimates recruitability across a 10–cm H2O PEEP range through a simplified maneuver. Whether […]

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