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Uncategorized Published - 7 September, 2023    By - Dr Clemens
Why I Prescribe SNRIs for Chronic Pain, Regardless of a Mental Health Diagnosis

Author: Courtney Kominek, PharmD, BCPS, CPE Practical Pain Management Volume 23 Issue 4 SNRIs are established, guideline-approved treatment options for both psychiatric and chronic pain diagnoses. When to use them, when to avoid them. Two for the price of one. Buy one, get one free. Everyone loves a good deal, right? Chronic pain and mental […]

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Uncategorized Published - 7 September, 2023    By - Dr Clemens
Derivation, Validation, Sustained Performance, and Clinical Impact of an Electronic Medical Record–Based Perioperative Delirium Risk Stratification Tool

AUTHORS: Whitlock, Elizabeth L. MD, MSc et al  Anesthesia & Analgesia 131(6):p 1901-1910, December 2020. BACKGROUND: Postoperative delirium is an important problem for surgical inpatients and was the target of a multidisciplinary quality improvement project at our institution. We developed and tested a semiautomated delirium risk stratification instrument, Age, WORLD backwards, Orientation, iLlness severity, Surgery-specific risk […]

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Uncategorized Published - 7 September, 2023    By - Dr Clemens
Financial Stewardship and Securing the Future: One and the Same

Author: James Mesrobian, MD, MBA, FASA, FACHE ASA Monitor September 2023, Vol. 87, 6–7. As anesthesiologists, we sometimes are reminded that much of the public and key stakeholders (executives, colleagues, legislators) are not aware that anesthesiologists are physicians. Consider the following three true stories. While riding to the annual meeting in New Orleans last fall, an […]

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Uncategorized Published - 6 September, 2023    By - Dr Clemens
Preoperative Factors Predict Memory Decline After Coronary Artery Bypass Grafting or Percutaneous Coronary Intervention in an Epidemiological Cohort of Older Adults

Authors: Angelina B. Tang et al Journal of the American Heart Association. Dec 30, 2022 Background Durable memory decline may occur in older adults after surgical (coronary artery bypass grafting [CABG]) or nonsurgical (percutaneous coronary intervention) coronary revascularization. However, it is unknown whether individual memory risk can be predicted. We reanalyzed an epidemiological cohort of […]

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Uncategorized Published - 6 September, 2023    By - Dr Clemens
Perioperative Care for Aging Rural Populations: Barriers to Care and Potential Solutions

Authors: Heather Lander, MD et al  ASA Monitor September 2023, Vol. 87, 21. Projections from the United States census anticipate that one quarter of Americans will be 65 years or older within a decade, effectively doubling to 95 million older adults (asamonitor.pub/3pLIbun). The Administration on Aging finds over 17% of people living in the U.S. […]

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