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Uncategorized Published - 6 September, 2023    By - Dr Clemens
Training the Next Generation of Anesthesiologists: A Challenging but Essential Task

Authors: Zachary Deutch, MD, FASA; Sascha Beutler, MD, PhD ASA Monitor September 2023, Vol. 87, 28–29. All residents have much to learn, since none of us graduate from medical school as clinical or procedural experts. Who doesn’t remember their initial attempts at placing an intravenous or arterial line or tentatively performing a direct laryngoscopy and (hopefully) intubating? […]

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Uncategorized Published - 6 September, 2023    By - Dr Clemens
The Stimulant Overdose Crisis

Authors: William Amarquaye, PharmD et al Practical Pain Management Volume 23 Issue 4 With an unprecedented surge in psychostimulant-related deaths due to cross-contamination of illicitly manufactured fentanyl, here’s what prescribers and physicians need to know, including monitoring and mitigating risk, for their patients who use methamphetamine and cocaine. A Special Report. Background: It Started with […]

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Uncategorized Published - 6 September, 2023    By - Dr Clemens
An Implementation-Effectiveness Study of a Perioperative Delirium Prevention Initiative for Older Adults

AUTHORS: Donovan, Anne L. MD et al BACKGROUND: Postoperative delirium is a common and serious problem for older adults. To better align local practices with delirium prevention consensus guidelines, we implemented a 5-component intervention followed by a quality improvement (QI) project at our institution. METHODS: This hybrid implementation-effectiveness study took place at 2 adult hospitals […]

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Uncategorized Published - 5 September, 2023    By - Dr Clemens
Perioperative changes in neurocognitive and Alzheimer’s disease-related cerebrospinal fluid biomarkers in older patients randomised to isoflurane or propofol for anaesthetic maintenance

Authors: Daniel Villalobos et al British Journals of Anaesthesia June 2023 Background Animal studies have shown that isoflurane and propofol have differential effects on Alzheimer’s disease (AD) pathology and memory, although it is unclear whether this occurs in humans. Methods This was a nested randomised controlled trial within a prospective cohort study; patients age ≥60 […]

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Uncategorized Published - 5 September, 2023    By - Dr Clemens
Brief Preoperative Screening for Frailty and Cognitive Impairment Predicts Delirium after Spine Surgery

Authors: Maria J. Susano, M.D. et al  Anesthesiology December 2020, Vol. 133, 1184–1191. Background Frailty and cognitive impairment are associated with postoperative delirium, but are rarely assessed preoperatively. The study was designed to test the hypothesis that preoperative screening for frailty or cognitive impairment identifies patients at risk for postoperative delirium (primary outcome). Methods In this […]

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